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垂体依赖性肾上腺皮质功能亢进犬垂体的计算机断层扫描和低场磁共振成像:11例(2001 - 2003年)

Computed tomography and low-field magnetic resonance imaging of the pituitary gland in dogs with pituitary-dependent hyperadrenocorticism: 11 cases (2001-2003).

作者信息

Auriemma Edoardo, Barthez Paul Y, van der Vlugt-Meijer Roselinda H, Voorhout George, Meij Björn P

机构信息

Division of Diagnostic Imaging, Faculty of Veterinary Medicine, Utrecht University, 3508 TC Utrecht, The Netherlands.

出版信息

J Am Vet Med Assoc. 2009 Aug 15;235(4):409-14. doi: 10.2460/javma.235.4.409.

Abstract

OBJECTIVE

To compare the results of computed tomography (CT) and magnetic resonance imaging (MRI) of the pituitary gland in dogs with pituitary-dependent hyperadrenocorticism (PDH) caused by histologically confirmed pituitary adenoma.

DESIGN

Retrospective case series.

ANIMALS

11 dogs with PDH that underwent transsphenoidal hypophysectomy.

PROCEDURES

Medical records of dogs examined between January 2001 and March 2003 were reviewed. Dogs were included in this study if they had clinical signs of hypercortisolism at the time of admission (for which PDH was diagnosed) and underwent transsphenoidal hypophysectomy. Pre- and postcontrast CT and low-field MRI (0.2-Tesla magnet) were performed on the same day as surgery for each dog.

RESULTS

An abnormal pituitary gland was found in 7 dogs by use of MRI and in the same 7 dogs by use of CT. Significant differences were found between postcontrast CT and MR images for height, width, and length of the pituitary gland; brain area; and thickness of the sphenoid bone. However, the pituitary gland height-to-brain area ratio determined from postcontrast CT and MR images was not significantly different. The signal-to-noise ratio and contrast-to-noise ratio of pre- and postcontrast MR images were significantly higher than those of the CT images.

CONCLUSIONS AND CLINICAL RELEVANCE

Low-field MRI and dynamic CT imaging of the pituitary gland provided comparable information on the presence of pituitary adenomas in dogs with PDH.

摘要

目的

比较计算机断层扫描(CT)和磁共振成像(MRI)对组织学确诊为垂体腺瘤所致垂体依赖性肾上腺皮质功能亢进(PDH)犬垂体的检查结果。

设计

回顾性病例系列研究。

动物

11只患有PDH并接受经蝶窦垂体切除术的犬。

方法

回顾2001年1月至2003年3月间接受检查犬的病历。如果犬在入院时具有高皮质醇血症的临床症状(据此诊断为PDH)并接受经蝶窦垂体切除术,则纳入本研究。对每只犬在手术当天进行术前和术后增强CT及低场MRI(0.2特斯拉磁体)检查。

结果

7只犬通过MRI发现垂体异常,同样这7只犬通过CT也发现垂体异常。增强后CT和MR图像在垂体高度、宽度和长度、脑面积以及蝶骨厚度方面存在显著差异。然而,由增强后CT和MR图像确定的垂体高度与脑面积之比无显著差异。增强前后MR图像的信噪比和对比噪声比显著高于CT图像。

结论及临床意义

低场MRI和垂体动态CT成像在检测患有PDH犬垂体腺瘤的存在方面提供了可比的信息。

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