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垂体依赖性肾上腺皮质功能亢进犬垂体后叶移位的磁共振成像评估

Magnetic resonance imaging assessment of pituitary posterior lobe displacement in dogs with pituitary-dependent hyperadrenocorticism.

作者信息

Taoda Takahiro, Hara Yasushi, Masuda Hiroyuki, Teshima Takahiro, Nezu Yoshinori, Teramoto Akira, Orima Hiromitsu, Okano Shozo, Tagawa Masahiro

机构信息

Department of Small Animal Surgery 2, School of Veterinary Medicine, Kitasato University, Towada, Aomori 034–8628, Japan.

出版信息

J Vet Med Sci. 2011 Jun;73(6):725-31. doi: 10.1292/jvms.10-0192. Epub 2011 Jan 11.

Abstract

The displacement and signal intensity (SI) of the pituitary posterior lobe were evaluated on T1 weighted magnetic resonance (MR) images in 28 dogs with pituitary dependent hyperadrenocorticism (PDH). Compared with normal dogs, the posterior lobe was displaced dorsally in the pituitary of the PDH dogs. Correlation between the pituitary height/brain area (P/B) ratio and the displacement of the posterior lobe in the PDH dogs suggests that dorsal displacement of the posterior lobe increases in accordance with enlargement of the pituitary. As to the SI of the posterior lobe, the PDH dogs showed significantly lower SI in comparison to the normal dogs. Taken together, these results suggest that assessment of the displacement and SI of the posterior lobe of the pituitary on T1-weighted MR images is useful for the diagnosis of pituitary adenoma. In pituitary microadenoma that presents no apparent tumorigenesis on MRI, evaluation of these values may be useful for diagnosis and selection of an appropriate therapy.

摘要

对28只患有垂体依赖性肾上腺皮质功能亢进(PDH)的犬,在T1加权磁共振(MR)图像上评估垂体后叶的移位情况和信号强度(SI)。与正常犬相比,PDH犬垂体的后叶向背侧移位。PDH犬垂体高度/脑面积(P/B)比值与后叶移位之间的相关性表明,后叶的背侧移位随着垂体增大而增加。关于后叶的SI,与正常犬相比,PDH犬的SI显著降低。综上所述,这些结果表明,在T1加权MR图像上评估垂体后叶的移位和SI对垂体腺瘤的诊断有用。在MRI上未表现出明显肿瘤形成的垂体微腺瘤中,评估这些值可能有助于诊断和选择合适的治疗方法。

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