Bonneville J F, Cattin F, Dietemann J L
Baillieres Clin Endocrinol Metab. 1989 May;3(1):35-71. doi: 10.1016/s0950-351x(89)80022-9.
High resolution CT with dynamic scanning, demonstrating the pituitary tuft, the pituitary enhancement and the related vascular structures, is of major benefit for the diagnosis of pituitary lesions. Perfection of examination techniques is essential for accurate application of the modality to detect subtle diagnostic signs. A good knowledge of normal anatomy and variants of the sella turcica and pituitary gland permits one to avoid most of the misdiagnoses. Since the CT findings are often non-specific to tissues, clinical endocrinological correlation is essential. The technique also allows consistent assessment of the extent of the disease to permit better treatment planning and effective follow-up of patients after therapy.
动态扫描的高分辨率CT可显示垂体束、垂体强化及相关血管结构,对垂体病变的诊断有很大帮助。完善检查技术对于准确应用该方法检测细微诊断征象至关重要。熟悉蝶鞍和垂体的正常解剖结构及变异可避免大多数误诊。由于CT表现对组织往往缺乏特异性,临床内分泌学关联至关重要。该技术还能持续评估疾病范围,以便更好地制定治疗方案并对治疗后的患者进行有效随访。