Juliani G, Avataneo T, Potenzoni F, Sorrentino T
Istituto di Radiologia, Università, Torino.
Radiol Med. 1989 Jan-Feb;77(1-2):51-64.
Normal CT and MR anatomy was studied in two series (53 and 25 cases respectively) of young volunteers of both sexes, asymptomatic and certainly without lesions of the pituitary gland. 115 other pathological cases (73 hyperprolactinemias, 8 acromegalies, 15 Cushing syndromes, 2 hyperthyroidisms, 17 nonsecreting adenomas) were examined using both CT and MRI. Both an accurate review of the relative literature and the results of our own series prove that MR is superior to CT in diagnosing pituitary microadenomas (3.2% not diagnosed with MRI and 25.8% not diagnosed with CT), in the follow-up of prolactinomas subjected to medical therapy and in the study of extrasellar involvement of pituitary adenomas, particularly with regard to the demonstration of compression of the optic chiasma.
对两组年轻志愿者（分别为53例和25例）进行了正常CT和MR解剖学研究，这些志愿者均为无症状的男女，且肯定没有垂体病变。另外对115例病理病例（73例高泌乳素血症、8例肢端肥大症、15例库欣综合征、2例甲状腺功能亢进、17例无分泌功能腺瘤）进行了CT和MRI检查。对相关文献的准确回顾以及我们自己系列研究的结果均证明，在诊断垂体微腺瘤方面（MRI未诊断出的占3.2%，CT未诊断出的占25.8%）、在接受药物治疗的泌乳素瘤的随访以及垂体腺瘤鞍外侵犯的研究中，尤其是在显示视交叉受压方面，MR优于CT。
