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[垂体腺瘤的磁共振成像与激素活性的关系]

[MRI of the pituitary adenomas with reference to the hormonal activity].

作者信息

Masunaga S, Asato R, Kikuchi H, Matsumoto S, Nagata I, Hashimoto N, Takahashi J, Kohno K, Konishi J

机构信息

Department of Neurosurgery, Kyoto University School of Medicine, Japan.

出版信息

No To Shinkei. 1995 Dec;47(12):1165-9.

PMID:8534553
Abstract

Many studies in Magnetic Resonance Imaging (MRI) of pituitary adenomas are already performed. However, few reports exist about MRI findings of pituitary adenomas with reference to the hormonal activity, therefore, we evaluated this problem on the viewpoint of the signal intensity in MRI and pathological features. Fifteen patients with growth hormone producing adenoma (GH-group), 6 patients with prolactin producing adenoma (PRL-group), 15 patients with endocrinologically non-functioning adenoma (Null-group) and 9 cases with normal pituitary gland (normal control group) were examined. Signal intensity values in adenoma (or anterior lobe in normal control group) and in pons as standard value were measured in each cases, then their rates were calculated as signal intensity ratio (SIR). In 24 cases (14 in GH-group, 3 in PRL-group, 7 in Null-group), cellular density were examined with surgically resected specimens. In the T1-weighted images (T1 WIs), PRL-group and Null-group presented more hypointense tendency than normal control group. In the T2-weighted images (T2 WIs), only Null-group presented more hyperintense tendency than other groups. But significant correlation was not observed between SIR and cellular density.

摘要

关于垂体腺瘤的磁共振成像(MRI)已有许多研究。然而,关于垂体腺瘤MRI表现与激素活性关系的报道较少,因此,我们从MRI信号强度和病理特征的角度评估了这个问题。我们检查了15例生长激素分泌型腺瘤患者(GH组)、6例泌乳素分泌型腺瘤患者(PRL组)、15例内分泌无功能腺瘤患者(无功能组)和9例垂体正常的病例(正常对照组)。在每个病例中测量腺瘤(或正常对照组的前叶)和脑桥的信号强度值作为标准值,然后计算它们的比率作为信号强度比(SIR)。在24例病例(GH组14例、PRL组3例、无功能组7例)中,对手术切除标本进行细胞密度检查。在T1加权图像(T1WI)中,PRL组和无功能组比正常对照组呈现出更多的低信号倾向。在T2加权图像(T2WI)中,只有无功能组比其他组呈现出更多的高信号倾向。但未观察到SIR与细胞密度之间存在显著相关性。

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