Growth hormone deficiency CT: Difference between revisions
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==Overview== | ==Overview== | ||
Pituitary CT scan | Pituitary CT scan can be beneficial in the analysis of growth hormone deficiency if an MRI is not available. Brain CT of pituitary apoplexy is insensitive to the analysis of apoplexy until intracranial hemorrhage is present. | ||
==CT scan== | ==CT scan== | ||
Pituitary CT scan may be helpful in the diagnosis of growth hormone deficiency if an MRI is not available. | Pituitary [[Computed tomography|CT]] scan may be helpful in the diagnosis of growth hormone deficiency if an [[Magnetic resonance imaging|MRI]] is not available. | ||
[[Computed tomography|Brain CT]] findings in [[pituitary adenoma]] are:<ref name="pmid24010395">{{cite journal| author=Lake MG, Krook LS, Cruz SV| title=Pituitary adenomas: an overview. | journal=Am Fam Physician | year= 2013 | volume= 88 | issue= 5 | pages= 319-27 | pmid=24010395 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24010395 }}</ref> | |||
* Absence of [[Contrast medium|contrast]] [[Attenuation (electromagnetic radiation)|attenuation]] can differ based on the components present such as [[hemorrhagic]], [[cystic]] and [[Necrosis|necrotic]] | |||
* [[Pituitary adenoma|Adenomas]] typically have [[Attenuation (electromagnetic radiation)|attenuation]] similar to the [[brain]] and [[calcification]] is rarely found. | |||
* [[CT angiography]] shows moderate [[Contrast medium|contrast]] enhancement less marked than in [[meningiomas]]. | |||
[[Computed tomography|Brain CT]] findings in [[pituitary apoplexy]] are:<ref name="pmid25732655">{{cite journal| author=Briet C, Salenave S, Chanson P| title=Pituitary apoplexy. | journal=Endocrinol Metab Clin North Am | year= 2015 | volume= 44 | issue= 1 | pages= 199-209 | pmid=25732655 | doi=10.1016/j.ecl.2014.10.016 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25732655 }}</ref> | |||
* CT is insensitive to the diagnosis of [[apoplexy]] unless [[intracranial hemorrhage]] is present. | |||
* The [[Pituitary Apoplexy|pituitary mass]] may be evident. | |||
* Fluid levels may be found. | |||
[[File:22.gif|300px|center|thumb|Pituitary adenoma CT, source: Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 19439]] | |||
==References== | ==References== | ||
Latest revision as of 16:37, 27 October 2017
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Differentiating Growth hormone deficiency from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
Overview
Pituitary CT scan can be beneficial in the analysis of growth hormone deficiency if an MRI is not available. Brain CT of pituitary apoplexy is insensitive to the analysis of apoplexy until intracranial hemorrhage is present.
CT scan
Pituitary CT scan may be helpful in the diagnosis of growth hormone deficiency if an MRI is not available.
Brain CT findings in pituitary adenoma are:[1]
- Absence of contrast attenuation can differ based on the components present such as hemorrhagic, cystic and necrotic
- Adenomas typically have attenuation similar to the brain and calcification is rarely found.
- CT angiography shows moderate contrast enhancement less marked than in meningiomas.
Brain CT findings in pituitary apoplexy are:[2]
- CT is insensitive to the diagnosis of apoplexy unless intracranial hemorrhage is present.
- The pituitary mass may be evident.
- Fluid levels may be found.
References
- ↑ Lake MG, Krook LS, Cruz SV (2013). "Pituitary adenomas: an overview". Am Fam Physician. 88 (5): 319–27. PMID 24010395.
- ↑ Briet C, Salenave S, Chanson P (2015). "Pituitary apoplexy". Endocrinol Metab Clin North Am. 44 (1): 199–209. doi:10.1016/j.ecl.2014.10.016. PMID 25732655.