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* Test can be performed to distinguish between insulinoma and islet-cell hypertrophy. | * Test can be performed to distinguish between insulinoma and islet-cell hypertrophy. | ||
* Injection of calcium gluconate into splanchnic arteries and venous sampling searching for insulin. | * Injection of calcium gluconate into splanchnic arteries and venous sampling searching for insulin.<ref name="pmid26312578">{{cite journal| author=Thompson SM, Vella A, Thompson GB, Rumilla KM, Service FJ, Grant CS et al.| title=Selective Arterial Calcium Stimulation With Hepatic Venous Sampling Differentiates Insulinoma From Nesidioblastosis. | journal=J Clin Endocrinol Metab | year= 2015 | volume= 100 | issue= 11 | pages= 4189-97 | pmid=26312578 | doi=10.1210/jc.2015-2404 | pmc=4702445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26312578 }}</ref> | ||
* In insulinoma, test is positive in one artery alone. | * In insulinoma, test is positive in one artery alone. | ||
* Islet-cell hypertrophy, test is positive is positive in multiple arteries. | * Islet-cell hypertrophy, test is positive is positive in multiple arteries.<ref name="pmid25873534">{{cite journal| author=Thompson SM, Vella A, Service FJ, Grant CS, Thompson GB, Andrews JC| title=Impact of variant pancreatic arterial anatomy and overlap in regional perfusion on the interpretation of selective arterial calcium stimulation with hepatic venous sampling for preoperative localization of occult insulinoma. | journal=Surgery | year= 2015 | volume= 158 | issue= 1 | pages= 162-72 | pmid=25873534 | doi=10.1016/j.surg.2015.03.004 | pmc=4461470 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25873534 }}</ref> | ||
==References== | ==References== | ||
Revision as of 14:07, 19 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Other Diagnostic Studies
- In case of failed imaging( US-CT-MRI ) to diagnose insulinoma, more adiitional tests need to be done.
- Test can be performed to distinguish between insulinoma and islet-cell hypertrophy.
- Injection of calcium gluconate into splanchnic arteries and venous sampling searching for insulin.[1]
- In insulinoma, test is positive in one artery alone.
- Islet-cell hypertrophy, test is positive is positive in multiple arteries.[2]
References
- ↑ Thompson SM, Vella A, Thompson GB, Rumilla KM, Service FJ, Grant CS; et al. (2015). "Selective Arterial Calcium Stimulation With Hepatic Venous Sampling Differentiates Insulinoma From Nesidioblastosis". J Clin Endocrinol Metab. 100 (11): 4189–97. doi:10.1210/jc.2015-2404. PMC 4702445. PMID 26312578.
- ↑ Thompson SM, Vella A, Service FJ, Grant CS, Thompson GB, Andrews JC (2015). "Impact of variant pancreatic arterial anatomy and overlap in regional perfusion on the interpretation of selective arterial calcium stimulation with hepatic venous sampling for preoperative localization of occult insulinoma". Surgery. 158 (1): 162–72. doi:10.1016/j.surg.2015.03.004. PMC 4461470. PMID 25873534.