Hypoglycemia CT: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 7: | Line 7: | ||
* Hypoglycemia caused by endogenous insulin the differential diagnosis includes insulinoma and islet-cell hypertrophy. | * Hypoglycemia caused by endogenous insulin the differential diagnosis includes insulinoma and islet-cell hypertrophy. | ||
* Ultrasound, Computed tomography and MRI can differentiate between both.<ref name="pmid15763695">{{cite journal| author=Noone TC, Hosey J, Firat Z, Semelka RC| title=Imaging and localization of islet-cell tumours of the pancreas on CT and MRI. | journal=Best Pract Res Clin Endocrinol Metab | year= 2005 | volume= 19 | issue= 2 | pages= 195-211 | pmid=15763695 | doi=10.1016/j.beem.2004.11.013 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15763695 }}</ref> | * Ultrasound, Computed tomography and MRI can differentiate between both.<ref name="pmid15763695">{{cite journal| author=Noone TC, Hosey J, Firat Z, Semelka RC| title=Imaging and localization of islet-cell tumours of the pancreas on CT and MRI. | journal=Best Pract Res Clin Endocrinol Metab | year= 2005 | volume= 19 | issue= 2 | pages= 195-211 | pmid=15763695 | doi=10.1016/j.beem.2004.11.013 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15763695 }}</ref> | ||
* A negative imaging study does not exclude insulinoma and patient | * A negative imaging study does not exclude insulinoma and patient need more tests. | ||
* CT shows hyperattenuating on arterial phase so arterial or pancreatic phase imaging may aid in better detection. Some may show calcification.<ref name="pmid9534694">{{cite journal| author=King AD, Ko GT, Yeung VT, Chow CC, Griffith J, Cockram CS| title=Dual phase spiral CT in the detection of small insulinomas of the pancreas. | journal=Br J Radiol | year= 1998 | volume= 71 | issue= 841 | pages= 20-3 | pmid=9534694 | doi=10.1259/bjr.71.841.9534694 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9534694 }}</ref> | |||
[[File:Ct (2).jpg|center|500px]] | [[File:Ct (2).jpg|center|500px]] | ||
CT showing insulinoma | CT showing insulinoma | ||
Revision as of 17:52, 27 July 2017
|
Hypoglycemia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Hypoglycemia CT On the Web |
|
American Roentgen Ray Society Images of Hypoglycemia CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
Overview
- Ultrasound, Computed tomography and MRI can differentiate between insulinoma and islet-cell hypertrophy.
CT
- Hypoglycemia caused by endogenous insulin the differential diagnosis includes insulinoma and islet-cell hypertrophy.
- Ultrasound, Computed tomography and MRI can differentiate between both.[1]
- A negative imaging study does not exclude insulinoma and patient need more tests.
- CT shows hyperattenuating on arterial phase so arterial or pancreatic phase imaging may aid in better detection. Some may show calcification.[2]
.jpg)
CT showing insulinoma Case courtesy of Dr Maxime St-Amant, <a
References
- ↑ Noone TC, Hosey J, Firat Z, Semelka RC (2005). "Imaging and localization of islet-cell tumours of the pancreas on CT and MRI". Best Pract Res Clin Endocrinol Metab. 19 (2): 195–211. doi:10.1016/j.beem.2004.11.013. PMID 15763695.
- ↑ King AD, Ko GT, Yeung VT, Chow CC, Griffith J, Cockram CS (1998). "Dual phase spiral CT in the detection of small insulinomas of the pancreas". Br J Radiol. 71 (841): 20–3. doi:10.1259/bjr.71.841.9534694. PMID 9534694.