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==Key MRI findings in prolactinoma==
==Key MRI findings in prolactinoma==
[[MRI]] may be diagnostic of [[prolactinoma]]. Magnetic resonance imaging ([[MRI]]) is the most [[Sensitivity (test)|sensitive]] test for detecting [[pituitary tumors]] and determining their size. Contrast enhanced [[Magnetic resonance imaging|MRIs]] have a [[Sensitivity (tests)|sensitivity]] of 90%. Findings on [[Magnetic resonance imaging|MRI]] scans suggestive of prolactinoma include:<ref name="urlPituitary microadenoma | Radiology Reference Article | Radiopaedia.org">{{cite web |url=https://radiopaedia.org/articles/pituitary-microadenoma |title=Pituitary microadenoma &#124; Radiology Reference Article &#124; Radiopaedia.org |format= |work= |accessdate=}}</ref>
[[MRI]] may be diagnostic of [[prolactinoma]]. Magnetic resonance imaging ([[MRI]]) is the most [[Sensitivity (test)|sensitive]] test for detecting [[pituitary tumors]] and determining their size. Contrast enhanced [[Magnetic resonance imaging|MRIs]] have a [[Sensitivity (tests)|sensitivity]] of 90%. Findings on [[Magnetic resonance imaging|MRI]] scans suggestive of prolactinoma include:<ref name="urlPituitary microadenoma | Radiology Reference Article | Radiopaedia.org">{{cite web |url=https://radiopaedia.org/articles/pituitary-microadenoma |title=Pituitary microadenoma &#124; Radiology Reference Article &#124; Radiopaedia.org |format= |work= |accessdate=}}</ref>
{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align="center"
* Isotense to normal pituiatry on T1-weighted images.
| valign="top" |
* A rounded region of delayed enhancement compared to the rest of the gland is observed on dynamic sequence post gadolinium enhancement.
|+
* Variable characteristics are found in delayed images post gadolinum enhancement. Hypo-enhancement (compared to rest of gland) is observed most commonly. Iso-intense (same as rest of gland) and hyperintense (retained contrast) is found rest of the time.
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|MRI Component}}
* Variable, but often a little hyperintense to normal pituitary are found on T2-weighted images.
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Features}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
:T1​
| style="padding: 5px 5px; background: #F5F5F5;" |
*Usually isointense to normal pituitary
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:T1 C+ (Gd)
| style="padding: 5px 5px; background: #F5F5F5;" |
*Dynamic sequences demonstrate a rounded region of delayed enhancement compared to the rest of the gland
*Delayed images are variable, ranging from hypo-enhancement (most common), to isointense to the rest of the gland, to hyperintense (retained contrast)
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:T2
| style="padding: 5px 5px; background: #F5F5F5;" |
*Variable, but often a little hyperintense
 
|}


==MRI examples of Prolactinoma==
==MRI examples of Prolactinoma==

Revision as of 18:13, 13 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2], Faizan Sheraz, M.D. [3]

Overview

MRI may be diagnostic of prolactinoma. Magnetic resonance imaging (MRI) is the most sensitive test for detecting pituitary tumors and determining their size.

Key MRI findings in prolactinoma

MRI may be diagnostic of prolactinoma. Magnetic resonance imaging (MRI) is the most sensitive test for detecting pituitary tumors and determining their size. Contrast enhanced MRIs have a sensitivity of 90%. Findings on MRI scans suggestive of prolactinoma include:[1]

  • Isotense to normal pituiatry on T1-weighted images.
  • A rounded region of delayed enhancement compared to the rest of the gland is observed on dynamic sequence post gadolinium enhancement.
  • Variable characteristics are found in delayed images post gadolinum enhancement. Hypo-enhancement (compared to rest of gland) is observed most commonly. Iso-intense (same as rest of gland) and hyperintense (retained contrast) is found rest of the time.
  • Variable, but often a little hyperintense to normal pituitary are found on T2-weighted images.

MRI examples of Prolactinoma

Coronal T1 contrast enhanced MRI showing microadenoma[1]

Saggital T1 contrast enhanced MRI showing macroadenoma[1]

References

  1. 1.0 1.1 1.2 "Pituitary microadenoma | Radiology Reference Article | Radiopaedia.org".


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