Growth hormone deficiency CT: Difference between revisions
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==Overview== | ==Overview== | ||
[[Pituitary gland|Pituitary]] [[Computed tomography|CT]] scan may be helpful in the diagnosis of growth hormone deficiency if an MRI is not available. | [[Pituitary gland|Pituitary]] [[Computed tomography|CT]] scan may be helpful in the diagnosis of growth hormone deficiency if an MRI is not available. Brain CT of [[pituitary apoplexy]] is insensitive to the diagnosis of [[apoplexy]] unless [[intracranial hemorrhage]] is present. Brain CT of adrenal adenoma shows typically has [[Attenuation (electromagnetic radiation)|attenuation]] similar to the [[brain]] and [[calcification]] is rarely found. | ||
==CT scan== | ==CT scan== | ||
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[[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> | [[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> | ||
* No [[Contrast medium|contrast]] [[Attenuation (electromagnetic radiation)|attenuation]] can vary depending on [[hemorrhagic]], [[cystic]] and [[Necrosis|necrotic]] components. | * No [[Contrast medium|contrast]] [[Attenuation (electromagnetic radiation)|attenuation]] can vary depending on [[hemorrhagic]], [[cystic]] and [[Necrosis|necrotic]] components. | ||
* [[Pituitary adenoma|Adenomas]] typically have [[Attenuation (electromagnetic radiation)|attenuation]] similar to the [[brain]] and [[calcification]] rarely found. | * [[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 one typically sees in [[meningiomas]]. | * [[CT angiography]] shows moderate [[Contrast medium|contrast]] enhancement less marked than one typically sees 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> | [[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. | * CT is insensitive to the diagnosis of [[apoplexy]] unless [[intracranial hemorrhage]] is present. | ||
* The [[Pituitary Apoplexy|pituitary mass]] may be evident. | * The [[Pituitary Apoplexy|pituitary mass]] may be evident. | ||
* Fluid levels may found. | * 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]] | [[File:22.gif|300px|center|thumb|Pituitary adenoma CT, source: Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 19439]] | ||
Revision as of 19:50, 27 September 2017
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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 may be helpful in the diagnosis of growth hormone deficiency if an MRI is not available. Brain CT of pituitary apoplexy is insensitive to the diagnosis of apoplexy unless intracranial hemorrhage is present. Brain CT of adrenal adenoma shows typically has attenuation similar to the brain and calcification is rarely found.
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]
- No contrast attenuation can vary depending on hemorrhagic, cystic and necrotic components.
- Adenomas typically have attenuation similar to the brain and calcification is rarely found.
- CT angiography shows moderate contrast enhancement less marked than one typically sees 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.