By Professeur Jean-François Bonneville, Dr. Françoise Cattin, Dr. Jean-Louis Dietemann (auth.)
The current quantity is the result of 6 years' paintings by means of our crew, in which time 2300 CT scans of the pituitary quarter have been conducted. This used to be made attainable by means of the shut collaboration among physicians and technicians in our neuroradiological division, in addition to through quite a few corresponding physi cians. we want to show our gratitude for his or her self belief and our honest because of our colleagues at Besan90n, Dijon, Grenoble, Lyon, Montpellier, and Strasbourg. moreover, we in particular desire to thank the sufferers who willingly authorized the tricky requisites of those reports. we're thankful to the technicians on the Neuroradiology division of the Centre Hospitalier et U niversitaire de Besan90n, who've perfected the method to be able to meet the ever expanding imperatives for special anatomical mapping of the pituitary gland and the encompassing area; with out their efforts, this ebook might by no means were attainable. ultimately, we want to convey our due to the scientific photographer of our staff, in addition to the secretarial employees for his or her contribution to the profitable construction of this paintings. We thank Labora toires Guerbet and common electrical for his or her very good advice, and Springer Verlag for his or her care and competence within the creation of this booklet. In writing Computed Tomography of the Pituitary Gland, we have now sought to improve morphological learn of the pituitary gland to some extent of reliability such as that of laboratory findings in endocrine disorders.
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Additional info for Computed Tomography of the Pituitary Gland: With a Chapter on Magnetic Resonance Imaging of the Sellar and Juxtasellar Region, By M. Mu Huo Teng and K. Sartor
Huge isodense tumor (black and white arrows) encroaching the anterior part of the third ventricle (white arrows). b Contrast axial CT scan: marked enhancement of the polycyclic mass extending in the subfrontal area b Fig. 17a, b. Invasive pituitary adenoma. Recurrent hyperprolactinemia 20 years after surgery and radiotherapy in a 37-year-old woman. a Axial contrast CT scan: large pituitary mass destroying the anterior wall of the sella and the right part of the dorsum and extending laterally towards the cavernous sinus and petro us apex (arrows).
The pituitary tuft is located within the glandular tissue, below the sellar diaphragm level 38 Chapter 3: Dynamic CT of the Pituitary Gland Fig. 5a--e. Dynamic coronal CT scan. a, b Upper left (2, 3): before bolus injection. A scan is performed every 11 s. Lower right (9) is 66 s after (3). Observe optimal visualization of carotid arteries (4), opacification of the pituitary tuft (5), and centrifugal enhancement of the gland (6, 7, 8). Pituitary enhancement is almost homogeneous in (9). c Magnified view of(5); point-like pituitary tuft b - "'""'-'........
GH- and prolactin-secreting pituitary ad- ~ enoma in a 45-year-old woman. a Contrast coronal CT scan. Asymmetrical development of a pituitary adenoma within the suprasellar cistern. Note a slight rim enhancement. b Contrast axial CT scan. The adenoma occupies the central part of the chiasmatic cistern Fig. 9. Pituitary adenoma with suprasellar extension. ~ Delayed puberty in a 15-year-old girl with visual field defect. Dynamic coronal CT scan. The contours of the mass are visible before contrast injection (arrows); the adenom~ is better delineated after bolus injection.
Computed Tomography of the Pituitary Gland: With a Chapter on Magnetic Resonance Imaging of the Sellar and Juxtasellar Region, By M. Mu Huo Teng and K. Sartor by Professeur Jean-François Bonneville, Dr. Françoise Cattin, Dr. Jean-Louis Dietemann (auth.)