Role OfMultiparametric Magnetic Resonance Imaging In Predicting Pituitary Macroadenoma Consistency

Authors

  • Mai Hassan Dawood, Inas Mohamed Elfiki, FatenFawzy Mohamed,Ali Mahmoud Hassanin Author

DOI:

https://doi.org/10.48047/

Keywords:

ADC, Diffusion-weighted.magnetic.resonance.imaging. DW MRI, Multiparametric MRI, Pituitary.macroadenoma, T2 weighted image.

Abstract

Background:Assessmentof pituitary macroadenomaconsistency before surgical resection is crucial for
neurosurgeonsto choose the surgical procedure. So, we sought to evaluatethe multiparametric MRI role as a
noninvasive method in predicting pituitary macroadenoma consistency
PatientsandMethods:AtZagazig University Hospitals, a multiparametric MRI was scheduled fortwenty-four
patients with pituitary macroadenoma. We determined the tumor consistency both macroscopically by
neurosurgeons and microscopically by histopathologists.
Results:The consistency of the pituitary macroadenoma and the T2 weighted image (T2 WI) signal intensities
were found to have a significant association as well as DWI & the corresponding ADC values, while we found
no correlation between the post contrast T1 weighted image patterns of enhancement and the tumor consistency.
Conclusions:As part of the usual pre-operativemacroadenoma consistency check, T2 WI, DWIand the
corresponding ADC value were shown to be able to detect macroadenomas consistency with high accuracy. 

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Published

2021-05-29