MRI cavernous sinus invasion of pituitary adenomas to determine the standard.doc

 PAGE \* MERGEFORMAT 3 MRI cavernous sinus invasion of pituitary adenomas to determine the standard [Abstract] Objective: To explore the cavernous sinus invasion of pituitary adenoma MRI imaging to determine the standard. Methods: 140 cases of pituitary adenoma as the research object, according to surgery to determine the right cavernous sinus invasion of pituitary adenomas results as the gold standard, contrast analysis of their MRI imaging, by calculating the sensitivity of the observed indicators (Sen), specificity (Spe), positive predictive value (PPV) and negative predictive value (NPV), to determine the invasiveness of cavernous sinus invasion of pituitary adenomas The MRI imaging to determine the standard. Results: ① exists between the tumor and normal pituitary were cavernous NPV of 100%; ② within the tumor did not exceed the ICA wall tangent by NPV of 100%, while the tumors of more than ICA lateral wall of the tangent by PPV of 100%; ③ cavernous venous plexus inside the gap beings NPV of 100%, while the cavernous venous plexus lateral gap disappears, and ≥ 3 Ge-cavernous venous plexus gap disappeared in PPV were 100%; ④ carotid cavernous sinus artery was surrounded tumor NPV at 25% below 100%, while the surrounding 50% or more PPV of 100%. Conclusion: MRI cavernous sinus invasion of pituitary adenoma imaging showed: ① cancer than ICA lateral tangential wall; ② lateral cavernous venous plexus gap disappeared; ③ ≥ 3 Ge-cavernous venous plexus gap disappeared; ④ sinus ICA is surrounded ≥ 50%. [Keywords:] Pituitary neoplasms; adenoma; magnetic resonance imaging; cavernous sinus; Diagnosis 0 Introduction Cavernous sinus invasion of pituitary adenomas common, its diagnostic criteria are not unified, the clinical cure difficult. We retrospectively analyzed the First Affiliated Hospital of Chongqing Medical University, Neurosurgery, admitted in 2002/2005 Transsphenoidal surgical treatment of 140 cases of pituitary adenoma patients with the inf