脑垂体解剖及病变.docVIP

Home Abdomen Breast Cardiovascular Chest Head Neck Musculoskeletal Pediatrics Neuroradiology Miscellaneous Cases Top Sites Newsletter Sella Turcica and Parasellar Region by Walter Kucharczyk and Marieke Hazewinkel Radiology department of the University of Toronto, Canada and the Radiology department the Medical Centre Alkmaar, the Netherlands Anatomic Approach to Differential Diagnosis Pituitary Microadenoma Pituitary Macroadenoma Rathke Cleft Cyst Craniopharyngioma Meningioma Aneurysm back to overview print Publicationdate: 10-8-2008 This review is based on a presentation given by Walter K and was adapted for the Radiology Assistant by Marieke In this review a systematic anatomic approach to differe diagnosis of a sellar or parasellar mass is described. Aneurysm vs Meningioma Hamartoma Hypothalamic and Chiasm Glioma Germinoma Chordoma Metastases By clicking on one of the subjects in the list on the left, y directly to this item. If you have printing problems with the margins of the d you may have to adjust the margins in the page set up internet browser, which you will find in the top left of the Anatomic Approach to Differential Diagnosis In order to analyze a sellar or parasellar mass on MR the following anatomic approach: 1. First identify the pituitary gland and sella turcica 2. Then determine the epicenter of the lesion and in the sella or above, below or lateral to the sel 3. If it is in the sella, determine whether or not th enlarged. 4. Once the location of the mass is clear, analyze intensity patterns: is the lesion cystic or solid? 5. Does it contain any abnormal vessels? 6. Are there any calcifications? And so on. 7. Finally establish a Differential Diagnosis. Pituitary gland On a coronal section through the brain the reference is the pituitary gland which lies in the sella turcica. It is usually larger in females than in males - in fema superior border tends to be convex, whereas in male usually concave. The most common abnormalities that arise in the