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Journal of Education, Health and Sport

Pituitary gland imaging - review of the literature
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Pituitary gland imaging - review of the literature

Authors

  • Izabela Dąbrowska Medical University of Lublin https://orcid.org/0000-0003-1593-2284
  • Joanna Szydełko Department of Endocrinology, Medical University of Lublin, Poland https://orcid.org/0000-0003-3744-9058
  • Andrzej Wolski Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Poland https://orcid.org/0000-0002-2968-0949

DOI:

https://doi.org/10.12775/JEHS.2021.11.09.040

Keywords

pituitary gland, hypophysis, sella turcica, magnetic resonance imaging, radiology

Abstract

Introduction: is an endocrine gland located upon the hypophysial fossa of the sphenoid bone in the center of the middle cranial fossa and is surrounded by a small bony cavity (sella turcica).

Radiological procedures are playing essential role in present diagnostic of pituitary gland.

Pituitary tumours can now be visualized more accurately due to continued improvements in magnetic resonance imaging (MRI) techniques with gadolinium enhancement.

Aim of the study: This article summarizes the current knowledge about radiological imaging of pituitary gland and in particular MRI scan procedures. In this paper we also want to show how the imaging of the pituitary gland looked like in the past and nowadays.

Description of knowledge: Diagnostic procedures play primary role in present diagnosis and treatment of pituitary gland and sella turcica tumours. It is crucial for further diagnostic procedures to locate the tumour its size and margins. Currently magnetic resonance imaging is the more important examination just after the laboratory results. That modality easily shows exact location and tumours smaller than 1 cm. Radiological differentiation of lessions wouldn’t be possible without contrast agents. The latest MRI study protocols involve dynamic and delayed sequences for better visualisation and differential diagnostic.

Conclusions: During the years radiological techniques evolved and gave us the perfect tool to visualize the pituitary gland and its pathologies.

References

Gray H, Standring S. Gray's anatomy, the anatomical basis of clinical practice. Churchill Livingstone. (2005) ISBN:0443071683.

Elster AD, Sanders TG, Vines FS, et al: Size and shape of the pituitary gland during pregnancy and post partum: Measurement with MR imaging. Radiology 1991; 181: 531–535.

Buchfelder M and Schlaffer S: Pituitary surgery for Cushing’s disease. Neuroendocrinology 2010; 92: 102–106.

Buchfelder M and Schlaffer S: Imaging of pituitary pathology. 1st ed. Elsevier B.V.; 2014. Available at: http://dx.doi.org/10.1016/B978-0-444-59602-4.00011-3.

Smith G, Tuna IS, Massini TC, et al: Detailed imaging of abducens nerve anatomy using contrast-enhanced 3D-TOF MR angiography. Clin. Imaging 2021; 79: 330–336. Available at: https://doi.org/10.1016/j.clinimag.2021.07.026.

Portocarrero-Ortiz L, Bonifacio-Delgadillo D, Sotomayor-González A, et al: A modified protocol using half-dose gadolinium in dynamic 3-Tesla magnetic resonance imaging for detection of ACTH-secreting pituitary tumors. Pituitary 2010; 13: 230–235.

Chapman PR, Singhal A, Gaddamanugu S, et al: Neuroimaging of the Pituitary Gland: Practical Anatomy and Pathology. Radiol. Clin. North Am. 2020; 58: 1115–1133. Available at: https://doi.org/10.1016/j.rcl.2020.07.009.

Di Iorgi N, Morana G, Gallizia AL, et al: Pituitary gland imaging and outcome. Endocr. Dev. 2012; 23: 16–29.

Mazumdar A: Imaging of the pituitary and sella turcica. Expert Rev. Anticancer Ther. 2006; 6: 15–22.

Pressman BD: Pituitary Imaging. Endocrinol. Metab. Clin. North Am. 2017; 46: 713–740. Available at: http://dx.doi.org/10.1016/j.ecl.2017.04.012.

Byun WM, Kim OL and Kim DS: MR imaging findings of Rathke’s cleft cysts: Significance of intracystic nodules. Am. J. Neuroradiol. 2000; 21: 485–488.

De Herder WW, Reijs AEM, Feelders RA, et al: Diagnostic imaging of dopamine receptors in pituitary adenomas. Eur. J. Endocrinol. Suppl. 2007; 156: 2005–2008.

https://radiopaedia.org/articles/pituitary-mri-an-approach-1

https://radiopaedia.org/cases/pituitary-mri-normal-study

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Published

2021-09-19

How to Cite

1.
DĄBROWSKA, Izabela, SZYDEŁKO, Joanna and WOLSKI, Andrzej. Pituitary gland imaging - review of the literature. Journal of Education, Health and Sport. Online. 19 September 2021. Vol. 11, no. 9, pp. 321-326. [Accessed 26 December 2025]. DOI 10.12775/JEHS.2021.11.09.040.
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Vol. 11 No. 9 (2021)

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Review Articles

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Copyright (c) 2021 © The Author(s)

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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