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Updated: Oct 10, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[A magnetic resonance study of 39 children with different causes of short stature]
G Zuccoli1, F Ferrozzi, A Troiso
1Dipartimento di Diagnostica per Immagini, Arcispedale Santa Maria Nuova, Reggio Emilia. rx@netvalley.it
Insights
Magnetic Resonance Imaging (MRI) is useful for diagnosing growth hormone deficiency in children. Some patients with pituitary hormone deficiencies showed abnormal MRI findings, including small pituitary lobes and ectopic neurohypophysis.
Area of Science:
- Pediatric Endocrinology
- Neuroradiology
- Diagnostic Imaging
Context:
- Short stature in children can be caused by pituitary hormone deficiencies.
- Accurate diagnosis is crucial for timely and effective treatment.
- Magnetic Resonance Imaging (MRI) is a key imaging modality in evaluating the hypothalamo-hypophyseal region.
Purpose:
- To determine the correlation between Magnetic Resonance (MR) imaging findings and the presence of isolated growth hormone deficiency (IGHD) or multiple pituitary hormone deficiency (MPHD) in children.
- To assess the diagnostic utility of MRI in pediatric patients with suspected pituitary dysfunction.
Summary:
- This study analyzed MRI scans of 39 children (mean age 9.6 years) with diagnosed growth hormone deficiency.
- Abnormalities such as a small anterior pituitary lobe (33%) and ectopic neurohypophysis (20%) were observed.
- A significant portion of patients (48%) exhibited MR findings consistent with their hormonal deficiencies, highlighting MRI's role.
Impact:
- MRI findings can aid in the diagnosis and management of pediatric growth hormone deficiency.
- The study underscores the importance of integrating neuroimaging with laboratory tests for comprehensive pituitary evaluation.
- Results support the use of MRI as a valuable tool in the diagnostic and therapeutic approach to short stature in children.
Purpose:
To investigate the relationship between Magnetic Resonance (MR) findings and the presence of isolated growth hormone deficiency (IGHD) or multiple pituitary hormone deficiency (MPHD).
Material And Methods:
39 children, 27 boys and 12 girls (mean age 9.6 years) were enrolled. The growth hormone deficiency and MPHD were defined by standard laboratory methods. MR scans of the hypothalamo-hypophyseal tract were carried out on all patients before the therapy. Perinatal histories were reviewed.
Results:
The pituitary anterior lobe was considered small in 13/39 (33%). Twenty-six of 39 (66%) patients did not show any abnormalities of the hypothalamohypophyseal tract. An ectopic neurohypophysis was found in 8/39 patients (20%). Only 2 patients among those with an ectopic neurohypophysis showed a small anterior pituitary lobe. Thirty-three of 39 (84.6%) patients showed IGHD while 6/39 (15.4%) patients showed MPHD. Twenty-eight of 39 (71%) patients had a severe deficiency while 11/39 (28%) patients had a moderate deficiency.
Conclusion:
Our study confirms the usefulness of MRI in the diagnostic and therapeutic approach to short stature in children; in fact 48% of patients in our series showed MR findings reasonably related to hormonal deficiency.
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