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Updated: Nov 2, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Image-driven classification of functioning and nonfunctioning pituitary adenoma by deep convolutional neural

Hongyu Li1,2, Qi Zhao1, Yihua Zhang3

  • 1State Key Laboratory of Oncology in South China, Cancer Center, Collaborative Innovation Center for Cancer Medicine, School of Life Science, Sun Yat-sen University, Guangzhou, Guangdong 510060, China.

Computational and Structural Biotechnology Journal
|June 17, 2021
PubMed
Summary

This study introduces a deep learning model using MRI scans to accurately segment and classify pituitary adenomas (PAs), aiding in early diagnosis and treatment planning.

Keywords:
Deep learningMRIPituitary adenomas

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Oncology

Background:

  • Pituitary adenoma (PA) function is crucial for treatment, but MRI analysis is time-consuming and subjective.
  • Accurate segmentation and classification of PAs are essential for effective patient management.

Purpose of the Study:

  • To develop and validate a deep learning model for automated segmentation and classification of pituitary adenomas using 3D MRI.
  • To distinguish functioning PAs from non-functioning subtypes to aid in treatment strategy development.

Main Methods:

  • A convolutional neural network (CNN) model was developed for segmentation and classification of PAs from 185 patient MRI scans.
  • Transfer learning and an attention mechanism were incorporated into the classification model for enhanced feature extraction and interpretability.

Main Results:

  • The segmentation model achieved high performance with Dice scores ranging from 0.8091 to 0.8188 across datasets.
  • The classification model demonstrated strong performance with AUROC values between 0.7881 and 0.8478.
  • The model showed consistent results in internal validation and external testing datasets.

Conclusions:

  • This work presents the first deep learning-based models for PA segmentation and classification from MRI.
  • The developed models offer a promising tool for automated, accurate, and efficient early diagnosis and subtyping of pituitary adenomas.