下垂体腺瘤的监视成像策略:何时,频率如何,何时停止
Kevin C J Yuen1, Luma Ghalib2, Michael Buchfelder3
1Department of Neuroendocrinology and Neurosurgery, Barrow Pituitary Center, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona; Department of Medicine, University of Arizona College of Medicine and Creighton School of Medicine, Phoenix, Arizona.
概括
本综述提供了关于垂体腺瘤 (PA) 影像监测的指导. 建议采用个性化策略,考虑患者因素和腺瘤特征,因为缺乏共识指南.
科学领域:
- 内分泌学 在内分泌学.
- 神经辐射学神经辐射学
- 在瘤学瘤学.
背景情况:
- 垂体腺瘤 (PAs) 经常被偶然发现或由于临床症状.
- 目前的监控成像策略缺乏基于证据的共识建议.
- 磁共振成像 (MRI) 是PA评估和随访的主要方式.
研究的目的:
- 为垂体腺瘤监测成像提供一个实用的框架.
- 为了指导关于PAS成像频率和持续时间的决定.
- 建立基于临床和病理因素的个性化成像策略.
主要方法:
- 进行了全面的文献审查.
- 建议是根据临床经验和现有的文献进行的.
- 综合当前的做法和影响监控成像的因素.
主要成果:
- 磁力共振成像对PA评估,治疗计划和随访至关重要.
- 图像利用在术前和术后阶段,以及监测未经手术的PAS.
- 影响监测的关键因素包括年龄,腺瘤大小,扩展,功能状态和患者特定考虑因素.
结论:
- 个性化监测成像策略对于垂体腺瘤至关重要.
- 决策应综合临床表现,病史,腺瘤成像和组织病理学特征.
- 提出了一种实用的方法来对垂体腺瘤成像监测.
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