Imaging findings in hypophysitis: a review
AbstractHypophysitis (HP) is a rare acute or chronic inflammatory condition of the pituitary gland. The greatest challenge in the management of HP is establishing a diagnosis through clinical criteria and non-invasive methods and predicting the patients ’ clinical outcome. The aim of this review is to describe the neuroradiological findings of this rare disease, providing some information regarding the possible differential diagnosis in order to avoid unnecessary surgery. Gadolinium-enhanced pituitary magnetic resonance imaging (MRI) is considere d the neuroradiological investigation of choice. The features suggestive for HP include an enlarged triangular- or dumbbell-shaped gland with a thickened and not obviously deviated stalk, further supported by the absence of posterior pituitary bright spot on T1weighted images, particularly in patien ts presenting with diabetes insipidus. Contrast enhancement pattern is quite variable; dural enhancement has been reported in some cases after intravenous contrast administration. The characterization of the unusual sellar mass is not straightforward and generally results in a wide differential. HP should be primarily differentiated from pituitary adenomas (including pituitary apoplexy), from pituitary metastases, and from other sellar and parasellar tumors, e.g., craniopharyngiomas, germinomas, gliomas, lymphomas, meningiomas, pituicytomas, chordomas, teratomas, dermoids and epidermoids, Rath ke’s cleft cysts, and abscesses. ...
ConclusionsPatients with CMS were more likely to present with increased comorbidities. Patients with CMS undergoing CABG were at risk for worse short ‐term secondary postoperative outcomes and reduced long‐term survival. The data supports the need for further investigation for risk reduction surrounding operative revascularization.
Condition: Diabetes Mellitus Interventions: Other: Administration of standardized questionnaires; Device: Physical activity tracker; Other: Dietary log Sponsor: McGill University Health Centre/Research Institute of the McGill University Health Centre Recruiting
Condition: Urinary Incontinence, Urge Intervention: Device: bio-feedback treatment Sponsors: Second Affiliated Hospital of Wenzhou Medical University; Northwestern University Recruiting
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Publication date: Available online 17 February 2020Source: European Journal of RadiologyAuthor(s): Egon Burian, Daniela Franz, Tobias Greve, Michael Dieckmeyer, Christina Holzapfel, Theresa Drabsch, Nico Sollmann, Monika Probst, Jan S. Kirschke, Ernst J. Rummeny, Claus Zimmer, Hans Hauner, Dimitrios C. Karampinos, Thomas BaumAbstractPurposeTo understand fat distribution patterns and ectopic fat deposition in healthy adults and to provide normative data, encompassing the borders of physiological regional muscle composition. For this purpose chemical shift encoding-based water-fat Magnetic Resonance Imaging (MRI) was used fo...
Is there a link between testosterone treatment and endothelial dysfunction among transgender men? A new study examines the possible association.Clinical Endocrinology