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Transsphenoidal line of vision on MRI for pituitary tumor surgery.
Neurol India ; 2002 Jun; 50(2): 136-40
Artigo em Inglês | IMSEAR | ID: sea-121178
ABSTRACT
This study was done to determine the usefulness of the sagittal magnetic resonance image (MRI) in predicting the ease of resectability of pituitary adenomas operated through the transsphenoidal route. Tumors were graded according to Hardy's method and a new system proposed by us. In this system the amount of tumor above the line of vision (V-line) as seen on the sagittal MRI was estimated and correlated with the extent of excision assessed on the postoperative computed tomogram (CT). There were 7 Hardy's grade A (8.8%), 32 grade B (41.3%), 31 grade C (37.5%), 6 grade D (8.8%) and 2 grade E tumors (3.8%) among the 78 tumors studied. It was seen that most of the tumor volume was below the V-line in Hardy's grade A and B tumors. In grade C tumors 5 were < 25% above, 14 were 25-50% above and 12 were 50-75% above the V-line. A radical excision was possible in 15 of l9 grade C tumors in which < 50% of the tumor was above the V-line. However, only 5 of 12 with Hardy's grade C were radically excised when >50% of the tumor was above the V-line. In conclusion, Hardy's grade C tumors are not a homogenous group radiologically and using the V-line on MRI helps in predicting the case of respectability in a single stage.
Assuntos
Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Neoplasias Hipofisárias / Idoso / Feminino / Humanos / Masculino / Imageamento por Ressonância Magnética / Tomografia Computadorizada por Raios X / Adenoma / Adulto / Pessoa de Meia-Idade Tipo de estudo: Estudo prognóstico Idioma: Inglês Revista: Neurol India Ano de publicação: 2002 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Neoplasias Hipofisárias / Idoso / Feminino / Humanos / Masculino / Imageamento por Ressonância Magnética / Tomografia Computadorizada por Raios X / Adenoma / Adulto / Pessoa de Meia-Idade Tipo de estudo: Estudo prognóstico Idioma: Inglês Revista: Neurol India Ano de publicação: 2002 Tipo de documento: Artigo