Cavernous sinus invasion by pituitary adenoma: MR imaging
Cavernous sinus invasion by pituitary adenoma: MR imaging
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DOI：
10.1148/radiology.215.2.r00ap18463
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发表时间：
2000-05-01
期刊：
影响因子：
19.7
通讯作者：
Herbreteau, D
中科院分区：
文献类型：
--
作者：
Cottier, JP;Destrieux, C;Herbreteau, D
目的：定义位垂体腺瘤诊断鼻鼻窦侵袭的磁共振（MR）成像标准。材料和方法：在106名患者（86名女性，20名男性；年龄范围，16-71岁）中获得的MR图像得到两位医生的追溯。入侵标准标准是手术结果。进行了CHI（2）分析，并计算了九组MR成像符号的灵敏度，特异性，阳性预测值（PPV）和负预测值（NPV）。回报：海绵窦的入侵（PPV） ，100％）如果肿瘤内部颈动脉（ICA）的封装百分比为67％或更高。如果未描述颈动脉沟静脉室（PPV，95％）或连接肿瘤内和肩膜上的ICA的外侧壁的线（PPV，85％），则很可能是很有可能的。如果肿瘤内没有被肿瘤解析，则肯定不会入侵（NPV，100％），或者连接在内膜内和神经膜的内侧ICA的线上的线不被肿瘤解析。结论：放射学诊断：垂体腺瘤的海绵窦入侵仍然很困难，但上述标准可能有所帮助。
PURPOSE: To define magnetic resonance (MR) imaging criteria for the diagnosis of cavernous sinus invasion by pituitary adenoma.MATERIALS AND METHODS: The MR images obtained in 106 patients (86 female, 20 male; age range, 16-71 years) were reviewed retrospectively by two physicians. The standard-of-reference criteria for invasion were the surgical findings. A chi(2) analysis was performed, and the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for nine groups of MR imaging signs were computed.RESULTS: Invasion of the cavernous sinus was certain (PPV, 100%) if the percentage of encasement of the internal carotid artery (ICA) by tumor was 67% or greater. It was highly probable if the carotid sulcus venous compartment was not depicted (PPV, 95%) or the line joining the lateral wall of the intracavernous and supracavernous ICAs was passed by the tumor (PPV, 85%). It was definitely not invaded (NPV, 100%) if the percentage of encasement of the intracavernous ICA was lower than 25% or the line joining the medial wall of the intracavernous and supracavernous ICAs was not parsed by the tumor.CONCLUSION: The radiologic diagnosis of cavernous sinus invasion by pituitary adenoma remains difficult, but the above-mentioned criteria may be of assistance.