PT  - JOURNAL ARTICLE
AU  - P. C. Davis
AU  - J. C. Hoffman, Jr.
AU  - T. Spencer
AU  - G. T. Tindall
AU  - Ira F. Braun
TI  - MR Imaging of Pituitary Adenoma: CT, Clinical, and Surgical Correlation
DP  - 1987 Jan 01
TA  - American Journal of Neuroradiology
PG  - 107--112
VI  - 8
IP  - 1
4099  - http://www.ajnr.org/content/8/1/107.short
4100  - http://www.ajnr.org/content/8/1/107.full
SO  - Am. J. Neuroradiol.1987 Jan 01; 8
AB  - Twenty-five patients with suspected pituitary adenoma were evaluated prospectively with CT and MR. Nine patients underwent transsphenoidal surgery, and three of these showed a documented decrease in size of mass on bromocriptine therapy. CT was more sensitive than MR for detecting focal lesions (seven vs three) and sellar-floor erosion (12 vs six). MR was superior to CT in identifying infundibular abnormalities (seven vs six), focal abnormalities of the diaphragma sellae (10 vs seven), cavernous sinus invasion (four vs two), and optic chiasm compression (six vs zero). Thus, MR may be the procedure of choice for optimal identification and localization of macroadenoma. For patients with suspected microadenoma, however, this preliminary series indicates that CT remains the radiographic procedure of choice.