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Positron Emission Tomography-Computed Tomography Coregistration for Diagnosis and Intraoperative Localization in Recurrent Nelson Syndrome

Recurrent pituitary disease presents unique challenges, including in some cases difficulty localizing a tumor radiographically. Here, we present the case of a patient with recurrent Nelson syndrome whose radiographic work-up was complicated by a significant parasellar metallic artifact. Positron emi...

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Detalles Bibliográficos
Autores principales: Hintz, Eric B., Tomlin, Jeffery M., Chengazi, Vaseem, Vates, G. Edward
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713561/
https://www.ncbi.nlm.nih.gov/pubmed/23943718
http://dx.doi.org/10.1055/s-0033-1346974
Descripción
Sumario:Recurrent pituitary disease presents unique challenges, including in some cases difficulty localizing a tumor radiographically. Here, we present the case of a patient with recurrent Nelson syndrome whose radiographic work-up was complicated by a significant parasellar metallic artifact. Positron emission tomography ultimately localized the lesion, and coregistration with computed tomography allowed for accurate intraoperative navigation. Additionally, we review a range of imaging techniques available in the evaluation of pituitary disease.