Defining the timing and role of acute postoperative imaging in pituitary adenoma surgery: clinical study.
Katherine E KunigelisGregory ArnoneGregoire ChatainJessa HoffmanOscar ChatainIan CoulterAlexis SunshineKevin O LilleheiA Samy YoussefPublished in: Acta neurochirurgica (2020)
After surgical treatment of pituitary adenoma, MRI obtained before 3 months is associated with higher rates of return to OR but no difference in long-term clinical outcomes. Due to cost efficiency, we argue for a delayed first postoperative MRI. The timing of MRI should also be governed by other factors such as large pituitary macroadenomas or postoperative complications. We recommend a consistent institutional protocol for determining the most cost-effective follow-up of postoperative pituitary patients.
Keyphrases
- contrast enhanced
- patients undergoing
- growth hormone
- magnetic resonance imaging
- end stage renal disease
- diffusion weighted imaging
- ejection fraction
- minimally invasive
- newly diagnosed
- randomized controlled trial
- high resolution
- chronic kidney disease
- liver failure
- prognostic factors
- peritoneal dialysis
- coronary artery bypass
- magnetic resonance
- clinical trial
- patient reported outcomes
- photodynamic therapy
- surgical site infection
- percutaneous coronary intervention