Magnetic resonance imaging in the management of prolactinomas; a review of the evidence

Elena V. Varlamov, José Miguel Hinojosa-Amaya, Maria Fleseriu

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations

Abstract

Purpose: This review aimed to evaluate data on the use of magnetic resonance imaging in the management of prolactinomas. Methods: Recent literature about prolactinoma behavior and magnetic resonance imaging in the management of prolactinomas is reviewed. Results: A review of evidence regarding prolactinoma pituitary MRI follow-up; techniques and sequences, recent data on possible gadolinium retention, the role and a review of T2-weighted images in the identification of prolactinomas and frequently encountered clinical scenarios, as well as MRI correlation with prolactin secretion, tumor growth and prediction of response to medical therapy are presented. Conclusion: The underlying decision to perform serial imaging in prolactinoma patients should be individualized on a case-by-case basis. Future studies should focus on alternative imaging methods and/or contract agents.

Original languageEnglish (US)
Pages (from-to)16-26
Number of pages11
JournalPituitary
Volume23
Issue number1
DOIs
StatePublished - Feb 1 2020

Keywords

  • Gadolinium
  • Lactotroph adenoma
  • Magnetic resonance imaging
  • Prolactinoma
  • T2-weighted

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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