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Abstract #3327

Quantitative pharmacokinetic comparison of adenoma and normal pituitary gland using high-temporal and spatial resolution dynamic contrast enhanced MRI

Kiyohisa Kamimura1, Masanori Nakajo1, Tomohide Yoneyama1, Yoshihiko Fukukura1, Shingo Fujio2, Takashi Iwanaga3, Hiroshi Imai4, and Takashi Yoshiura1

1Radiology, Kagoshima University, Kagoshima, Japan, 2Neurosurgery, Kagoshima University, Kagoshima, Japan, 3Radiological Technology, Kagoshima University Hospital, Kagoshima, Japan, 4Siemens Healthcare K.K, Tokyo, Japan

Preoperative localization of the normal pituitary gland is important in patients with pituitary adenoma. Our aim was to evaluate the possible role of high-temporal and spatial resolution dynamic contrast enhanced MR imaging (DCE-MRI) and quantitative pharmacokinetic analysis in differentiation of the normal pituitary gland from pituitary adenoma. The normal pituitary gland showed significantly higher IAUC, Ktrans, kep and ve than pituitary adenoma. The ROC curve analysis showed significance for IAUC, Ktrans, kep and ve (AUC = 0.958, 0.882, 0.781 and 0.851, respectively). These quantitative parameters may be useful for differentiation of the normal pituitary gland from pituitary adenoma.

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