Evidence map›Paper›PMID 38365424›Full record

ReviewAJNR. American journal of neuroradiology2024

7T MRI for Cushing Disease: A Single-Institution Experience and Literature Review.

Ian T Mark, Kirk Welker, Dana Erickson, Derek R Johnson, Girish Bathla, Steven Messina, Paul J Farnsworth, Jamie Van Gompel

Open access · hybridAbstract readReview
In one paragraph

Review in AJNR. American journal of neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Ian T MarkFrom the Department of Radiology (I.T.M., K.W., D.R.J., G.B., S.M., P.J.F.), Mayo Clinic, Rochester, Minnesota Mark.ian@mayo.edu.ORCID 0000-0002-4036-2992
Kirk WelkerFrom the Department of Radiology (I.T.M., K.W., D.R.J., G.B., S.M., P.J.F.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-1293-2887
Dana EricksonDepartment of Endocrinology (D.E.), Mayo Clinic, Rochester, Minnesota.
Derek R JohnsonFrom the Department of Radiology (I.T.M., K.W., D.R.J., G.B., S.M., P.J.F.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-4217-5517
Girish BathlaFrom the Department of Radiology (I.T.M., K.W., D.R.J., G.B., S.M., P.J.F.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-3170-242X
Steven MessinaFrom the Department of Radiology (I.T.M., K.W., D.R.J., G.B., S.M., P.J.F.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-0861-8628
Paul J FarnsworthFrom the Department of Radiology (I.T.M., K.W., D.R.J., G.B., S.M., P.J.F.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-3955-6722
Jamie Van GompelDepartment of Neurosurgery (J.V.G.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-8087-7870
Mayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCushing disease is typically caused by a pituitary adenoma that frequently is small and challenging to detect on conventional MR imaging. High-field-strength 7T MR imaging can leverage increased SNR and contrast-to-noise ratios compared with lower-field-strength MR imaging to help identify small pituitary lesions. We aimed to describe our institutional experience with 7T MR imaging in patients with Cushing disease and perform a review of the literature. MATERIALS AND

methodsWe performed a retrospective analysis of 7T MR imaging findings in patients with pathology-proved Cushing disease from a single institution, followed by a review of the literature on 7T MR imaging for Cushing disease.

resultsOur institutional experience identified Cushing adenomas in 10/13 (76.9%) patients on 7T; however, only 5/13 (38.5%) lesions were discrete. Overall, the imaging protocols used were heterogeneous in terms of contrast dose as well as type of postcontrast T1-weighted sequences (dynamic, 2D versus 3D, and type of 3D sequence). From our institutional data, specific postgadolinium T1-weighted sequences were helpful in identifying a surgical lesion as follows: dynamic contrast-enhanced, 2/7 (28.6%); 2D FSE, 4/8 (50%); 3D sampling perfection with application-optimized contrasts by using different flip angle evolution (SPACE), 5/6 (83.3%); and 3D MPRAGE, 8/11 (72.7%). The literature review identified Cushing adenomas in 31/33 (93.9%) patients on 7T.

conclusions7T MR imaging for pituitary lesion localization in Cushing disease is a new technique with imaging protocols that vary widely. Further comparative research is needed to identify the optimal imaging technique as well as assess the benefit of 7T over lower-field-strength MR imaging.

Indexed as

Magnetic Resonance ImagingPituitary ACTH HypersecretionAdenomaAdultAgedFemaleHumansMaleMiddle AgedPituitary NeoplasmsRetrospective StudiesYoung Adult

Identifiers

PMID38365424
PMCPMC11286034
OpenAlexW4391885603

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.