Evidence map›Paper›PMID 40116944›Full record

ArticleNeuroradiology2025

Usefulness of 3T split acquisition fast spin-echo diffusion-weighted imaging for differentiating pituitary abscess from other sellar cystic lesions: a preliminary study.

Soichiro Ishiuchi, Hiroyuki Uetani, Naoki Shinojima, Takeshi Nakaura, Mika Kitajima, Kosuke Morita, Kouji Ogasawara, Masami Yoneyama, Akitake Mukasa, Toshinori Hirai

Abstract read
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Soichiro IshiuchiDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Hiroyuki UetaniDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan. hama-moto@hotmail.co.jp.
Naoki ShinojimaDepartment of Neurosurgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Takeshi NakauraDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Mika KitajimaDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Kosuke MoritaKumamoto University Hospital, Kumamoto, Japan.
Kouji OgasawaraDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Masami YoneyamaPhilips Japan, Tokyo, Japan.
Akitake MukasaDepartment of Neurosurgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Toshinori HiraiDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePituitary abscess is a rare condition that can be challenging to distinguish from other sellar cystic lesions (OSCLs) due to no specific symptoms and overlapping imaging features. Accurate differentiation is crucial for appropriate treatment planning. This study aimed to evaluate the usefulness of 3T split acquisition fast spin-echo diffusion-weighted imaging (SPLICE-DWI) in differentiating pituitary abscesses from OSCLs.

methodsWe retrospectively analyzed magnetic resonance imaging (MRI) data from 32 patients with sellar cystic lesions, including 5 with pathologically confirmed pituitary abscesses and 27 with OSCLs. Conventional MRI sequences and SPLICE-DWI were performed, and apparent diffusion coefficient (ADC) values were calculated. Qualitative assessments of signal intensity on SPLICE-DWI and conventional MRI were conducted by two neuroradiologists. The diagnostic performance of these imaging parameters was evaluated using receiver operating characteristic (ROC) analysis.

resultsSPLICE-DWI successfully differentiated pituitary abscesses from OSCLs, showing significantly lower ADC values in the abscess group compared to OSCLs (0.62 ± 0.07 × 10

conclusionSPLICE-DWI is a valuable tool for the differentiation of pituitary abscesses from OSCLs, offering high diagnostic accuracy.

Indexed as

Brain AbscessCystsDiffusion Magnetic Resonance ImagingPituitary DiseasesSella TurcicaAdultAgedDiagnosis, DifferentialFemaleHumansMaleMiddle AgedRetrospective StudiesSensitivity and SpecificityCraniopharyngiomaDiffusion-weighted imagingPituitary abscessPituitary adenomaRathke’s cleft cystSPLICE

Identifiers

PMID40116944

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.