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

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.

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Correspondence to Maria Fleseriu.

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Varlamov, E.V., Hinojosa-Amaya, J.M. & Fleseriu, M. Magnetic resonance imaging in the management of prolactinomas; a review of the evidence. Pituitary 23, 16–26 (2020). https://doi.org/10.1007/s11102-019-01001-6

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Keywords

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