Abstract
The pituitary gland (PG) is a key component of the essential endocrine systems in humans and animals, including the hypothalamic–pituitary–adrenal, hypothalamic–pituitary–gonadal, and hypothalamic–pituitary–thyroid axes. Structural changes in the PG are observed in a number of psychiatric disorders. Psychiatric disorders are typically characterized by subtle, time-dependent anatomical changes in the brain, and their study necessitates highly powered, longitudinal investigations. Structural magnetic resonance imaging (MRI) is a non-invasive technology that is ideally suited to detect changes in anatomical structures over time. In this paper, we will review the main findings on pituitary function and structure in the context of healthy development and of psychiatric disorders, with particular emphasis on MRI studies. The latter have not always succeeded in providing a clear theoretical framework of mental disorders, which may be explained by low resolution and differences in preprocessing methods, imprecise segmentation rules that do not account for the anatomical and functional specificity of the anterior and posterior lobes of the PG, and inadequate categorization of clinical subjects. We review those limitations and propose solutions for future research.
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Abel KM, Drake R, Goldstein JM (2010) Sex differences in schizophrenia. Int Rev Psychiatry 22(5):417–428. https://doi.org/10.3109/09540261.2010.515205
Aguiar CE, Cadore LP, Padoin MJ et al (1997) Aversive stimulation during the stress-hyporesponsive period does not affect the number of corticotroph cells in neonatal male rats. Braz J Med Biol Res 30(12):1463–1466. https://doi.org/10.1590/S0100-879X1997001200013
Aiello G, Horowitz M, Hepgul N et al (2012) Stress abnormalities in individuals at risk for psychosis: a review of studies in subjects with familial risk or with at-risk mental state. Psychoneuroendocrinology 37(10):1600–1613. https://doi.org/10.1016/j.psyneuen.2012.05.003
Amar AP, Weiss MH (2003) Pituitary anatomy and physiology. Neurosurg Clin N Am 14(1):11–23. https://doi.org/10.1016/S1042-3680(02)00017-7
Amaral RSC, Park MTM, Devenyi GA et al (2016) Manual segmentation of the fornix, fimbria, and alveus on high-resolution 3T MRI: application via fully-automated mapping of the human memory circuit white and grey matter in healthy and pathological aging. NeuroImage 170:132–150. https://doi.org/10.1016/j.neuroimage.2016.10.027
Anderson JR, Antoun N, Burnet N et al (1999) Neurology of the pituitary gland. J Neurol Neurosurg Psychiatry 66:703–721. https://doi.org/10.1136/jnnp.66.6.703
Arnone D, McIntosh AM, Ebmeier KP et al (2012) Magnetic resonance imaging studies in unipolar depression: systematic review and meta-regression analyses. Eur Neuropsychopharmacol 22(1):1–16. https://doi.org/10.1016/j.euroneuro.2011.05.003
Atmaca M (2014) Pituitary gland in psychiatric disorders: a review of neuroimaging findings. Pituitary 17(4):392–397. https://doi.org/10.1007/s11102-013-0512-2
Atmaca M, Yildirim H, Ozler S et al (2009) Smaller pituitary volume in adult patients with obsessive-compulsive disorder. Psychiatry Clin Neurosci 63(4):516–520. https://doi.org/10.1111/j.1440-1819.2009.01981.x
Atmaca M, Yildirim H, Sec S, Kayali A (2010) Pituitary volumes in hypochondriac patients. Prog Neuropsychopharmacol Biol Psychiatry 34(2):344–347. https://doi.org/10.1016/J.PNPBP.2009.12.012
Atmaca M, Ozer O, Korkmaz S et al (2017) Evidence for the changes of pituitary volumes in patients with post-traumatic stress disorder. Psychiatry Res Neuroimaging 260:49–52. https://doi.org/10.1016/j.pscychresns.2016.12.004
Axelson DA, Doraiswamy PM, Boyko OB et al (1992) In vivo assessment of pituitary volume with MRI and systematic stereology: relationship to dexamethasone suppression test results in patients. Psychiatry Res 44(1):63–70. https://doi.org/10.1016/0165-1781(92)90070-J
Bao AM, Swaab DF (2011) Sexual differentiation of the human brain: relation to gender identity, sexual orientation and neuropsychiatric disorders. Front Neuroendocrinol 32(2):214–226. https://doi.org/10.1016/j.yfrne.2011.02.007
Bayrak A, Saadat P, Mor E et al (2005) Pituitary imaging is indicated for the evaluation of hyperprolactinemia. Fertil Steril 84(1):181–185. https://doi.org/10.1016/j.fertnstert.2005.01.102
Bazina M, Stefanović V, Božanić D, Saraga-Babić M (2007) Ultrastructural and immunohistochemical characteristics of developing human pituitary gland. Acta Histochem 109(5):366–376. https://doi.org/10.1016/j.acthis.2007.03.005
Ben-Shlomo A, Shlomo M (2017) Hypothalamic regulation of anterior pituitary function. In Melmed S (ed) The pituitary, 4th ed, pp 23–45
Borges S, Gayer-Anderson C, Mondelli V (2013) A systematic review of the activity of the hypothalamic-pituitary-adrenal axis in first episode psychosis. Psychoneuroendocrinology. https://doi.org/10.1016/j.psyneuen.2012.12.025
Bou-Ayache JM, Delman BN (2016) Advances in imaging of the pediatric pituitary gland. Endocrinol Metab Clin North Am. https://doi.org/10.1016/j.ecl.2016.02.004
Büschlen J, Berger GE, Borgwardt SJ et al (2011) Pituitary volume increase during emerging psychosis. Schizophr Res 125(1):41–48. https://doi.org/10.1016/j.schres.2010.09.022
Castaneda Cortés DC, Langlois VS, Fernandino JI (2014) Crossover of the hypothalamic pituitary-adrenal/interrenal, -thyroid, and -gonadal axes in testicular development. Front Endocrinol 5(139):1–11. https://doi.org/10.3389/fendo.2014.00139
Castillo M (2005) Pituitary gland: development, normal appearances, and MRI protocols. Top Magn Reson Imaging 16(4):259–268. https://doi.org/10.1097/01.rmr.0000224682.91253.15
Chakravarty MM, Steadman P, van Eede MC et al (2013) Performing label-fusion-based segmentation using multiple automatically generated templates. Human Brain Mapp 34(10):2635–2654. https://doi.org/10.1002/hbm.22092
Chen JC, Kucharczyk W (1989) Hypothalamic-pituitary region: MRI. Bailliere’s Clin Endocrinol Metab 3(1):73–87. http://www.ncbi.nlm.nih.gov/pubmed/2679525
Chen HH, Nicoletti M, Sanches M et al (2004) Normal pituitary volumes in children and adolescents with bipolar disorder: a MRI study. Depress Anxiety 20(4):182–186. https://doi.org/10.1002/da.20044
Chrousos GP, Gold PW (1992) The concepts of stress and stress system disorders: overview of physical and behavioral homeostasis. JAMA 267(9):1244–1252. https://doi.org/10.1001/jama.1992.03480090092034
Clark IA, Mackay CE, Goodwin GM (2014) Pituitary gland volumes in bipolar disorder. J Affect Disord 169:197–202. https://doi.org/10.1016/j.jad.2014.08.022
Côté M, Salzman KL, Sorour M, Couldwell WT (2014) Normal dimensions of the posterior pituitary bright spot on MRI. J Neurosurg 120(2):357–362. https://doi.org/10.3171/2013.11.JNS131320
Cousins DA, Brian Moore P, Watson S, Harrison L et al (2010) Pituitary volume and third ventricle width in euthymic patients with bipolar disorder. Psychoneuroendocrinology 35(7):1074–1081. https://doi.org/10.1016/j.psyneuen.2010.01.008
Dada MO, Campbell GT, Blake CA (1984) The localization of gonadotrophs in normal adult male and female rats. Endocrinology 114(2):397–406. https://doi.org/10.1677/joe.0.1010087
Davis SW, Mortensen AH, Camper SA (2011) Birthdating studies reshape models for pituitary gland cell specification. Dev Biol 352(2):215–227. https://doi.org/10.1016/j.ydbio.2011.01.010
de Moraes DC, Vaisman M, Conceiçao FL, Ortiga-Carvalho TM (2012) Pituitary development: a complex, temporal regulated process dependent on specific transcriptional factors. J Endocrinol. https://doi.org/10.1530/JOE-12-0229
Delman BN (2009) Imaging of pediatric pituitary abnormalities. Endocrinol Metab Clin N Am. https://doi.org/10.1016/j.ecl.2009.09.001
Delvecchio G, Altamura A, Soares J, Brambilla P (2017) Pituitary gland in bipolar disorder and major depression: evidence from structural MRI studies. J Affect Disord 218:446–450. https://doi.org/10.1016/j.jad.2017.03.066
Delvecchio G, Mandolini GM, Perlini C, Barillari M, Marinelli V, Ruggeri M, Altamura AC, Bellani M, Brambilla P (2018) Pituitary gland shrinkage in bipolar disorder: the role of gender. Compr Psychiatry 82:95–99. https://doi.org/10.1016/j.comppsych.2018.01.014
Doraiswamy PM, Krishnan KR, Boyko OB et al (1991) Pituitary abnormalities in eating disorders: further evidence from MRI studies. Prog Neuropsychopharmacol Biol Psychiatry 15(3):351–356. https://doi.org/10.1016/0278-5846(91)90066-a
Eagle RC, Tortonese DJ (2000) Characterization and distribution of gonadotrophs in the pars distalis and pars tuberalis of the equine pituitary gland during the estrous cycle and seasonal anestrus. Biol Reprod 63(3):826–832
Egger J, Kapur T, Nimsky C, Kikinis R (2012) Pituitary adenoma volumetry with 3D Slicer. PLoS One 7(12):e51788. https://doi.org/10.1371/journal.pone.0051788
Eker C, Ovali GY, Ozan E et al (2008) No pituitary gland volume change in medication-free depressed patients. Prog Neuropsychopharmacol Biol Psychiatry 32(7):1628–1632. https://doi.org/10.1016/j.pnpbp.2008.05.023
Everitt AV, Andrews GR (1983) Hypothalamo-hypophyseal-adrenal axis. In: Platt D (ed) Geriatrics, 2nd edn. Springer, Berlin, pp 88–101. https://doi.org/10.1007/978-3-642-68217-94
Fekete C, Lechan RM (2014) Central regulation of hypothalamic-pituitary-thyroid axis under physiological and pathophysiological conditions. Endocr Rev. https://doi.org/10.1210/er.2013-1087
Fink AM, Vidmar S, Kumbla S et al (2005) Age-Related pituitary volumes in prepubertal children with normal endocrine function: volumetric MR data. J Clin Endocrinol Metabol 90(6):3274–3278. https://doi.org/10.1210/jc.2004-1558
Fountas A, Karavitaki N (2017) Diagnosis of pituitary disease. Medicine 45(8):464–469. https://doi.org/10.1016/j.mpmed.2017.05.008
Füchsl AM, Langgartner D, Reber SO (2013) Mechanisms underlying the increased plasma ACTH levels in chronic psychosocially stressed male mice. PLoS ONE 8(12):e84161. https://doi.org/10.1371/journal.pone.0084161
Fujisawa I, Asato R, Nishimura K et al (1987) Anterior and posterior lobes of the pituitary gland: assessment by 1.5T MRI. J Comput Assist Tomogr 11(2):214–220. https://doi.org/10.1097/00004728-198703000-00003
Ganella DE, Allen NB, Simmons JG et al (2015) Early life stress alters pituitary growth during adolescence—a longitudinal study. Psychoneuroendocrinology 53:185–194. https://doi.org/10.1016/j.psyneuen.2015.01.005
Garner B, Pariante CM, Wood SJ et al (2005) Pituitary volume predicts future transition to psychosis in individuals at ultra-high risk of developing psychosis. Biol Psychiatry 58(5):417–423. https://doi.org/10.1016/j.biopsych.2005.04.018
Garner B, Chanen AM, Phillips L et al (2007) Pituitary volume in teenagers with first-presentation borderline personality disorder. Psychiatry Res Neuroimaging 156(3):257–261. https://doi.org/10.1016/j.pscychresns.2007.05.001
Grams AE, Gempt J, Stahl A, Förschler A (2010) Female pituitary size in relation to age and hormonal factors. Neuroendocrinology 92(2):128–132. https://doi.org/10.1159/000314196
Gruner P, Christian C, Robinson DG et al (2012) Pituitary volume in first-episode schizophrenia. Psychiatry Res Neuroimaging 203(1):100–102. https://doi.org/10.1016/j.pscychresns.2011.09.017
Denk CC, Onderoğlu S, Ilgi S, Gürcan, F (1999) Height of normal pituitary gland on MRI: differences between age groups and sexes. Okajimas Folia Anat Jpn 76(2–3):81–87. http://www.ncbi.nlm.nih.gov/pubmed/10502959
Habets P, Collip D, Myin-Germeys I et al (2012) Pituitary volume, stress reactivity and genetic risk for psychotic disorder. Psychol Med 42(7):1523–1533. https://doi.org/10.1017/S0033291711002728
Hajek T, Gunde E, Bernier D et al (2008) Pituitary volumes in relatives of bipolar patients. Eur Arch Psychiatry Clin Neurosci 258(6):357–362. https://doi.org/10.1007/s00406-008-0804-0
Hong GK, Payne SC, Jane JA (2016) Anatomy, physiology, and laboratory evaluation of the pituitary gland. Otolaryngol Clin North Am 49(1):21–32. https://doi.org/10.1016/j.otc.2015.09.002
Ishunina TA, Swaab DF (1999) Vasopressin and oxytocin neurons of the human supraoptic and paraventricular nucleus; size changes in relation to age and sex. J Clin Endocrinol Metab 84(12):4637–4644. https://doi.org/10.1210/jcem.84.12.6187
Jovev M, Garner B, Phillips L et al (2008) An MRI study of pituitary volume and parasuicidal behavior in teenagers with first-presentation borderline personality disorder. Psychiatry Res: Neuroimaging 162(3):273–277. https://doi.org/10.1016/j.psychresns.2007.12.003
Ju KS, Bae HG, Park HK et al (2010) Morphometric study of the korean adult pituitary glands and the diaphragma sellae. J Korean Neurosurg Soc 47(1):42–47. https://doi.org/10.3340/jkns.2010.47.1.42
Jung MH, Huh MJ, Kang DH et al (2009) Volumetric differences in the pituitary between drug-naïve and medicated male patients with obsessive–compulsive disorder. Prog Neuropsychopharmacol Biol Psychiatry 33(4):605–609. https://doi.org/10.1016/j.pnpbp.2009.02.017
Kaess M, Simmons JG, Whittle S et al (2013) Sex-specific prediction of hypothalamic-pituitary-adrenal axis activity by pituitary volume during adolescence: a longitudinal study from 12 to 17 years of age. Psychoneuroendocrinology 38(11):2694–2704. https://doi.org/10.1016/j.psyneuen.2013.06.028
Kaess M, Whittle S, O’Brien-Simpson L et al (2018) Childhood maltreatment, pituitary volume and adolescent hypothalamic-pituitary-adrenal axis—evidence for a maltreatment-related attenuation. Psychoneuroendocrinology 98:39–45. https://doi.org/10.1016/j.psyneuen.2018.08.004
Kartalci S, Dogan M, Unal S et al (2011) Pituitary volume in patients with panic disorder. Prog Neuropsychopharmacol Biol Psychiatry 35(1):203–207. https://doi.org/10.1016/j.pnpbp.2010.11.005
Keil MF, Stratakis CA (2008) Pituitary tumors in childhood: update of diagnosis, treatment and molecular genetics. Expert Rev Neurother 8(4):563–574. https://doi.org/10.1586/14737175.8.4.563
Kessing LV, Willer IS, Knorr U (2011) Volume of the adrenal and pituitary glands in depression. Psychoneuroendocrinology 36(1):19–27. https://doi.org/10.1016/j.psyneuen.2010.05.007
Kiecker C (2017) The origins of the circumventricular organs. J Anat. https://doi.org/10.1111/joa.12771
Klomp A, Koolschijn PCMP, Hulshoff Pol HE et al (2012) Hypothalamus and pituitary volume in schizophrenia: a structural MRI study. Int J Neuropsychopharmacol 15(2):281–288. https://doi.org/10.1017/S1461145711000794
Krishnan KRR, Doraiswamy PM, Lurie SN et al (1991) Pituitary size in depression. J Clin Endocrinol Metab 72(2):256–259. https://doi.org/10.1210/jcem-72-2-256
Laios K, Androutsos G, Piagkou M, Moschos MM (2017) Hypophysis. From outgrowth, to ocular disorder to pituitary gland. Hormones. https://doi.org/10.14310/horm.2002.1726
Le Tissier PR, Hodson DJ, Lafont C et al (2012) Anterior pituitary cell networks. Front Neuroendocrinol 33(3):252–266. https://doi.org/10.1016/j.yfrne.2012.08.002
Lechan RM, Toni R (2000) Functional anatomy of the hypothalamus and pituitary. Endotext 4. http://www.ncbi.nlm.nih.gov/pubmed/25905349
Lee MH, Choi HY, Sung YA, Lee JK (2001) High signal intensity of the posterior pituitary gland on T1-weighted MR images. Correlation with plasma vasopressin concentration to water deprivation. Acta Radiol 42(2):129–134. https://doi.org/10.1080/028418501127346567
Lerch JP, van der Kouwe AJW, Raznahan A et al (2017) Studying neuroanatomy using MRI. Nat Neurosci 20(3):314–326. https://doi.org/10.1038/nn.4501
Lorenzetti V, Allen NB, Fornito A et al (2009) Pituitary gland volume in currently depressed and remitted depressed patients. Psychiatry Res Neuroimaging 172(1):55–60. https://doi.org/10.1016/j.pscychresns.2008.06.006
Lorenzetti V, Lubman DI, Velakoulis D, Yücel M (2010) Pituitary gland volume among heroin users stabilised on substitution pharmacotherapy. Drug Alcohol Depend 110(1–2):164–166. https://doi.org/10.1016/j.drugalcdep.2010.02.012
Lurie SN, Doraiswamy PM, Husain MM et al (1990) In vivo assessment of pituitary gland volume with MRI: the effect of age. J Clin Endocrinol Metabol 71(2):505–508. https://doi.org/10.1210/jcem-71-2-505
MacMaster FP, Kusumakar V (2004) MRI study of the pituitary gland in adolescent depression. J Psychiatric Res 38(3):231–236. https://doi.org/10.1016/j.jpsychires.2003.11.001
MacMaster FP, Russell A, Mirza Y et al (2006) Pituitary volume in treatment-naïve pediatric major depressive disorder. Biol Psychiatry 60(8):862–866. https://doi.org/10.1016/j.biopsych.2006.04.013
MacMaster FP, Keshavan M, Mirza Y et al (2007) Development and sexual dimorphism of the pituitary gland. Life Sci 80(10):940–944. https://doi.org/10.1016/j.lfs.2006.11.040
MacMaster FP, Leslie R, Rosenberg DR, Kusumakar V (2008) Pituitary gland volume in adolescent and young adult bipolar and unipolar depression. Bipolar Disord 10(1):101–104. https://doi.org/10.1111/j.1399-5618.2008.00476.x
McCartney CR***, Marshall, JC (2019) Endocrinology of reproduction. In Strauss III JF (ed) Yen and Jaffe’s Reproductive Endocrinology, 8th ed: 1-24.e8
McCann SM (1992) An introduction to neuroendocrinology: basic principles and historical considerations. In Nemeroff (ed) Neuroendocrinology, 2nd ed: 618. CRC Press, Boca Raton
Menon R, Murphy PG, Lindley AM (2011) Anaesthesia and pituitary disease. CEACCP 11(4):133–137. https://doi.org/10.1093/bjaceaccp/mkr014
Mondelli V, Dazzan P, Gabilondo A et al (2008) Pituitary volume in unaffected relatives of patients with schizophrenia and bipolar disorder. Psychoneuroendocrinology 33(7):1004–1012. https://doi.org/10.1016/j.psyneuen.2008.05.010
Moore CR, Price D (1932) Gonad hormone functions, and the reciprocal influence between gonads and hypophysis with its bearing on the problem of sex hormone antagonism. Am J Anat 50(1):13–71. https://doi.org/10.1002/aja.1000500103
Moore EM, Infante MA, Migliorini R et al (2016) Pituitary lacks sexual dimorphism and displays reduced signal intensity on T1-weighted MRI in adolescents with histories of heavy prenatal alcohol exposure. Neurotoxicol Teratol 57:106–111. https://doi.org/10.1016/j.ntt.2016.09.001
Morgan PJ, Williams LM (1996) The pars tubelaris of the pituitary: a gateway for neuroendocrine output. Rev Reprod 1(3):153–161. https://doi.org/10.1530/revreprod/1.3.153
Murray CR, Simmons JG, Allen NB et al (2016) Associations between dehydroepiandrosterone levels, pituitary volume, and social anxiety in children. Psychoneuroendocrinology 64:31–39. https://doi.org/10.1016/j.psyneuen.2015.11.004
Musumeci G, Castorina S, Castrogiovanni P et al (2015) A journey through the pituitary gland: development, structure and function, with emphasis on embryo-foetal and later development. Acta Histochem 117(4–5):355–366. https://doi.org/10.1016/j.acthis.2015.02.008
Naidich MJ, Russell EJ (1999) Current approaches to imaging of the sellar region and pituitary. Endocrinol Metabol Clin North Am. https://doi.org/10.1016/S0889-8529(05)70057-8
Nicolo JP, Berger GE, Garner BA et al (2010) The effect of atypical antipsychotics on pituitary gland volume in patients with first-episode psychosis: A longitudinal MRI study. Schizophrenia Res 116(1):49–54. https://doi.org/10.1016/j.schres.2009.10.005
Nishimura K, Fujisawa I, Togashi K et al (1986) Posterior lobe of the pituitary: identification by lack of chemical shift artifact in MRI. J Comp Assist Tomogr 10(6):899–902. https://doi.org/10.1097/00004728-198611000-00001
Nordholm D, Krogh J, Mondelli V et al (2013) Pituitary gland volume in patients with schizophrenia, subjects at ultra high-risk of developing psychosis and healthy controls: a systematic review and meta-analysis. Psychoneuroendocrinology 38(11):2394–2404. https://doi.org/10.1016/j.psyneuen.2013.06.030
Ouyang T, Rothfus WE, Ng JM, Challinor SM (2011) Imaging of the pituitary. Radiol Clin North Am 49(3):549–571. https://doi.org/10.1016/j.rcl.2011.02.012
Pantalone KM, Jones SE, Weil RJ et al (2015) Atlas of pituitary imaging. In Pantalone (ed) MRI Atlas of pituitary pathology (1st edn), pp 1–50. Elsevier. https://doi.org/10.1016/B978-0-12-802577-2.00001-3
Pariante CM, Vassilopoulou K, Velakoulis D et al (2004) Pituitary volume in psychosis. Br J Psychiatry 185:5–10. https://doi.org/10.1192/bjp.185.1.5
Pariante CM, Dazzan P, Danese A et al (2005) Increased pituitary volume in antipsychotic-free and antipsychotic-treated patients of the AEsop first-onset psychosis study. Neuropsychopharmacology 30(10):1923–1931. https://doi.org/10.1038/sj.npp.1300766
Peper JS, Brouwer RM, van Leeuwen M et al (2010) HPG-axis hormones during puberty: a study on the association with hypothalamic and pituitary volumes. Psychoneuroendocrinology 35(1):133–140. https://doi.org/10.1016/j.psyneuen.2009.05.025
Piccinelli M, Wilkinson G (2000) Gender differences in depression. Critical review. Br J Psychiatry 177:486–492. https://doi.org/10.1192/bjp.177.6.486
Pipitone J, Park MTM, Winterburn J et al (2014) Multi-atlas segmentation of the whole hippocampus and subfields using multiple automatically generated templates. NeuroImage 101:494–512. https://doi.org/10.1016/j.neuroimage.2014.04.054
Premkumar P, Bream D, Sapara A et al (2017) Pituitary volume reduction in schizophrenia following cognitive behavioural therapy. Schizophrenia Res 192:416–422. https://doi.org/10.1016/j.schres.2017.04.035
Raveendranath V, Nagarajan K, Umamageswari A et al (2019) Three-dimensional magnetic resonance-based morphometry of pituitary stalk. Radiol Med 124(3):206–210. https://doi.org/10.1007/s11547-018-0956-6
Renz DM, Hahn HK, Schmidt P et al (2011) Accuracy and reproducibility of a novel semi-automatic segmentation technique for MR volumetry of the pituitary gland. Neuroradiology 53(4):233–244. https://doi.org/10.1007/s00234-010-0727-0
Rhoton AL (2002) The cavernous sinus, the cavernous venous plexus, and the carotid collar. Neurosurgery 51(4):375–410. https://doi.org/10.1227/01.neu.0000028833.01529.e7
Romo-Nava F, Hoogenboom WS, Pelavin PE et al (2013) Pituitary volume in schizophrenia spectrum disorders. Schizophrenia Res 146(1–3):301–307. https://doi.org/10.1016/j.schres.2013.02.024
Ronchetti SA, Miler EA, Duvilanski BH, Cabilla JP (2013) Cadmium mimics estrogen-driven cell proliferation and prolactin secretion from anterior pituitary cells. PLoS ONE 8(11):e81101. https://doi.org/10.1371/journal.pone.0081101
Roppolo HMN, Latchaw RE, Meyer JD, Curtin HD (1983) Normal pituitary gland: I. Macroscopic anatomy-CT correlation. AJNR 4(4):927–935. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/6410877
Sahni D, Jit I, Neelam Harjeet, Bhansali A (2006) Weight and dimensions of the pituitary in northwestern Indians. Pituitary 9(1):19–26. https://doi.org/10.1007/s11102-006-7503-5
Sari S, Sari E, Akgun V et al (2014) Measures of pituitary gland and stalk: from neonate to adolescence. J Pediatr Endocrinol Metabol 27(11–12):1071–1076. https://doi.org/10.1515/jpem-2014-0054
Sassi RB, Nicoletti M, Brambilla P et al (2001) Decreased pituitary volume in patients with bipolar disorder. Biol Psychiatry 50(4):271–280. https://doi.org/10.1016/S0006-3223(01)01086-1
Satogami N, Miki Y, Koyama T et al (2010) Normal Pituitary Stalk: high-resolution MRI at 3T. AJNR 31(2):355–359. https://doi.org/10.3174/ajnr.A1836
Scheithauer BW, Horvath E, Kovacs K (1992) Ultrastructure of the neurohypophysis. Microsc Res Tech 20(2):177–186. https://doi.org/10.1002/jemt.1070200206
Schroeder AC, Privalsky ML (2014) Thyroid hormones, T3 and T4, in the brain. Front Endocrinol. https://doi.org/10.3389/fendo.2014.00040
Schwartz PJ et al (1997) Seasonality and pituitary volume. Psychiatry Res 4;74(3):151-7. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/9255860
Scott LV, Dinan TG (1998) Vasopressin and the regulation of hypothalamic-pituitary-adrenal axis function: implications for the pathophysiology of depression. Life Sci 62(22):1985–1998. Retrieved from https://doi.org/10.1016/S0024-3205(98)00027-7
Shah S, Waldman AD, Mehta A (2012) Advances in pituitary imaging technology and future prospects. Best Pract Res Clin Endocrinol Metab 26(1):35–46. https://doi.org/10.1016/j.beem.2011.08.003
Shah JL, Tandon N, Howard ER et al (2015) Pituitary volume and clinical trajectory in young relatives at risk for schizophrenia. Psychol Med 45(13):2813–2824. https://doi.org/10.1017/S003329171500077X
Smith SM, Vale WW (2006) The role of the hypothalamic-pituitary-adrenal axis in neuroendocrine responses to stress. Dialogues Clin Neurosci 8(4):383–395. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17290797
Takahashi T, Malhi GS, Wood SJ et al (2009) Increased pituitary volume in patients with established bipolar affective disorder. Prog Neuropsychopharmacol Biol Psychiatry 33(7):1245–1249. https://doi.org/10.1016/j.pnpbp.2009.07.012
Takahashi T, Walterfang M, Wood SJ et al (2010) Pituitary volume in patients with bipolar disorder and their first-degree relatives. Journal Affect Disord 124(3):256–261. https://doi.org/10.1016/j.jad.2009.12.002
Takahashi T, Nakamura K, Nishiyama S et al (2013) Increased pituitary volume in subjects at risk for psychosis and patients with first-episode schizophrenia. Psychiatry Clin Neurosci 67(7):540–548. https://doi.org/10.1111/pcn.12093
Takano K, Utsunomiya H, Ono H et al (1999) Normal development of the pituitary gland: assessment with three-dimensional MR volumetry. AJNR 20(2):312–315. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10094362
Terano T, Seya A, Tamura Y et al (1996) The relation between the lack of the posterior pituitary bright signal on MRI and posterior pituitary hormone in elderly subjects. Pathophysiology 3(3):163–167. https://doi.org/10.1016/0928-4680(96)00010-7
Theunissen E, Baeten K, Vanormelingen L et al (2010) Detailed visualization of the functional regions of the rat pituitary gland by high-resolution T2-weighted MRI. Anat Histol Embryol 39(3):194–200. https://doi.org/10.1111/j.1439-0264.2010.00995.x
Thomas L (2004) Pituitary volumes in pediatric maltreatment-related posttraumatic stress disorder. Biol Psychiatry 55(7):752–758. https://doi.org/10.1016/j.biopsych.2003.11.021
Toni R (2000) Ancient views on the hypothalamic-pituitary-thyroid axis: a historical and epistemological perspective. Pituitary 3(2):83–95. https://doi.org/10.1023/A:1009953723963
Tournikioti K, Tansella M, Perlini C et al (2007) Normal pituitary volumes in chronic schizophrenia. Psychiatry Res Neuroimaging 154(1):41–48. https://doi.org/10.1016/j.pscychresns.2006.04.004
Tullo S et al (2018) Warping an atlas derived from serial histology to 5 high-resolution MRIs. Sci data 5:180107
Upadhyaya AR, El-Sheikh R, MacMaster FP et al (2007) Pituitary volume in neuroleptic-naïve schizophrenia: a structural MRI study. Schizophrenia Res 90(1–3):266–273. https://doi.org/10.1016/j.schres.2006.09.033
Vale W, Spiess J, Rivier C, Rivier J (1981) Characterization of a 41-residue ovine hypothalamic peptide that stimulates secretion of corticotropin and beta-endorphin. Science 18;213(4514): 1394-7. https://doi.org/10.1126/science.6267699
Walter A, Studerus E, Smieskova R et al (2015) Pituitary gland volume in at-risk mental state for psychosis: a longitudinal MRI analysis. CNS Spectr 20(2):122–129. https://doi.org/10.1017/S109285291400011X
Whittle S, Yücel M, Lorenzetti V et al (2012) Pituitary volume mediates the relationship between pubertal timing and depressive symptoms during adolescence. Psychoneuroendocrinology 37(7):881–891. https://doi.org/10.1016/j.psyneuen.2011.10.004
Wong APY, Pipitone J, Park MTM et al (2014) Estimating volumes of the pituitary gland from T1-weighted MRI: effects of age, puberty, testosterone, and estradiol. NeuroImage 94:216–221. https://doi.org/10.1016/j.neuroimage.2014.02.030
Yamamoto A, Oba H, Furui S (2013) Influence of age and sex on signal intensities of the posterior lobe of the pituitary gland on T1-weighted images from 3 T MRI. Jpn J Radiol 31(3):186–191. https://doi.org/10.1007/s11604-012-0168-2
Yeung CM, Chan CB, Leung PS, Cheng CHK (2006) Cells of the anterior pituitary. Int J Biochem Cell Biol 38(9):1441–1449. https://doi.org/10.1016/j.biocel.2006.02.012
Zimmerman EA, Robinson AG (1976) Hypothalamic neurons secreting vasopressin and neurophysin. Kidney Int 10(1):12–24. https://doi.org/10.1038/ki.1976.75
Zipursky AR, Whittle S, Yücel M et al (2011) Pituitary volume prospectively predicts internalizing symptoms in adolescence. J Child Psychol Psychiatry 52(3):315–323. https://doi.org/10.1111/j.1469-7610.2010.02337
Acknowledgements
Sherri Lee Jones is funded by a post-doctoral fellowship from the Fonds de recherche du Québec-Santé. Special thanks to the lab of Dr. M. Mallar Chakravarty at the Douglas Mental Health University Institute, McGill University, for thoughtful discussions regarding technicalities and limitations of structural MRI, particularly for small structures such as the pituitary gland. Figure 2 was generated from high-resolution atlases made available open source by Dr. M. Mallar Chakravarty (Douglas Institute, McGill University, Montreal, QC, Canada).
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Anastassiadis, C., Jones, S.L. & Pruessner, J.C. Imaging the pituitary in psychopathologies: a review of in vivo magnetic resonance imaging studies. Brain Struct Funct 224, 2587–2601 (2019). https://doi.org/10.1007/s00429-019-01942-5
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DOI: https://doi.org/10.1007/s00429-019-01942-5