Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for the Role of Imaging for Patients With Functioning Pituitary Adenomas.

IF 3.9 2区医学 Q1 CLINICAL NEUROLOGY

Neurosurgery Pub Date : 2025-08-15 DOI:10.1227/neu.0000000000003607

Jacqueline C Junn, Kalmon D Post, Manish K Aghi, Gabriel Zada, Daniel Prevedello, Bradley Delman, Puneet Belani, D Ryan Ormond, Isabelle M Germano

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引用次数: 0

Abstract

Background: Patients with functioning pituitary adenomas (FPA) present a diagnostic challenge with identification of microadenomas and/or invasion of the cavernous sinus.

Objective: The aim of this study was to provide evidence-based recommendations on the use of imaging to facilitate an accurate diagnosis.

Methods: PubMed and Embase were searched from the inception of the database to June 8, 2021, using search terms and search strategies to identify pertinent abstracts. These were then screened using published exclusion/inclusion criteria to identify full-text review articles. Evidence tables were constructed using data from full-text reviews, and recommendations were made.

Results: Of the total 8685 identified abstracts pertinent to this topic, 138 full articles met the eligibility criteria. Of these, 18 met the inclusion criteria and were included in the evidence tables. Class III evidence supported 4 Level III recommendations for adult patients with FPA.

Conclusion: This systematic review provides evidence-based recommendations to guide providers caring for adult patients with FPA when making decisions pertinent to imaging. The Congress of Neurological Surgeons will continue to pursue timely updates and to further improve the care of patients with diagnosis.

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神经外科医师大会对功能性垂体腺瘤患者影像学作用的系统评价和循证指南。

背景：功能性垂体腺瘤（FPA）患者在识别微腺瘤和/或海绵窦侵犯方面存在诊断挑战。目的：本研究的目的是为影像学应用提供循证建议，以促进准确诊断。方法：检索PubMed和Embase从数据库建立到2021年6月8日的文献，使用检索词和检索策略识别相关摘要。然后使用已发表的排除/纳入标准对其进行筛选，以确定全文综述文章。根据全文综述的数据构建证据表，并提出建议。结果：在8685篇与本主题相关的摘要中，有138篇全文符合入选标准。其中18例符合纳入标准，纳入证据表。III级证据支持4项针对成年FPA患者的III级建议。结论：本系统综述为成人FPA患者的影像学决策提供了循证建议。神经外科医师大会将继续寻求及时更新并进一步改善诊断患者的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurosurgery 医学-临床神经学

CiteScore

8.20

自引率

6.20%

发文量

898

审稿时长

2-4 weeks

期刊介绍： Neurosurgery, the official journal of the Congress of Neurological Surgeons, publishes research on clinical and experimental neurosurgery covering the very latest developments in science, technology, and medicine. For professionals aware of the rapid pace of developments in the field, this journal is nothing short of indispensable as the most complete window on the contemporary field of neurosurgery. Neurosurgery is the fastest-growing journal in the field, with a worldwide reputation for reliable coverage delivered with a fresh and dynamic outlook.