Online citations, reference lists, and bibliographies.
← Back to Search

Predicting Pituitary Stalk Position By In Vivo Visualization Of The Hypothalamo-hypophyseal Tract In Craniopharyngioma Using Diffusion Tensor Imaging Tractography

F. Wang, Jinli Jiang, J. Zhang, Q. Wang
Published 2017 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
The pituitary stalk (PS) is crucial to endocrine function and water-electrolyte equilibrium. Preservation of the PS during craniopharyngioma (CP) surgery is critical; however, in a pathological state, it is difficult to identify. The hypothalamo-hypophyseal tract (HHT) connects the hypothalamus and the posterior pituitary gland and projects through the PS. Thus, visualization of the HHT can help locate the PS. Preoperative visualization of the neural fasciculus has been widely achieved using diffusion tensor imaging (DTI) tractography. Therefore, this study evaluated the use of DTI tractography to identify and characterize the human HHT. We used DTI tractography to track the HHT in 10 patients with CP and compared the location of the tract with the intraoperative view of the PS in these patients. We successfully tracked the HHT in nine patients, indicating that delineating and quantifying the tracked HHT using this method is feasible. In addition, we found that the tract was consistent with the intraoperative view of the PS in seven out of eight patients (87.50%). Finally, we found that the mean number of tracts was 7.11 ± 12.28, the mean fractional anisotropy (FA) was 0.11 ± 0.04, and the mean tract length was 24.22 ± 9.39 mm. Taken together, our results demonstrate that the HHT can be visualized and characterized with DTI even in a clinical application, which may aid in preoperative identification of the PS. Characterization of the tracked HHT with this technique could also be used to advance our understanding of the HHT.
This paper references
10.1016/j.critrevonc.2013.07.013
Surgical strategies and modern therapeutic options in the treatment of craniopharyngiomas.
P. Mortini (2013)
10.1136/bmjopen-2014-005613
Injury of the mammillothalamic tract in patients with subarachnoid haemorrhage: a retrospective diffusion tensor imaging study
S. Jang (2014)
10.3171/2008.10.JNS0880
Adult craniopharyngiomas: surgical results with a special focus on endocrinological outcomes and recurrence according to pituitary stalk preservation.
T. Jung (2009)
10.3171/2011.7.JNS11495
Diffusion tensor imaging-based fiber tracking for prediction of the position of the facial nerve in relation to large vestibular schwannomas.
V. Gerganov (2011)
10.3171/2016.9.FOCUS16304
Craniopharyngioma adherence: a comprehensive topographical categorization and outcome-related risk stratification model based on the methodical examination of 500 tumors.
R. Prieto (2016)
10.1007/s10143-011-0336-3
Dual-room 1.5-T intraoperative magnetic resonance imaging suite with a movable magnet: implementation and preliminary experience
X. Chen (2011)
10.1016/j.nicl.2016.04.013
Integrity of the arcuate fasciculus in patients with schizophrenia with auditory verbal hallucinations: A DTI-tractography study
M. Psomiades (2016)
10.3171/2015.7.PEDS14449
Growth patterns of craniopharyngiomas: clinical analysis of 226 patients.
Jun Hui Pan (2016)
10.1007/s00701-010-0940-y
Anatomic relations of the arachnoidea around the pituitary stalk: relevance for surgical removal of craniopharyngiomas
Songtao Qi (2010)
10.1113/jphysiol.1969.sp008850
A study of the parameters of electrical stimulation of unmyelinated fibres in the pituitary stalk
G. Harris (1969)
10.1002/hbm.22256
DTI correlates of distinct cognitive impairments in Parkinson's disease
Z. Zheng (2014)
10.1016/j.mri.2014.04.002
Distinguishing and quantification of the human visual pathways using high-spatial-resolution diffusion tensor tractography.
A. Kamali (2014)
10.1186/s12883-016-0620-5
Pre-operative declining proportion of fractional anisotropy of trigeminal nerve is correlated with the outcome of micro-vascular decompression surgery
Fanfan Chen (2016)
10.12659/PJR.894661
Evaluation of the Degradation of the Selected Projectile, Commissural and Association White Matter Tracts Within Normal Appearing White Matter in Patients with Multiple Sclerosis Using Diffusion Tensor MR Imaging – a Preliminary Study
A. Banaszek (2015)
10.4103/0028-3886.190270
Prediction of facial nerve position in large vestibular schwannomas using diffusion tensor imaging tractography and its intraoperative correlation.
S. Borkar (2016)
10.1007/s00247-009-1478-0
Magnetic resonance diffusion tensor imaging (MRDTI) and tractography in children with septo-optic dysplasia
Michael B. Salmela (2009)
10.1016/j.cortex.2016.04.019
Diffusion-tensor imaging of major white matter tracts and their role in language processing in aphasia
M. V. Ivanova (2016)
Structural and functional dysconnectivity of the fronto-thalamic system in schizophrenia: a DCM-DTI study. Cortex 66:35–45
G Wagner (2015)
10.3171/JNS/2008/108/4/0715
Expanded endonasal approach, a fully endoscopic transnasal approach for the resection of midline suprasellar craniopharyngiomas: a new classification based on the infundibulum.
A. Kassam (2008)
10.3174/ajnr.A1836
Normal Pituitary Stalk: High-Resolution MR Imaging at 3T
N. Satogami (2010)
10.1016/j.clineuro.2015.05.019
Association of pituitary stalk management with endocrine outcomes and recurrence in microsurgery of craniopharyngiomas: A meta-analysis
K. Li (2015)
10.1097/SCS.0b013e31829ad5e8
Locating of the Pituitary Stalk for Craniopharyngioma Surgery of Transfrontobasal Interhemispheric Approach
Mingxing Sui (2013)
10.3389/fendo.2012.00025
Outcome of Endoscopy-Assisted Microscopic Extended Transsphenoidal Surgery for Suprasellar Adult Craniopharyngiomas
Hidetoshi Ikeda (2012)
10.3171/2015.7.JNS142922
In vivo visualization of the facial nerve in patients with acoustic neuroma using diffusion tensor imaging-based fiber tracking.
Fei Song (2016)
10.1002/ana.21517
Delayed neural network degeneration after neonatal hypoxia‐ischemia
Brian S. Stone (2008)
10.1007/s00381-013-2351-x
Diffusion tensor imaging of pyramidal tract reorganization after pediatric stroke
Emilie George (2013)
10.1016/j.cortex.2015.02.004
Structural and functional dysconnectivity of the fronto-thalamic system in schizophrenia: A DCM-DTI study
G. Wagner (2015)
10.3892/etm.2014.1561
Pituitary stalk management during the microsurgery of craniopharyngiomas
Ge-lei Xiao (2014)
10.1016/j.mri.2008.10.007
Mapping the human brain white matter tracts relative to cortical and deep gray matter using diffusion tensor imaging at high spatial resolution.
K. Hasan (2009)
10.1111/jon.12082
Identifying the Start of Multiple Sclerosis Injury: A Serial DTI Study
D. Ontaneda (2014)
10.1006/jmrb.1996.0086
Microstructural and physiological features of tissues elucidated by quantitative-diffusion-tensor MRI.
P. Basser (1996)
10.1007/s00701-013-1687-z
Observation of the neurohypophysis, pituitary stalk, and adenohypophysis during endoscopic pituitary surgery: Demonstrative findings as clues to pituitary-conserving surgery
Y. Yoneoka (2013)
10.1016/j.wneu.2015.01.045
Quantification of Corticospinal Tracts with Diffusion Tensor Imaging in Brainstem Surgery: Prognostic Value in 14 Consecutive Cases at 3T Magnetic Resonance Imaging.
Yuqiang Yao (2015)
10.3171/2010.11.JNS10670
Neurosurgical treatment of craniopharyngioma in adults and children: early and long-term results in a large case series.
P. Mortini (2011)
10.1002/jmri.20725
Displacement of the facial nerve course by vestibular schwannoma: Preoperative visualization using diffusion tensor tractography
T. Taoka (2006)
10.3171/2016.3.JNS16630
Craniopharyngioma recurrence: the impact of tumor topography.
R. Prieto (2016)
10.1503/jpn.100140
Combined analysis of grey matter voxel-based morphometry and white matter tract-based spatial statistics in late-life bipolar disorder.
S. Haller (2011)
10.1097/SCS.0000000000002676
Preliminary Study on Composition and Microstructure of Calcification in Craniopharyngiomas
Junxiang Peng (2016)
Diffusion anisotropy measurement of brain white matter is affected by voxel size : underestimation occurs in areas with crossing fibers
大内 宏之 (2007)
10.1227/01.neu.0000397906.26795.00
Three-Dimensional In Vivo Modeling of Vestibular Schwannomas and Surrounding Cranial Nerves With Diffusion Imaging Tractography.
(2011)



This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar