Making Sense of Sellar Region Pathology: Image-Based Diagnostic Algorithm. (31st October 2015)

• Record Type: Journal Article
• Authors: Chaudhry, Ammar A.; Gupta, Rajesh; Woroch, Luboslav; Filatov, Alexander; Peyster, Robert; Bangiyev, Lev
• Is Part Of: Contemporary diagnostic radiology. Volume 38:Number 22(2015:Oct. 31)
• Publication Date: 2015-10-31
• Subjects: Imaging of Sellar Region -- Pituitary Adenomas -- Pituitary apoplexy -- Meningioma -- Craniopharyngioma -- Empty Sella; Medical radiology -- Periodicals; Diagnosis, Radioscopic -- Periodicals; Diagnosis -- Periodicals; Radiology -- Periodicals; Diagnosis, Radioscopic; Medical radiology; Periodicals; 616.0757
• DOI: 10.1097/01.CDR.0000472826.04294.e7
• Languages: English
• ISSNs: 0149-9009

Abstract

Abstract : Lesions in the sellar and parasellar regions are encountered frequently in clinical radiology. Complex anatomy of this region contains numerous key structures, which can be affected by a variety of pathologic processes. Although "SATCHMO, " a commonly used mnemonic, may help the radiologist to remember differential diagnoses when imaging findings overlap, it has limited diagnostic utility. (See page 7 for description of SATCHMO.) A systematic approach to imaging findings in the sellar region can provide valuable information regarding the extent of pathology, aid in treatment planning, and help detect complications. This article discusses regional anatomy, clinical presentation, pathophysiology, and imaging characteristics of common sellar region pathology.