Jean-François Bonneville – författare

This book describes the challenges occurring during a pituitary examination and provides key pieces for diagnosis. It takes into account unusual issues encountered when reading a pituitary MRI.Each chapter covers the common traps faced during the interpretation of pituitary MRI, for instance, in the presence of pituitary adenomas, Rathke cleft cysts, craniopharyngiomas, and many other pathological conditions, before offering solutions to come to the correct diagnosis. This concise practical guide offers helpful information for radiologists and neurosurgeons, but the book will also interest endocrinologists and internists.

This clinically oriented book will familiarize the reader with all aspects of the diagnosis of tumors and other disorders of the pituitary gland by means of magnetic resonance imaging (MRI). The coverage includes acromegaly, Cushing’s disease, Rathke cleft cysts, prolactinomas, incidentalomas, nonsecreting adenomas, other lesions of the sellar area, hypophysitis, and central diabetes insipidus. Normal radiologic anatomy and the numerous normal variants are described, and guidance is also provided on difficulties, artifacts, and other pitfalls. The book combines concise text and high-quality images with a question and answer format geared toward the needs of the practitioner. MRI is today considered the cornerstone in the diagnosis of diseases of the hypophyseal-hypothalamic region but the relatively small size of the pituitary gland, its deep location, the many normal anatomic variants, and the often tiny size of lesions can hinder precise evaluation of the anatomic structures and particularly the pituitary gland itself. Radiologists and endocrinologists will find MRI of the Pituitary Gland to be full of helpful information on this essential examination, and the book will also be of interest to internists and neurosurgeons.

This clinically oriented book will familiarize the reader with all aspects of the diagnosis of tumors and other disorders of the pituitary gland by means of magnetic resonance imaging (MRI). The coverage includes acromegaly, Cushing’s disease, Rathke cleft cysts, prolactinomas, incidentalomas, nonsecreting adenomas, other lesions of the sellar area, hypophysitis, and central diabetes insipidus. Normal radiologic anatomy and the numerous normal variants are described, and guidance is also provided on difficulties, artifacts, and other pitfalls. The book combines concise text and high-quality images with a question and answer format geared toward the needs of the practitioner. MRI is today considered the cornerstone in the diagnosis of diseases of the hypophyseal-hypothalamic region but the relatively small size of the pituitary gland, its deep location, the many normal anatomic variants, and the often tiny size of lesions can hinder precise evaluation of the anatomic structures and particularly the pituitary gland itself. Radiologists and endocrinologists will find MRI of the Pituitary Gland to be full of helpful information on this essential examination, and the book will also be of interest to internists and neurosurgeons.

This clinically oriented book will familiarize the reader with all aspects of the diagnosis of tumors and other disorders of the pituitary gland by means of magnetic resonance imaging (MRI). The coverage includes acromegaly, Cushing’s disease, Rathke cleft cysts, prolactinomas, incidentalomas, nonsecreting adenomas, other lesions of the sellar area, hypophysitis, and central diabetes insipidus. Normal radiologic anatomy and the numerous normal variants are described, and guidance is also provided on difficulties, artifacts, and other pitfalls. The book combines concise text and high-quality images with a question and answer format geared toward the needs of the practitioner. MRI is today considered the cornerstone in the diagnosis of diseases of the hypophyseal-hypothalamic region but the relatively small size of the pituitary gland, its deep location, the many normal anatomic variants, and the often tiny size of lesions can hinder precise evaluation of the anatomic structures and particularly the pituitary gland itself. Radiologists and endocrinologists will find MRI of the Pituitary Gland to be full of helpful information on this essential examination, and the book will also be of interest to internists and neurosurgeons.

The cervical spine is always examined initially using standard radiographs, which often provide a sufficient basis for diagno- sis. Malformations, tumours, more frequently trauma, rheuma- tism, and even plain neck pain require a radiological exam- ination. The interpretation of radiological images is often difficult because of overlapping pieces of bone, the summation phe- nomena and the diversity of projections. In this book, two- or three-dimensional CTscans accompany the standard radiographs, serving as an excellent aid for com- prehension. It is almost as if the reader actually had the bones shown in the radiographs in his hands. From then on, everything becomes easy, superimpositions vanish, traps come to light, anatomy triumphs, and the images takes on life. Besanl$on, 1990 J .-F. BONNEVILLE, F. CATTIN v Contents Introduction 1 Iconography and Text with Corresponding Schemes 2 Subject Index ...123 VII Normal cervical spine: 3-D imaging 1 1 2 Case 1 1 Our starting point is a normal lateral radiograph of the cervical spine. It will serve as a guide and point of reference in our task of comprehending the interrelationships between the structures of the cervical spine.This radiograph correctly includes the entire area from the base of the skull to the cervicothora- cic junction. The soft tissues are clearly visible anteriorly, as are the extremities of the spinous processes posteriorly. In this case, with the subject looking straight ahead, is a slight, regular, physiological lordosis ofthe cervical column.

Erste Untersuchungen der Halswirbelsäule werden stets mit Hilfe von Röntgenaufnahmen durchgeführt, und in den meisten Fällen genügen diese als Grundlage für die Diagnose. Mißbildungen, Tumoren, und noch öfter Traumata, Rheuma und sogar ganz gewöhnliche Nackenschmerzen erfordern eine radiologische Untersuchung der Wirbelsäule. Die Auswertung jedoch ist schwierig. Nimmt man einen Halswirbel in die Hand, so stellt man fest, um welch komplexes Gebilde es sich hierbei handelt. Bei radiologischen Aufnahmen wird die Auswertung noch durch die sich überlappenden Knochenteile, Anhäufungen und die verschiedenen Blickwinkel erschwert. Das Buch von J.-F. Bonneville und F. Cattin stellt eine originelle Interpretationsmethode von Röntgenaufnahmen vor, die die Auswertung wesentlich erleichtert. Dieses Buch zeigt, daß zwei- bzw. dreidimensionale Computertomogramme eine ausgezeichnete Hilfe zum Verständnis von konventionellen Röntgenbildern sein können. Der Leser bekommt gleichsam Zugang zu jedem Einzelteil des Knochens, und von da an wird alles einfach, Überlappungen verschwinden, die in der Röntgenaufnahme verborgenen Tücken werden sichtbar, die Anatomie triumphiert, das Bild lebt. Die Halswirbelsäule von J.-F. Bonneville und F. Cattin ist unentbehrlich für jeden Radiologen in seiner täglichen Praxis, aber ebenso auch für Chirurgen, Rheumatologen und Physiotherapeuten, die sich für die Halswirbelsäule interessieren.

The present volume is the results of 6 years'' work by our team, during which time 2300 CT scans of the pituitary region were carried out. This was made possible by the close collaboration between physicians and technicians in our neuroradiological department, as well as by numerous corresponding physi­ cians. We wish to express our gratitude for their confidence and our sincere thanks to our colleagues at Besan90n, Dijon, Grenoble, Lyon, Montpellier, and Strasbourg. Furthermore, we especially wish to thank the patients who willingly accepted the difficult requirements of these studies. We are grateful to the technicians at the Neuroradiology Department of the Centre Hospitalier et U niversitaire de Besan90n, who have perfected the methodology so as to meet the ever increasing imperatives for precise anatomical mapping of the pituitary gland and the surrounding region; without their efforts, this book would never have been possible. Finally, we wish to express our thanks to the medical photographer of our group, as well as the secretarial staff for their contribution to the successful production of this work. We thank Labora­ toires Guerbet and General Electric for their excellent assistance, and Springer­ Verlag for their care and competence in the production of this book. In writing Computed Tomography of the Pituitary Gland, we have sought to develop morphological study of the pituitary gland to a degree of reliability comparable to that of laboratory findings in endocrine disorders.

The present volume is the results of 6 years' work by our team, during which time 2300 CT scans of the pituitary region were carried out. This was made possible by the close collaboration between physicians and technicians in our neuroradiological department, as well as by numerous corresponding physi­ cians. We wish to express our gratitude for their confidence and our sincere thanks to our colleagues at Besan90n, Dijon, Grenoble, Lyon, Montpellier, and Strasbourg. Furthermore, we especially wish to thank the patients who willingly accepted the difficult requirements of these studies. We are grateful to the technicians at the Neuroradiology Department of the Centre Hospitalier et U niversitaire de Besan90n, who have perfected the methodology so as to meet the ever increasing imperatives for precise anatomical mapping of the pituitary gland and the surrounding region; without their efforts, this book would never have been possible. Finally, we wish to express our thanks to the medical photographer of our group, as well as the secretarial staff for their contribution to the successful production of this work. We thank Labora­ toires Guerbet and General Electric for their excellent assistance, and Springer­ Verlag for their care and competence in the production of this book. In writing Computed Tomography of the Pituitary Gland, we have sought to develop morphological study of the pituitary gland to a degree of reliability comparable to that of laboratory findings in endocrine disorders.