MRI of the liver and the pituitary gland in patients with beta-thalassemia major: Does hepatic siderosis predict pituitary iron deposition?

dc.contributor.authorArgyropoulou, M. I.en
dc.contributor.authorKiortsis, D. N.en
dc.contributor.authorEfremidis, S. C.en
dc.date.accessioned2015-11-24T19:03:25Z
dc.date.available2015-11-24T19:03:25Z
dc.identifier.issn0938-7994-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19897
dc.rightsDefault Licence-
dc.subjectmagnetic resonance imagingen
dc.subjectliveren
dc.subjectpituitary glanden
dc.subjectbeta-thalassemia majoren
dc.subjectironen
dc.subjectmagnetic-resonanceen
dc.subjectoverloaden
dc.subjecthemochromatosisen
dc.subjectdiagnosisen
dc.subjectquantificationen
dc.subjectferritinen
dc.subjectchildrenen
dc.subjectdiseaseen
dc.titleMRI of the liver and the pituitary gland in patients with beta-thalassemia major: Does hepatic siderosis predict pituitary iron deposition?en
heal.abstractOur objective was to study, in thalassemic patients, if hepatic siderosis evaluated by MRI could predict the pituitary iron overload. In 36 thalassemic patients (age range 6-44 years, mean age 21.7 years) the liver/fat ratio (L/F), the pituitary/fat ratio (P/F), the liver and pituitary T2 relaxation times were evaluated, by using a multiecho spin-echo sequence. Serum ferritin levels were measured and an extensive endocrine evaluation was performed. The L/F, the P/F and pituitary T2 showed a good correlation with serum ferritin (r=-0.55, r=-0.55 and r=-0.53, respectively; p<0.01). Liver T2 did not show significant correlation with serum ferritin. The variability of L/F explained only the 10.8% of the variability of pituitary T2 and of the WE When ferritin was added to the model it predicted only the 26.85% and the 30.8% of the variability of pituitary T2 and of the P/F, respectively. The P/F and pituitary T2 were lower in patients with hypogonadotropic hypogonadism (group 1) compared with those without pituitary dysfunction (group 2). No significant differences of L/F were found between the two groups. Hepatic iron overload evaluated by MR is a poor predictor of pituitary siderosis. The MR studies of the pituitary gland might be necessary to evaluate the pituitary iron overload.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primaryDOI 10.1007/s00330-002-1421-3-
heal.identifier.secondary<Go to ISI>://000180891000003-
heal.identifier.secondaryhttp://www.springerlink.com/content/fe8v0n9ba00xm8dd/fulltext.pdf-
heal.journalNameEuropean Radiologyen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2003-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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