Craniopharyngioma: CT and MR imaging in nine cases

J Comput Assist Tomogr. 1987 Sep-Oct;11(5):810-4.

Abstract

Magnetic resonance (MR) imaging and CT examinations were performed in nine patients with surgically proven craniopharyngioma. Computed tomography was found to be superior to MR in detection of calcification and cyst formation. Extent of involvement of adjacent structures (e.g., optic chiasm, third ventricle, and intracavernous carotid artery) was more clearly delineated by MR. Craniopharyngioma fluid collections were found to be uniformly bright on T2-weighted sequences. However, on T1-weighted sequences, the signal intensity of the fluid ranged from hypointense to hyperintense, reflecting the heterogeneous contents of cysts in these tumors. Since calcification and cyst formation are hallmarks of craniopharyngiomas, we believe that CT is more specific than MR in diagnosis of craniopharyngiomas. Magnetic resonance, however, offers a more accurate assessment of the tumor extent.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Craniopharyngioma / diagnosis*
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Magnetic Resonance Imaging* / methods
  • Male
  • Middle Aged
  • Pituitary Neoplasms / diagnosis*
  • Preoperative Care
  • Sella Turcica / diagnostic imaging
  • Sella Turcica / pathology
  • Time Factors
  • Tomography, X-Ray Computed*