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Our Services

We offer outpatient evaluation in a joint Neuroendocrine clinic, where you can be evaluated by both neurosurgeons and endocrinologists.

Radiologic evaluations

Our complete neuroradiological evaluations include:

  • Angiography: Radiographical studies of blood vessels, especially useful in the diagnosis and surgical planning for Cushing's disease.
  • CT (Computed Tomography): An imaging method that uses x-rays to create cross-sectional pictures of the body. Learn more about a Computed Tomography (CT) Scan of the Head and Face from our Dartmouth-Hitchcock Healthwise® Health Encyclopedia website.
  • MRI (Magnetic Resonance Imaging): A non-invasive way to take pictures of the body using powerful magnets and radio waves. For more details, refer to the Magnetic Resonance Imaging (MRI) topic on our Dartmouth-Hitchcock Healthwise Health Encyclopedia website.
  • MRA (Magnetic Resonance Angiography): An MRI exam of the blood vessels. Refer to the Magnetic Resonance Angiogram (MRA) test overview on our Dartmouth-Hitchcock Healthwise Health Encyclopedia website for more information.


We hold regularly scheduled neuroendocrine conferences to discuss treatment options for you in the presence of neurosurgeons, endocrinologists, neuro-oncologists, radiologists, and radiation oncologists.

Neurosurgical services

Neurosurgical procedures for pituitary tumors generally involve one of two forms:

  • Transsphenoidal microneurosurgery: By far the most common surgical procedure for treating pituitary tumors.
  • Transcranial microneurosurgery: Generally reserved for very large tumors.


We offer state-of-the-art operating rooms equipped with:

  • Operative microscope
  • Computer-guided navigational system
  • Neuroendoscope: A small camera attached to a rigid or flexible scope.

The neurosurgical and radiation oncology team performs LINAC (linear accelerator) based radiosurgery, a precisely targeted radiation beam via a metal frame attached to your skull.

Radiological suites are available for inferior petrosal sinus sampling, a test measuring ACTH hormone levels in the veins that drain the pituitary gland.

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