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