Kaustubh Shiralkar, Author at Endocrinology Advisor

Kaustubh Shiralkar

All articles by Kaustubh Shiralkar

Tuberous Sclerosis

Preliminary Diagnosis: Tuberous sclerosis I. What imaging technique is first-line for this diagnosis MRI with contrast MR spectroscopy can be performed for accurately diagnosing associated cortical tubers and subependymal nodules II. Describe the advantages and disadvantages of this technique for diagnosis of tuberous sclerosis. Advantages Often diagnostic in the appropriate clinical setting. Useful as a…

Neurofibromatosis

Preliminary Diagnosis: Neurofibromatosis I. What imaging technique is first-line for this diagnosis? MRI imaging of the brain and spine with contrast II. Describe the advantages and disadvantages of this technique for diagnosis of neurofibromatosis. Advantages Diagnostic in the appropriate clinical setting Able to determine both the extent and type of intracranial anomaly associated with NF1/NF2…

Prolactinoma

Preliminary Diagnosis: Prolactinoma I. What imaging technique is first-line for this diagnosis? MRI imaging with contrast II. Describe the advantages and disadvantages of this technique for diagnosing prolactinoma. Advantages IV contrast and dynamic phase imaging is diagnostic and can accurately localize the area of abnormality. Can assess for secondary complications, such as mass effect on…

Pituitary Tumor

Preliminary Diagnosis: Pituitary Tumor I. What imaging technique is first-line for a pituitary tumor? MRI with contrast and with dynamic phase imaging is the first line modality. II. Describe the advantages and disadvantages of this technique for diagnosing a pituitary tumor. Advantages Diagnostic in the appropriate clinical setting. Can localize the exact area of anatomic…

Meningioma

Preliminary Diagnosis: Meningioma I. What imaging technique is first-line for this diagnosis MRI with contrast of the brain and spine II. Describe the advantages and disadvantages of this technique for diagnosis of meningioma. Advantages Very sensitive and specific for the diagnosis of meningioma Able to localize the lesion and detail its extent Depicts degree of…

Glioma

Preliminary Diagnosis: Glioma I. What imaging technique is first-line for this diagnosis MR imaging of the brain with intravenous (IV) contrast II. Describe the advantages and disadvantages of this technique for diagnosis of glioma. Advantages Diagnostic in the appropriate clinical setting Can localize the area of abnormality Can assess for any secondary complications Does not…

Primary Brain Tumors

Preliminary Diagnosis: Primary Brain Tumors I. What imaging technique is first-line for this diagnosis? MR imaging of the brain with IV contrast II. Describe the advantages and disadvantages of this technique for diagnosing primary brain tumors. Advantages Diagnostic with positive pertinent findings in the correct clinical situation. Able to localize the area of abnormality better…

CNS Lymphoma

Preliminary Diagnosis: Central Nervous System Lymphoma I. What imaging technique is first-line for this diagnosis? MRI of the brain with IV contrast. II. Describe the advantages and disadvantages of this technique for diagnosis of CNS lymphoma. Advantages Diagnostic with positive pertinent findings in the appropriate clinical situation Able to evaluate CNS anatomy exquisitely and can…

CNS Toxoplasmosis

Preliminary Diagnosis: Central Nervous System Toxoplasmosis I. What imaging technique is first-line for this diagnosis? MRI of the brain with IV contrast II. Describe the advantages and disadvantages of this technique for diagnosis of CNS toxoplasmosis. Advantages Very suggestive of the diagnosis given the appropriate clinical scenario Able to localize the anatomic area of abnormality…

Spinal Metastases

Preliminary Diagnosis: Spinal metastases I. What imaging technique is first-line for this diagnosis? MRI imaging of the spine with IV contrast. II. Describe the advantages and disadvantages of this technique for diagnosis of spinal metastases. Advantages Able to localize the exact area of metastatic involvement and predict any neurological abnormalities (sensory, motor, and autonomic). Able…

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