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Biochemical and Imaging Diagnostics in Endocrinology, An Issue of Endocrinology and Metabolism Clinics of North America, E-Book

Biochemical and Imaging Diagnostics in Endocrinology, An Issue of Endocrinology and Metabolism Clinics of North America, E-Book

Richard J. Auchus | Barry D. Pressman | Adina F. Turcu | Alan D. Waxman

(2017)

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Book Details

Abstract

This issue of Endocrinology and Metabolism Clinics, guest edited by Drs. Richard Auchus, Adina Turcu, Alan D. Waxman, and Barry D. Pressman, is devoted to Biochemical and Imaging Diagnostics in Endocrinology. Articles in this issue include Mass spectrometry applicability in endocrine testing; Point-of-care endocrine testing; Thyroid, Bone; NET; Predictors of fertility; Thyroid ultrasound imaging and needle biopsy; Pituitary imaging; Adrenal imaging; Pancreatic imaging; Diagnosis and management of thyroid disorders; Neuroendocrine Tumors, and Parathyroid Imaging.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Biochemical and Imaging Diagnostics in Endocrinology\r i
Copyright\r ii
Contributors iii
CONSULTING EDITORS iii
EDITORS iii
AUTHORS iii
Contents vii
Foreword: Latest Innovations in Biochemical and Imaging Diagnostics in Endocrinology vii
Preface: The Current Status and Evolution of Hormone Testing in the Digital Age vii
Role of Mass Spectrometry in Clinical Endocrinology vii
Point-of-Care Endocrine Diagnostics vii
Biochemical Testing in Thyroid Disorders vii
Biochemical Testing Relevant to Bone viii
Biochemical Testing in Neuroendocrine Tumors viii
Biochemical and Imaging Diagnostics in Endocrinology: Predictors of Fertility viii
Thyroid Cancer: Ultrasound Imaging and Fine-Needle Aspiration Biopsy viii
Pituitary Imaging ix
Adrenal Imaging ix
Pancreatic Imaging ix
Selected Controversies of Radioiodine Imaging and Therapy in Differentiated Thyroid Cancer ix
Imaging of Neuroendocrine Tumors: Indications, Interpretations, Limits, and Pitfalls x
ENDOCRINOLOGY AND\rMETABOLISM CLINICS OF\rNORTH AMERICA\r xi
FORTHCOMING ISSUES xi
December 2017 xi
March 2018 xi
June 2018 xi
RECENT ISSUES xi
June 2017 xi
March 2017 xi
December 2016 xi
Foreword:\rLatest Innovations in Biochemical and Imaging Diagnostics in Endocrinology xiii
Preface:\rThe Current Status and Evolution of Hormone Testing in the Digital Age xvii
Role of Mass Spectrometry in Clinical Endocrinology 593
Key points 593
INTRODUCTION 593
ADVENT OF MASS SPECTROMETRY INTO CLINICAL LABORATORIES—A HISTORICAL PERSPECTIVE 594
CONGENITAL ADRENAL HYPERPLASIA 595
VITAMIN D METABOLITE QUANTITATION 597
PHEOCHROMOCYTOMA 601
TESTOSTERONE AND ESTRADIOL 603
INSULINLIKE GROWTH FACTOR 1 605
PLASMA RENIN ACTIVITY 606
SUMMARY 606
REFERENCES 607
Point-of-Care Endocrine Diagnostics 615
Key points 615
INTRODUCTION, HISTORICAL REVIEW, AND DEFINITIONS 615
THE REGULATION OF POINT-OF-CARE TESTING 619
THE CLINICAL UTILITY OF POINT-OF-CARE TESTING 619
POINT-OF-CARE TESTING BY DISEASE AND ANALYTE 621
Diabetes Mellitus 621
Lipid Disorders 622
Diseases of the Anterior Pituitary 622
Posterior Pituitary 623
Thyroid 623
Parathyroid or Diseases of Calcium Metabolism 623
Adrenal 624
Testes 624
Ovary 624
POINT-OF-CARE TESTING AS A SOLUTION TO UNMET CLINICAL NEEDS 625
GET READY FOR THE FUTURE: MULTIPLEXED MICROFLUIDICS AND SMARTPHONE POCKET MINILABS 626
SUMMARY 627
REFERENCES 628
Biochemical Testing in Thyroid Disorders 631
Key points 631
INTRODUCTION 631
THYROID-STIMULATING HORMONE 632
Overview 632
Available Assays and Functional Sensitivity 632
Reference Range 633
Clinical Usefulness and Test Interpretation 633
Challenges in the interpretation of serum thyroid-stimulating hormone 634
Nonthyroidal illness 634
Pregnancy 634
Medication interference 634
Other considerations 635
THYROXINE AND TRIIODOTHYRONINE 635
Overview and Available Assays 635
Clinical Usefulness and Test Interpretation 635
THYROID AUTOANTIBODIES 636
Overview 636
Available Assays 636
Clinical Usefulness and Test Interpretation 636
Autoantibodies to thyroid peroxidase and to thyroglobulin 636
Autoantibodies to the thyroid-stimulating hormone receptor 636
THYROGLOBULIN 637
Overview 637
Available Assays 637
Immunometric assays 638
Radioimmunoassays 638
Liquid chromatography/tandem mass spectrometry 638
Functional Sensitivity 638
Clinical Usefulness and Test Interpretation 638
CALCITONIN 639
Overview 639
Available Assays and Functional Sensitivity 639
Clinical Usefulness and Test Interpretation 640
REFERENCES 641
Biochemical Testing Relevant to Bone 649
Key points 649
INTRODUCTION 649
MINERALS: CALCIUM AND PHOSPHORUS 649
Serum Total Calcium 649
Ionized Calcium 650
Twenty-Four–Hour Urine Calcium 650
Phosphorus 651
VITAMIN D 652
25-Hydroxyvitamin D 652
1,25-Dihydroxyvitamin D 653
PARATHYROID HORMONE AND PARATHYROID HORMONE-RELATED PROTEIN 653
Parathyroid Hormone 653
Parathyroid Hormone-Related Protein 655
BONE TURNOVER MARKERS 657
Preanalytical Considerations 657
Age, gender, and menopausal status 657
Ethnicity and geography 657
Pregnancy and lactation 659
Drugs 659
Disease 659
Fractures 659
Immobility 659
Circadian rhythm 659
Menstrual cycle 659
Seasonal variation 660
Diet 660
Exercise 660
Postanalytical Considerations 660
Bone formation markers 660
Bone-specific alkaline phosphatase 660
Osteocalcin 661
N-terminal and C-terminal propeptides of type I procollagen 661
Bone resorption markers 661
Amino-terminal cross-linking telopeptide of type I collagen 661
Carboxy-terminal cross-linking telopeptide of type I collagen 661
SUMMARY 662
REFERENCES 662
Biochemical Testing in Neuroendocrine Tumors 669
Key points 669
BIOMARKERS IN NEUROENDOCRINE TUMORS 671
Novel Neuroendocrine Tumor Biomarkers 671
REFERENCES 675
Biochemical and Imaging Diagnostics in Endocrinology 679
Key points 679
INTRODUCTION 679
OVARIAN RESERVE 680
Review of Reproductive Physiology 680
Diminished Ovarian Reserve 680
Primary Ovarian Insufficiency 681
Postchemotherapy 682
OVULATORY STATUS 682
Considerations of Anovulation 683
Polycystic ovarian syndrome 683
Hypothalamic amenorrhea 684
Advanced maternal age 684
GAMETE TRANSPORT 684
MALE FACTOR 684
UNEXPLAINED INFERTILITY 686
FUTURE CONSIDERATIONS/SUMMARY 686
REFERENCES 688
Thyroid Cancer 691
Key points 691
INTRODUCTION 691
THYROID NODULES 692
ULTRASOUND FEATURES OF THYROID CANCER 692
Calcifications 693
Margins 695
Halo 695
Shape 696
Composition: Solid Versus Cystic 696
Echotexture 697
Multinodularity 698
Color Doppler Imaging 698
Size 699
FOLLICULAR LESIONS 700
MEDULLARY THYROID CANCER 700
THYROID LYMPHOMA 701
ANAPLASTIC THYROID CANCER 701
RECURRENT THYROID CANCER 702
LYMPH NODE METASTASES 703
ULTRASOUND-GUIDED FINE-NEEDLE ASPIRATION 704
FUTURE CONSIDERATION 705
Thyroid Imaging-Reporting and Data Systems 705
Papillary Thyroid Microcarcinomas 705
Molecular Testing 705
Elastography 706
SUMMARY 707
REFERENCES 707
Pituitary Imaging 713
Key points 713
INTRODUCTION 713
IMAGING TECHNIQUE 714
NORMAL ANATOMY/MRI APPEARANCE 715
INTRASELLAR LESIONS 721
Microadenomas 721
Macroadenomas 724
INFUNDIBULAR LESIONS 729
PARASELLAR AND SUPRASELLAR MASSES 730
RATHKE CLEFT CYST 733
PRIMARY CAVERNOUS SINUS DISEASE 734
SURGICAL CONSIDERATIONS 736
Cavernous Sinus Sampling 736
REFERENCES 739
Adrenal Imaging 741
Key points 741
INTRODUCTION 741
IMAGING FINDINGS 742
Benign Adrenal Lesions 742
Adrenal adenoma 742
Myelolipoma 744
Adrenal cysts 744
Adrenal infections 746
Adrenal hemorrhage 746
Malignant Adrenal Lesions 747
Adrenocortical carcinoma 747
Pheochromocytoma 748
Adrenal lymphoma 749
Adrenal metastases 749
FUNCTIONAL ADRENAL IMAGING 750
Adrenal Cortex 750
Adrenal Medulla 751
Incidentalomas 751
Adrenal Cortical Carcinoma 753
ADRENAL VENOUS SAMPLING 753
Technique 753
Complications 754
Results 754
SUMMARY 755
REFERENCES 755
Pancreatic Imaging 761
Key points 761
INTRODUCTION 761
MODALITIES 761
Ultrasound Imaging 761
Computed Tomography Scans 762
MRI 763
Nuclear Medicine 763
NEUROENDOCRINE TUMORS 764
Metastasis 769
Syndromes 771
Mimics 773
Endocrine Insufficiency 776
SUMMARY 778
REFERENCES 778
Selected Controversies of Radioiodine Imaging and Therapy in Differentiated Thyroid Cancer 783
Key points 783
INTRODUCTION 783
TERMINOLOGY 784
UTILITY OF RADIOIODINE SCANS 784
Postoperative Pretherapy (Iodine-131) Staging Scans 784
Post-Therapy (Iodine-131) Scans 786
Surveillance/Baseline Scans 786
Restaging Scans 787
PRESCRIBED ACTIVITY FOR REMNANT ABLATION, ADJUVANT TREATMENT, AND DISTANT METASTASES 787
THYROID HORMONE WITHDRAWAL VERSUS RECOMBINANT HUMAN THYROID-STIMULATING HORMONE 789
RADIOIODINE REFRACTORY DISEASE 789
SUMMARY 791
ACKNOWLEDGMENTS 791
REFERENCES 791
Imaging of Neuroendocrine Tumors 795
Key points 795
GENERAL PRINCIPLES ON IMAGING OF NEUROENDOCRINE TUMORS 795
Neuroendocrine Tumors 795
Roles of Imaging in Neuroendocrine Tumor Diagnosis, Prognosis, and Management 796
Incidental Findings and False-Positive Findings 797
Collaborations Between Clinicians and Radiologists 797
NEUROENDOCRINE TUMOR IMAGING MODALITIES 798
Anatomic Imaging 798
Comparison of computed tomography and MRI 799
Functional Imaging 801
Other functional imaging modalities 804
COMMON NEUROENDOCRINE TUMOR IMAGING CHARACTERISTICS AND STRATEGIES 804
IMAGING OF SPECIFIC NEUROENDOCRINE TUMORS 806
Gastrointestinal Tract Neuroendocrine Tumors 806
Other Neuroendocrine Tumors 808
SUMMARY AND FUTURE DIRECTIONS 808
ACKNOWLEDGMENTS 809
REFERENCES 809