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Pages i-xiv
Front Matter
Pages 1-1
Clinical, Laboratory, and Radiological Diagnosis of Primary Aldosteronism
Pages 3-9
Clinical, Laboratory, and Radiological Diagnosis of Hyperparathyroidism
Pages 11-44
Clinical, Laboratory, and Radiological Diagnosis of Hyperandrogenism
Pages 45-52
Clinical, Laboratory, and Radiological Diagnosis of Hypercortisolism
Pages 53-74
Clinical, Laboratory, and Radiological Diagnosis of Pancreatic Islet Cell Tumors
Pages 75-89
Front Matter
Pages 91-91
Pages 93-110
Selective Venous Sampling for Hyperparathyroidism
Pages 111-124
Ovarian Venous Sampling for Hyperandrogenism
Pages 125-135
Selective Venous Sampling for Hypercortisolism
Pages 137-146
Arterial Stimulation Venous Sampling for Pancreatic Endocrine Tumors
Pages 147-158
Front Matter
Pages 159-159
Medical Treatment of Hypersecretory Endocrine Disorders
Pages 161-168
Front Matter
Pages 169-169
Surgical Treatment of Primary Aldosteronism
Pages 171-185
Surgical Management of Primary Hyperparathyroidism
Pages 187-197
Surgical Management of Hypercortisolism from ACTH-Secreting Pituitary Adenomas
Pages 199-210
Surgical Treatment of Pancreatic Islet Cell Tumors
Pages 211-230
Front Matter
Pages 231-231
Interventional Treatment of Primary Aldosteronism
Pages 233-241
Interventional Treatment of Hyperparathyroidism
Pages 243-258
Interventional Treatment of Thyroid Nodules
Pages 259-295
Arterial Embolization for Thyroid Goiter, Graves’ Disease, and Thyroid Malignancy
Pages 297-314
Interventional Treatment of Hepatic Endocrine Tumors
Pages 315-329
Special Considerations in Children: Pediatric Renal Vein Sampling
Pages 331-335
Pages C1-C1
Pages 337-345
This book provides a comprehensive guide for selective venous sampling procedures and the role of interventional radiologists in the care and treatment of patients with endocrine disorders. Disorders of the endocrine system involve an imbalance in the natural homeostasis of the hormones produced by the glands in the body. There are a variety of endocrine conditions that are characterized by either hormonal hyposecretion or hypersecretion. Percutaneous selective venous sampling is the gold standard diagnostic tool for the medical and surgical management of patients with a variety of such disorders. Selective venous sampling is a minimally invasive interventional procedure that interventional radiologists perform to localize sites of abnormal hormone secretion. Computed tomography and magnetic resonance imaging are the most used diagnostic imaging modalities in patients with the suspected endocrine disorder; however, their specificity is not optimal, and identifying a culprit gland is difficult based on imaging findings alone. Therefore, the ultimate decision for management depends on the outcome of selective venous sampling. As these various venous samplings are increasingly performed worldwide, the collaboration between interventional radiology, endocrinology, surgical endocrinology, surgical oncology, neurosurgery, and gynecology teams is essential.
With limited literature on the topic, this volume fills the gap with in-depth coverage of selective venous sampling alongside the pathophysiology, epidemiology, clinical diagnosis, as well as medical, surgical, and interventional management of endocrine disorders. The book is divided into five parts: Clinical, Laboratory, and Radiological Diagnosis of Endocrine Disorders; Selective Venous Sampling in Interventional Radiology; Medical Treatment of Endocrine Disorders; Surgical Treatment of Endocrine Disorders; Interventional Treatment of Endocrine Disorders. Throughout these parts, endocrine disorders that require venous sampling are covered in depth: primary aldosteronism, primary hyperparathyroidism, Cushing’s disease, hormone-secreting pancreatic adenomas, and androgen-secreting ovarian tumors. There is additionally an emerging role for interventional management in thyroid gland disorders, which is covered here.
This is an ideal guide for interventional radiologists caring for patients with endocrine disorders, as well as endocrinologists, endocrine surgeons, surgical oncologists, otolaryngologists, neurosurgeons, gynecologists, and nephrologists.
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