Pituitary & hypothalamus

Irreversible Alterations of Susceptibility in Cushing's Disease: A Longitudinal Quantitative Susceptibility Mapping (QSM) Study

J Clin Endocrinol MetabPublished Longitudinal imaging study

Authors' conclusion

Chronic exposure to hypercortisolism may be related to susceptibility alterations and significantly correlated with altered brain volumes and clinical features. in CD patients. The decrease of susceptibility might suggest the involvement of the calcium deregulation in these alterations.

Study context

Population
Patients with Cushing's disease (CD) and healthy controls
Participants
24 vs 24
Exposure
CD patients before and after resolution of hypercortisolism vs healthy controls
  • CDn = 24
  • Healthy controlsn = 24reference
Outcome
Longitudinal brain susceptibility changes on QSM before and after resolution of hypercortisolism
Follow-up
Before and after curative operation
Methodological detailsbefore and after curative operation, healthy controls
  • Before and after curative operation
  • Healthy controls

Main finding

As reported in the abstract

Brain susceptibility (QSM) · after resolution of hypercortisolism
  • Irreversibly altered susceptibility values in the anterior cingulate cortex, frontal lobe, caudate and red nucleus after resolution of hypercortisolism
  • Alterations significantly correlated with changes in gray matter/white matter volumes and clinical features

Observational data: associations, not effects.

Further findings

Decreased susceptibility in several regions in CD patients

Original publication

Irreversible Alterations of Susceptibility in Cushing's Disease: A Longitudinal QSM Study. J Clin Endocrinol Metab. Published 1 February 2023. doi:10.1210/clinem/dgad060

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