DIAGNOSTIC VALUE OF PITUTITARY GLAND VOLUME IN GIRLS WITH IDIOPATHIC CENTRAL PRECOCIOUS PUBERTY

Nữ Trà My Tôn, Minh Đức Nguyễn

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Abstract

Objective: This study aimed to evaluate the difference in pituitary size between girls with central precocious puberty (CPP) and normal girls by using cranial magnetic resonance imaging (MRI). Methods: Descriptive study was conducted on 78 girls, including 52 girls with central precocious puberty and 26 girls with normal development. Three-dimensional pituitary size and pituitary volume were measured. Results: Girls with central precocious puberty had significantly larger pituitary size than normal girls, especially in width (10.83mm vs. 9.23mm, p < 0.001) and pituitary volume (269.24 mm³ vs. 207.77 mm³, p < 0.001). Central precocious puberty had a statistically significant higher rate of convex pituitary shape, p = 0.004. The cut-off point of 260.44 mm³ was able to differentiate children with idiopathic central precocious puberty from normal puberty with an area under the curve of 0.71. Conclusion: The difference in pituitary size and volume between the two groups suggests an important role of the pituitary gland in the mechanism of central precocious puberty in girls.

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References

1. Bellini N, et al. Increased incidence of precocious and accelerated puberty in females during and after the Italian lockdown for the coronavirus 2019 (COVID-19) pandemic. Italian Journal of Pediatrics. 2021;47(1):77. doi: 10.1186/s13052-021-01022-9.
2. Cai C, Gu J, Zhang Y. Diagnostic value of pituitary volume in girls with precocious puberty. BMC Pediatrics. 2020;20:425. doi: 10.1186/s12887-020-02309-6.
3. Chen Y, Huang X, Tian L. Meta-analysis of machine learning models for the diagnosis of central precocious puberty based on clinical, hormonal (laboratory), and imaging data. Frontiers in Endocrinology. 2024;15:1353023.
4. Elster AD, Chen MY, Williams DW, et al. Pituitary gland: MR imaging of physiologic hypertrophy in adolescence. Radiology. 1990;174(3 Pt 1):681–5.
5. Huynh QTV, Le NQK, Huang SY, et al. Development and validation of clinical diagnostic model for girls with central precocious puberty: machine-learning approaches. PloS One. 2022;17. doi: 10.1371/journal.pone.0261965.
6. Lee HS, et al. Pituitary volume and pubertal characteristics in children with precocious puberty. Neuroscience Letters. 2012;512(2):113–7.
7. Pan L, Liu G, Mao X, et al. Development of prediction models using machine learning algorithms for girls with suspected central precocious puberty: retrospective study. JMIR Med Inform. 2020;7. doi: 10.2196/11728.
8. Roldan-Valadez E, Garcia-Ulloa AC, Gonzalez-Gutierrez O, et al. 3D volumetry comparison using 3T magnetic resonance imaging between normal and adenoma-containing pituitary glands. Neurology India. 2011;59(5)
9. Shankar A, et al. MRI assessment of typical pituitary gland size and shape: Age and gender associated changes. Endocrine Abstracts. 2023;90 doi: 0.1530/endoabs.90.EP769.
10. Tanriverdi F, et al. Pituitary volume and shape changes in children with idiopathic central precocious puberty. European Journal of Endocrinology. 2003;148(2):197–201.