Radiological analysis of the sella turcica and its correlations with body mass index in a North Indian population

Gargi, Vidisha; Prakash, S.M. Ravi; Kamarthi, Nagaraju; Malik, Sangeeta; Goel, Sumit; Gupta, Swati

doi:10.1007/s11282-018-0337-9

Cited by 10 publications

(14 citation statements)

References 11 publications

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“…These findings are also consistent with that of Gargi from Meerut, India who also found shape aberrations in 31% of their sample. 7 Similar results were also reported by Kiran et al who found that 70% of the patients from Andhra Pradesh and Shah et al who found 66% of subjects from Islamabad had a normal-shaped sella turcica. 2,8 In contrast, Nagaraj et al found normal shaped sella turcica in 46.5% of the study population.…”

Section: Discussionsupporting

confidence: 81%

Size and morphology of sella and volumetric evaluation of pituitary gland: a radiological survey

Goyal

Nagapurkar

2022

Int J Res Med Sci

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Background: Sella turcica is an important anatomical structure in the middle cranial fossa. It’s size follows the size of pituitary gland. The present study aimed to evaluate the size and morphology of sella and pituitary gland in the same patients without known hormonal or pituitary pathology.Methods: In this cross-sectional observational study three hundred patients underwent lateral x-ray of skull for sella turcica measurements and MRI brain for pituitary gland measurements.Results: We observed normal shape of sella (round or oval) in 66.7% of the study participants. Maximum mean anterior-posterior (AP) dimension was seen in the age group of 41 to 50 years (1.24±0.19 cm), while maximum length (0.87±0.12 cm), depth (0.87±0.21 cm) and volume (0.49±0.21 cu cm) was observed in the age group of 51 to 60 years. Similarly, CC dimension was observed to be maximum in the age group 41 to 50 years (5.9±0.51 mm). Study participants of age group more than 60 years had the maximum mean transverse dimension (12.73±0.29 mm) and the pituitary volume on MRI was observed to be maximum for the age group 51 to 60 years (398.45±61.24 cu mm).Conclusions: In our sample of 300 patients, sella turcica was normally shaped in 66.7%. Various dimensions of sella turcica and pituitary gland increased significantly till 50 to 60 years of of age, after which they decreased.

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Section: Discussionsupporting

confidence: 81%

Size and morphology of sella and volumetric evaluation of pituitary gland: a radiological survey

Goyal

Nagapurkar

2022

Int J Res Med Sci

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“…After applying all the criteria in the established phases described in the Materials and methods section, 16 studies were selected [ 5 , 8 , 9 , 11 , 12 , 20–22 , 25–30 ]. Of these, three [ 5 , 22 , 27 ] were excluded from the meta-analysis as they did not present enough data for statistical comparisons.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies included in this review ( n = 11) were from the Asian continent [ 8 , 9 , 12 , 16 , 20 , 25 , 26 , 29 , 30 ], with sample sizes ranging from 36 to 509 individuals. Of the articles included, six performed correlations with the skeletal class [ 5 , 9 , 17 , 22 , 26 , 28 ] ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Several investigations have been carried out with non-syndromic individuals in different populations aiming at evaluating the morphology and parameters of normality of the ST [ 4–31 ]. For this purpose, cephalometric radiographs (CR) [ 4–8 , 16 , 18–20 , 22–24 , 26 , 27 ], as well as multislice computed tomography (MSCT) [ 10 , 11 , 13–15 , 21 , 25 , 30 ] and cone beam computed tomography (CBCT) images have been employed [ 9 , 12 , 17 , 27 , 29 , 31 ]. Local and regional validation of these methods are of great relevance because of possible variations in different populations, and some studies have already found significant differences in ST morphology among different ethnic groups [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Potential role of the sella turcica X-ray imaging aspects for sex estimation in the field of forensic anthropology: a systematic review and meta-analysis

Ribeiro,

de Mendonça,

de Barros Silva

et al. 2023

Forensic Sciences Research

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Several studies have evaluated the parameters of normality of the Sella Turcica (ST), which is important face to different craniofacial syndromes that may affect this structure. Therefore, this research summarized the scientific evidence on the role of ST in the sex estimation of non-syndromic individuals. The research protocol was registered (PROSPERO # CRD42021256469), followed by an electronic search in six databases (PubMed, LILACS, Web of Science, Scopus, EMBASE, LIVIVO) and gray literature (Google scholar, OpenGrey). Meta-analysis of linear (width, length, height, and diameter) and volumetric measurements, in addition to an assessment of risk of bias (RoB) and certainty of evidence, were performed. After the screening of 986 articles, 13 were evaluated by meta-analysis (1307 males and 1231 females). In subgroup analysis, females had lower values for width (lateral radiograph; −0.67 mm; P = 0.040), length (computed tomography; −0.23 mm; P = 0.020), and diameter (computed tomography; −0.27 mm; P < 0.001) compared to males. There was no statistically significant difference regarding height (P = 0.95), area (P = 0.72), and volume (P = 0.21). Most studies exhibited moderate RoB, and the certainty of evidence of the outcomes was very low. In this review, significant differences were observed between the sexes for the length and diameter of the ST; however, the heterogeneity of the studies must be considered. Key Points

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“…However, there was no data about BMI and ST morphometry in people with DM. Gargi et al 27 , who investigated the effect of BMI on ST morphometry in healthy people, reported that 69% of the study population had normal ST morphology between the ages of 20 and 60, and STL, STH, and STD measurements found no significant increase with age, and moreover, they estimated that there was no strong correlation between ST parameter and BMI. In our study, it was observed that the BMI of 48 individuals with DM did not make a statistically significant difference in ST morphometry (P > 0.05).…”

Section: Discussionmentioning

confidence: 96%

Evaluation of Sella Turcica Morphology and Morphometry Based on Gender and Age in Our Population Using Computed Tomography

Sönmez,

Polat,

Öksüzler

et al. 2023

Journal of Craniofacial Surgery

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In this study, it was aimed to determine the reference values for the healthy Turkish population by evaluating the age-related changes in the morphology and morphometry of Sella Turcica (ST) and the relationship with the body mass index. In addition, it has been investigated whether the morphology and morphometry of this structure vary in diabetes mellitus (DM) patients. The study group was consisted of a total of 524 individuals (266 females and 258 males) (426 healthy and 48 with DM) between the ages of 1 and 80, who applied to the Department of Radiology between January 2018 and February 2021. Axial brain computed tomography scans which have no pathology in ST were retrospectively examined. The ST length (STL), height (STH), diameter (STD), processus clinoideus anterior right-left (PCAR_L), processus clinoideus posterior right-left (PCPR_L) did not differ significantly in healthy individuals and individuals with DM (P>0.05). When the ST morphology according to the ST shape classification performed by Meyer Marcotti and colleagues and Axellson and colleagues was evaluated, it was observed that there was no statistically significant difference between the 2 groups (P>0.05). There was a significant difference in STL, STD values (P<0.05), however, there was no difference in STH, PCAR_L, PCPR_L values between genders (P>0.05). While the distance between STL, STD, PCAR_L showed a significant difference between the decades in all groups, there was no significant difference in the STH, PCPR_L in both classifications (P>0.05). When the relationship between the parameters and body mass index was evaluated, STL, STD, PCAR_L showed a significant difference between the groups (P<0.05). Detailed knowledge of the ST anatomy will be helpful in terms of early diagnosis of diseases that may be related and guiding surgical interventions in this region.

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Radiological analysis of the sella turcica and its correlations with body mass index in a North Indian population

Cited by 10 publications

References 11 publications

Size and morphology of sella and volumetric evaluation of pituitary gland: a radiological survey

Size and morphology of sella and volumetric evaluation of pituitary gland: a radiological survey

Potential role of the sella turcica X-ray imaging aspects for sex estimation in the field of forensic anthropology: a systematic review and meta-analysis

Evaluation of Sella Turcica Morphology and Morphometry Based on Gender and Age in Our Population Using Computed Tomography

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