It is related to high levels of growth hormone (GH) and insulin-like growth factor-I (IGF-1).
MRI
The enhancement was significantly lower in GH secreting pituitary neuroendocrine tumor than in non-secreting ones. 1).
T2 weighted image differentiates GH secreting pituitary neuroendocrine tumors into subgroups with particular behaviors. This raises the question of whether T2-weighted signal could represent a factor in the classification of acromegaly in future studies 2).
In patients with acromegaly, T2 weighted image signal intensity at diagnosis correlates with histological features and predicts biochemical outcome of first-line somatostatin analogues (SA) treatment 3).
Biomarkers
Each of the biomarkers, Ki-67 and p53, along with patient's age and mixed GH-prolactin secretion showed a kind of correlation with each of aspects of the clinical, hormonal and radiologic outcome of GH-secreting pituitary neuroendocrine tumors 4).
Best Practices
D1-rGH could be a highly specific test for the early diagnosis of long-term acromegaly persistence, which is predicted by a value > 2.5 ng/mL with a great degree of certainty. The diagnostic performance of D2-rGH was insufficient. Further research is required to validate these preliminary results prior to modifying the postoperative management of acromegaly 5).