ENDOCRINE INVESTIGATIONS

Radiology

The department of diagnostic radiology at the Hammersmith has an international reputation as a major centre for clinical research. Novel applications of MRI, PET scanning and CT imaging have all been developed within the department for the diagnosis and treatment of endocrine diseases. The Hammersmith Hospital has been one of the first in the country to have a completely computer based radiological department. All images are scanned onto the main frame computers making all X-rays universally available at terminals around the hospital. The hospital is a truly X-ray film free zone. Both hospitals have weekly meetings with a consultant radiologist to discuss both the endocrine and general medical patients. These meetings provide excellent teaching for the SpRs.

MRI-imaging

MRI is widely available at both hospitals and is routinely used in the investigation and follow-up of our pituitary and neuro-endocrine patients. There are joint neuroradiological, neurosurgical and endocrine meetings to discuss the management of the pituitary tumours held a Charing Cross Hospital.

Selective Venous Sampling

Methods for the localisation of endocrine tumours have been perfected at the Hammersmith Hospital. There is no part of the anatomical arterial or venous tree that remains inaccessible for endocrine sampling. Many sophisticated procedures are undertaken routinely within the department of diagnostic radiology.

Inferior Petrosal Sinus Sampling

Performed on all patients with Cushing's syndrome prior to surgery. This technique allows central and peripheral lesions to be identified. The SpRs help both with the procedure and the interpretation of the results.

Calcium Stimulation Tests for localisation of insulinomas (page 10)

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