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Stato dell’arte e nuove frontiere della neurochirurgia della regione ipotalamo-ipofisaria

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L'Endocrinologo Aims and scope

Sommario

Lo scopo di questa rassegna è fornire una visione generale dell’attuale stato della chirurgia ipofisaria e delle sue prospettive future, che possa essere utile ai differenti professionisti coinvolti nella gestione dei pazienti ipofisari per orientarsi nel rapido sviluppo di questo campo, anche per effetto dello sviluppo tecnologico. Oltre alla precisazione dei vantaggi, dei limiti, ma anche delle possibili evoluzioni, del rivoluzionario approccio endoscopico, verranno presentate anche le altre opzioni attualmente a disposizione della chirurgia. Saranno considerati quegli sviluppi tecnologici di imaging sia preoperatorio sia intraoperatorio che potranno caratterizzare il futuro prossimo della chirurgia ipofisaria, aumentandone ulteriormente le potenzialità, l’efficacia e la sicurezza, come la RM avanzata, i possibili sviluppi della radiomica, le applicazioni della realtà aumentata e dell’Artificial Intelligence e il valore aggiunto di un nuovo modello organizzativo, rappresentato dalle Pituitary Units, comprendenti le differenti discipline coinvolte nella gestione delle patologie ipofisarie.

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Correspondence to Marco Faustini Fustini.

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Conflitto di interesse

Gli autori Diego Mazzatenta, Matteo Zoli, Alessandro Pirina, Federica Guaraldi, Ernesto Pasquini, Sofia Asioli, Caterina Tonon e Marco Faustini Fustini dichiarano di non avere conflitti di interesse.

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Lo studio presentato in questo articolo non ha richiesto sperimentazione umana.

Studi sugli animali

Gli autori di questo articolo non hanno eseguito studi sugli animali.

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Proposto da Alessandro Peri.

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Springer Nature rimane neutrale in riguardo alle rivendicazioni giurisdizionali nelle mappe pubblicate e nelle affiliazioni istituzionali.

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Mazzatenta, D., Zoli, M., Pirina, A. et al. Stato dell’arte e nuove frontiere della neurochirurgia della regione ipotalamo-ipofisaria. L'Endocrinologo 22, 50–56 (2021). https://doi.org/10.1007/s40619-021-00820-9

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