Abstract: | Computer tomography (CT) is an important aid to the diagnosis of sella tumours because it images the tumour directly and delineates it from the healthy tissues. The tumour type can be identified to a certain extent, but angiography is necessary to distinguish tumours from aneurysms. The study is based on 140 surgical and histological examinations, the results of which were compared wit those obtained by CT. Suprasellar inflammations could always be identified by CT. Although intrasellar tumours may be identifiable by CT if full use is made of the potential of the equipment, negative CT results do not necessarily mean that there is no tumour. The diagnostic validity of the method is restricted by the absence of "standards", against which the variable images of intrasellar structures can be judged, and the restricted resolution of CT. |