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The sellar region tumor is a brain tumor that only exists in the brain sellar, which affects the central nervous system. The early diagnosis of the sellar region tumor subtypes helps clinicians better understand the best treatment and recovery of patients. Magnetic resonance imaging (MRI) has proven to be an effective tool for the early detection of sellar region tumors. However, the existing sellar region tumor diagnosis still remains challenging due to the small amount of dataset and data imbalance. To overcome these challenges, we propose a novel self-supervised multi-scale multi-modal graph pool Transformer (MMGPT) network that can enhance the multi-modal fusion of small and imbalanced MRI data of sellar region tumors. MMGPT can strengthen feature interaction between multi-modal images, which makes our model more robust. A contrastive learning equipped auto-encoder (CAE) via self-supervised learning (SSL) is adopted to learn more detailed information between different samples. The proposed CAE transfers the pre-trained knowledge to the downstream tasks. Finally, a hybrid loss is equipped to relieve the performance degradation caused by data imbalance. The experimental results show that the proposed method outperforms state-of-the-art methods and obtains higher accuracy and AUC in the classification of sellar region tumors.
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http://dx.doi.org/10.1109/JBHI.2024.3496700 | DOI Listing |
J Neurosurg
August 2025
Departments of1Neurological Surgery.
Objective: The endoscopic endonasal approach (EEA) provides a ventral surgical corridor, which can be advantageous in the management of carefully selected cerebral aneurysms. The literature lacks large series to better delineate the indications and limitations of this technique. The aim of this study was to elucidate the technique's safety, indications, advantages, and limitations, as well as its evolution over time.
View Article and Find Full Text PDFZh Vopr Neirokhir Im N N Burdenko
August 2025
National Medical Research Center for Neurosurgery named after Academician N.N. Burdenko, Moscow, Russia.
Background: Craniopharyngiomas are benign tumors of the chiasmal-sellar region of adults and children, prone to local invasion and recurrence. There are two morphological types of craniopharyngiomas - adamantinomatous (in children and adults) and papillary (PCPs) (mainly in adults). PCPs are a rarer type (15-20%).
View Article and Find Full Text PDFBrain Tumor Pathol
August 2025
Department of Pathology, the First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, 230036, Anhui, China.
Primary papillary epithelial tumor of the sella (PPETS) is a rare sellar neoplasm characterized by distinctive papillary architecture and thyroid transcription factor 1 (TTF-1) expression. DNA methylation profiling suggests its classification within the posterior pituitary tumor category. Here, we report a case of PPETS in a 37 year-old female presenting with amenorrhea, featuring unique morphological and immunohistochemical characteristics.
View Article and Find Full Text PDFFront Oncol
August 2025
Department of Neurosurgery, The Ganzhou Affiliated Hospital, Jiangxi Medical College, Nanchang University, Ganzhou, Jiangxi, China.
Objective: To investigate the clinical characteristics and therapeutic approaches for granular cell tumors (GCT) of the neurohypophysis.
Materials And Methods: Retrospective case series and analyzed the clinical data of six patients with histopathologically confirmed GCT of the neurohypophysis, also conducting a simple review of relevant literature.
Results: The median age at diagnosis for the cohort of six patients was 41.
Int J Ophthalmol
August 2025
Department of Neurosurgery, Bahcesehir University School of Medicine, Istanbul 34353, Türkiye.
Aim: To evaluate retinal microcirculation changes at the 3 and 12 months following endoscopic endonasal surgery in patients with sellar region tumors using optical coherence tomography angiography (OCT-A).
Methods: This prospective longitudinal observational study included 78 eyes of 39 patients with sellar tumors and 78 eyes of 39 age- and gender-matched healthy controls. Standard automated perimetry and OCT-A were performed preoperatively and at 3- and 12-month follow-ups.