Differentiation between pituitary adenomas (PAs) and Rathke cleft cysts (RCCs) is important for treatment planning. Diffusion weighted imaging (DWI) has been reported for the differentiation. However, traditional single-shot echo planar imaging (EPI) DWI has limited resolution and suffers from image distortion near the skull base. High-resolution distortion-free DWI should be more suitable. We apply a recently developed fast point-spread-function encoded EPI on pituitary imaging. It generates high-resolution distortion-free DWI, in which the signals of the microadenoma and the RCCs are hyperintense and hypointense, respectively. This study shows the potential of this technique to distinguish between PAs and RCCs.
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