and with contrast usually not appropriate (ACR Grade 3)Рputed tomography angiography (CTA) with contrast indicated for surgical planning or vascular detail if MRI and MRA contraindicated but otherwise usually not appropriate (ACR Grade 2)Рtests that are usually inappropriate include x-ray tomography of the head, x-ray sella, and cerebral arteriography (ACR Grade 1)РReference - ACR Appropriateness Criteria on neuroendocrine imaging (ACR 2012 PDF or National Guideline Clearinghouse 2012 Nov 5:37920)РElectrocardiography (ECG):Рconsider cardiac evaluation including ECG and echocardiogram, particularly if patient has signs or symptoms suggestive of cardiac involvement (like arrhythmias and shortness of breath) (AACE Grade C, Level 4)(2)РOther diagnostic testing:Рperform visual field testing(2)
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