兀=?,请帮我精准扶贫帮扶措施地算到542位。

114网址导航计算107除以222.(1)这个除数算式的商的第542位小数是几?(2)第几位小数之前各位上数字之和等于643?
107÷222=0.981981(542-1)÷3=180...1(1)这个除数算式的商的第542位小数是8(643-4)÷(8+1+9)=35.9 35*3+9+1=115位
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Serial MR Intensity Changes of the Posterior Pituitary in Patients with Diabetes Insipidus After Transsphenoidal Surgery for Pituitary Adenomas: Report of Two CasesKoichi FukinoDepartment of NeurosurgeryToranomon HospitalShozo YamadaDepartment of NeurosurgeryToranomon HospitalTakahiro OhtaDepartment of NeurosurgeryToranomon HospitalKoji TakadaDepartment of NeurosurgeryToranomon HospitalMasaaki UsuiDepartment of NeurosurgeryToranomon HospitalArticleDOI:
10.1023/B:PITU..45413.62Cite this article as: Fukino, K., Yamada, S., Ohta, T. et al. Pituitary (5. doi:10.1023/B:PITU..45413.62This is the first report describing magnetic resonance (MR) intensity changes of the posterior pituitary gland in the patients suffering from the classical “triphasic” diabetes insipidus (DI) after transsphenoidal surgery for pituitary adenomas. A 21-year-old female and a 54-year-old female were admitted to our hospital with the diagnosis of Cushing's disease and acromegaly due to pituitary microadenomas, respectively. No evidence of DI was found, and T1-weighted MR images exhibited “bright spot” corresponding to the posterior pituitary in both cases. Both experienced the classical “triphasic” pattern of water metabolism disturbance after successful transsphenoidal resection of pituitary adenomas, that is, polyuria-oliguria-polyuria. The MR signal hyperintensity in posterior pituitary was detected during the first polyuric phase, but the hyperintensity disappeared during the second polyuric phase. In addition, “bright spot” was restored along with the recovery from DI in the chronic phase. These findings of serial MR images supported that the first DI phase of the classical triphasic course of water metabolism disturbance was caused by secretional dysfunction of stored vasopressin from the posterior gland, whereas the second DI phase was due to impairment in the functional integrity producing vasopressin--containing granules after depletion of vasopressin in the oliguric phase.diabetes insipiduscomplicationsmagnetic resonance (MR) imagingpituitary glandpituitary adenomastranssphenoidal surgery1.Mark L, Pech P, Daniels D, Charles C, Williams A, Haughton V. The pituitary fossa: A correlative anatomic and MR study. Radiology -457.2.Fujisawa I, Asato R, Kawata M, Sano Y, Nakao K, Yamada T, Imura H, Naito Y, Hoshino K, Noma S et al. Hyperintense signal of the posterior pituitary on T1-weighted MR images: An experimental study. J Comput Assist Tomogr -377.3.Fujisawa I, Asato R, Nishimura K, Togashi K, Itoh K, Nakano Y, Itoh H, Hashimoto N, Takeuchi J, Torizuka K. Anterior and posterior lobes of the pituitary gland: Assessment by 1.5 T MR imaging. J Comput Assist Tomogr -220.4.Kucharczyk J, Kucharczyk W, Berry I, de Groot J, Kelly W, Norman D, Newton TH. Histochemical characterization and functional significance of the hyperintense signal on MR images of the posterior pituitary. AJR Am J Roentgenol 3-157.5.Kucharczyk W, Lenkinski RE, Kucharczyk J, Henkelman RM. The effect of phospholipid vesicles on the NMR relaxation of water: An explanation for the MR appearance of the neurohypophysis? AJNR Am J Neuroradiol -700.6.Nishimura K, Fujisawa I, Togashi K, Itoh K, Nakano Y, Itoh H, Torizuka K. Posterior lobe of the pituitary: Identification by lack of chemical shift artifact in MR imaging. J Comput Assist Tomogr -902.7.Fujisawa I, Kikuchi K, Nishimura K, Togashi K, Itoh K, Noma S, Minami S, Sagoh T, Hiraoka T, Momoi T et al. Transection of the pituitary stalk: Development of an ectopic posterior lobe assessed with MR imaging. Radiology -489.8.Imura H, Nakao K, Shimatsu A, Ogawa Y, Sando T, Fujisawa I, Yamabe H. Lymphocytic infundibuloneurohypophysitis as a cause of central diabetes insipidus. N Engl J Med -689.9.Maghnie M, Villa A, Arico M, Larizza D, Pezzotta S, Beluffi G, Genovese E, Severi F. Correlation between magnetic resonance imaging of posterior pituitary and neurohypophyseal function in children with diabetes insipidus. J Clin Endocrinol Metab -800.10.Moses AM, Clayton B, Hochhauser L. Use of T1-weighted MR imaging to differentiate between primary polydipsia and central diabetes insipidus. AJNR Am J Neuroradiol 3-1277.11.Sato N, Ishizaka H, Yagi H, Matsumoto M, Endo K. Posterior lobe of the pituitary in diabetes insipidus: Dynamic MR imaging. Radiology -360.12.Tien R, Kucharczyk J, Kucharczyk W. MR imaging of the brain in patients with diabetes insipidus. AJNR Am J Neuroradiol -542.13.Ciric I, Ragin A, Baumgartner C, Pierce D. Complications of transsphenoidal surgery: Results of a national survey, review of the literature, and personal experience. Neurosurgery -236.14.Black PM, Zervas NT, Candia GL. Incidence and management of complications of transsphenoidal operation for pituitary adenomas. Neurosurgery -924.15.Faria MA Jr, Tindall GT. Transsphenoidal microsurgery for prolactin-secreting pituitary adenomas. J Neurosurg -43.16.Hensen J, Henig A, Fahlbusch R, Meyer M, Boehnert M, Buchfelder M. Prevalence, predictors and patterns of postoperative polyuria and hyponatraemia in the immediate course after transsphenoidal surgery for pituitary adenomas. Clin Endocrinol (Oxf) -439.17.Hensen J, Buchfelder M, Hening A et al. Disturbance of osmoregulation in the neurosurgical setting--with special emphasis on the situation after surgery for pituitary tumors. In: von Werder K, Fahlbusch R, eds. Pituitary Adenomas: From Basic Research to Diagnosis and Therapy. Amsterdam: Elsevier, .18.O'Conner WJ. The normal interphase in the polyuria which follows section of the supraoptico-hypophysial tracts in the dog. Quarterly Journal of Experimental Physiology .19.Sato N, Endo K, Ishizaka H, Matsumoto M. Serial MR intensity changes of the posterior pituitary in a patient with anorexia nervosa, high serum ADH, and oliguria. J Comput Assist Tomogr -650.20.Sato N, Endo K, Kawai H, Shimada A, Hayashi M, Inoue T. Hemodialysis: Rrelationship between signal intensity of the posterior pituitary gland at MR imaging and level of plasma antidiuretic hormone. Radiology -280.21.Lee MH, Choi HY, Sung YA, Lee JK. High signal intensity of the posterior pituitary gland on T1-weighted MR images. Correlation with plasma vasopressin concentration to water deprivation. Acta Radiol -134.22.Sato N, Tanaka S, Tateno M, Ohya N, Takata K, Endo K. Origin of posterior pituitary high intensity on T1-weighted magnetic resonance imaging. Immunohistochemical, electron microscopic, and magnetic resonance studies of posterior pituitary lobe of dehydrated rabbits. Invest Radiol -571.
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