Evidence map›Paper›PMID 40246740›Full record

ArticleEJNMMI research2025

The prognostic value of CXCR4 PET/CT imaging in unilateral primary aldosteronism patients after adrenalectomy.

Shuai Shao, Haozhe Xu, Zhuo Xing, Yulong Hong, Xuan Yin, Jianguang Luo, Kai Ai, Xin Su, Xiaowei Ma, Yuan Li

Abstract read
In one paragraph

Article in EJNMMI research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Development and validation of a CXCR4-targetedEuropean journal of nuclear medicine and molecular imaging · 2026
    Article
  3. Real world experience with [Frontiers in endocrinology · 2026
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shuai Shao *Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.
Haozhe Xu *Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.
Zhuo Xing *Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.
Yulong HongDepartment of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.
Xuan YinDepartment of Nuclear Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.
Jianguang LuoDepartment of Radiology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Kai AiDepartment of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.
Xin SuDepartment of Endocrinology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China. suxin71@csu.edu.cn.
Xiaowei MaDepartment of Nuclear Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China. maxiaowei@csu.edu.cn.
Yuan LiDepartment of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China. yuanlixy@csu.edu.cn.ORCID http://orcid.org/0000-0002-5249-3172

Funding

National Natural Science Foundation of China 82172878National Natural Science Foundation of China 82300791National Natural Science Foundation of China 82373435
6 · The paper itself

Abstract

backgroundCXCR4 PET/CT imaging has emerged as a tool for diagnosis and subtyping of primary aldosteronism (PA). But its prognostic value for postoperative blood pressure recovery has not been fully discussed.

resultsThe lesional SUVmax to the contralateral adrenal tissue SUVmean ratio (LCR) was identified as an independent predictor of clinical success at both the 3-month and 6-month assessments. The AUC for LCR was 0.894 at the 3-month and 0.832 at the 6-month. Patients were divided into high and low LCR groups according to the optimal cut-off of 3.240. The high LCR group exhibited elevated CXCR4 and CYP11B2 expression, higher PAC level, a greater probability of achieving complete clinical success compared to the low LCR group. Moreover, LCR was correlated with lateralization index and contralateral suppression index.

conclusionsLCR is a reliable independent predictor of postoperative blood pressure recovery in PA. Patients with LCR over 3.240 may benefit more from adrenalectomy. We recommend increased utilization of CXCR4 PET/CT for patients with PA. REGISTRATION: ChiCTR2200062844. Registered 20 August 2022.

Indexed as

AdrenalectomyClinical outcomeCXCR4 PET/CTPrimary aldosteronism

Identifiers

PMID40246740
PMCPMC12006604

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.