Evidence map›Paper›PMID 40536566›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2025

Added value of multiparametric MRI for diagnosing subcentimeter functional adrenal nodules in primary aldosteronism using CXCR4-targeted PET/MRI.

Xiaoli Meng, Zhiyong Quan, Linni Fan, Mingru Zhang, Guiyu Li, Mengwei Xu, Jia Wang, Wenhui Ma, Weidong Yang, Bo Yang and 2 more

Abstract read
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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Xiaoli MengDepartment of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Zhiyong QuanDepartment of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Linni FanDepartment of Pathology Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Mingru ZhangDepartment of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Guiyu LiDepartment of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Mengwei XuDepartment of Pathology Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Jia WangDepartment of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Wenhui MaDepartment of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Weidong YangDepartment of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Bo YangDepartment of Urology Xijing Hospital, Fourth Military Medical University, Xi'an, China. Drboyung@aliyun.com.
Jing WangDepartment of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China. 13909245902@163.com.
Fei KangDepartment of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China. fmmukf@qq.com.ORCID 0000-0003-0267-7819

Funding

National Natural Science Foundation of China 92259304Shaanxi Province Key Industry Innovation Chain (Group) 2024SF-ZDCYL-02-06Xijing Hospital Medical Personnel Technology Improvement Project 2024XJSY35Xijing Hospital Medical Personnel Training Promotion Project XJZT24JC15Xijing Hospital Medical Personnel Training Promotion Project XJZT24LZ03
6 · The paper itself

Abstract

objectiveThis study aims to evaluate the clinical utility of

methodsA total of 62 patients with clinical suspicion of PA were enrolled from a tertiary hospital in China. Prior to adrenalectomy, all patients underwent

resultsAmong 62 patients, 74 adrenal lesions were confirmed pathologically, comprising 37 aldosterone-producing adenomas (APA, ≥ 1 cm), 21 aldosterone-producing micronodules (micro-APA, < 1 cm), and 16 non-functioning adenomas (NFA). Key PET/MRI parameters, including SUVmax, SUVmean, LLR, OIR, and RPW, showed significant differentiation between functional adrenal nodules and normal adrenal glands (P < 0.001). For nodules ≥ 1 cm, the PET SUVmax threshold of 7.87 achieved a sensitivity of 92.3% and specificity of 95.0% for APA diagnosis. For nodules < 1 cm, the PET SUVmax threshold of 6.49 yielded a sensitivity of 68.8% and specificity of 83.3% for micro-APA diagnosis. Integrated PET/MRI significantly improved the diagnostic sensitivity for PA subcentimeter nodules from 68.8% (with PET alone) to 87.5%, and increased the area under the ROC curve from 0.760 to 0.854, with no significant reduction in diagnostic specificity.

conclusion

Indexed as

HyperaldosteronismMagnetic Resonance ImagingMultimodal ImagingPositron-Emission TomographyReceptors, CXCR4AdultAgedCoordination ComplexesFemaleHumansMaleMiddle AgedPeptides, Cyclic68Ga-pentixaforCoordination ComplexesCXCR4 protein, humanPeptides, CyclicReceptors, CXCR4C-X-C motif chemokine receptor 4PET/MRIPrimary aldosteronismSubcentimeter nodule

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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.