Evidence map›Paper›PMID 40690719›Full record

ReviewThe Journal of clinical endocrinology and metabolism2025

Approach to the Patient With Primary Aldosteronism: Role of Molecular Imaging.

Ada E D Teo, Hieu T N Tran, Chin Meng Khoo, Ismail Osman, Aaron Kian-Ti Tong, Roger S Y Foo, Troy H Puar

Abstract readReview
In one paragraph

Review in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Real world experience with [Frontiers in endocrinology · 2026
    Article
  3. 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

7 authors.

Ada E D TeoDivision of Endocrinology, Department of Medicine, National University Hospital, Singapore 119074, Singapore.ORCID 0000-0002-8832-0409
Hieu T N TranDepartment of Endocrinology, Changi General Hospital, Singapore 529889, Singapore.ORCID 0009-0006-2143-917X
Chin Meng KhooDivision of Endocrinology, Department of Medicine, National University Hospital, Singapore 119074, Singapore.ORCID 0000-0003-1601-2391
Ismail OsmanDepartment of Endocrinology, Changi General Hospital, Singapore 529889, Singapore.ORCID 0000-0001-7665-2724
Aaron Kian-Ti TongDepartment of Nuclear Medicine and Molecular Imaging, Singapore General Hospital, Singapore 169854, Singapore.ORCID 0000-0002-7703-8707
Roger S Y FooYong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.ORCID 0000-0002-8079-4618
Troy H PuarDepartment of Endocrinology, Changi General Hospital, Singapore 529889, Singapore.ORCID 0000-0002-8047-5836

Funding

NMRC Transition Award, Singapore
6 · The paper itself

Abstract

A common yet underdiagnosed cause of secondary hypertension, primary aldosteronism (PA) is characterized by excess aldosterone production, causing hypertension with increased risk of cardio-renal-metabolic complications. Accurate and timely localization of the source of aldosterone excess is crucial for management, in the form of curative adrenalectomy for unilateral aldosterone-producing adenoma or medical management for bilateral adrenal hyperplasia. The current diagnostic algorithm involves adrenal vein sampling (AVS) as the current "gold standard" in determining lateralization of aldosterone secretion, but its technical challenges present significant barriers to timely diagnosis and treatment. Recent technological advancements have contributed to the evolution of molecular imaging modalities such as 11C-metomidate positron emission tomography-computed tomography (11C-MTO PET-CT). Improved molecular imaging modalities hold significant potential to complement existing diagnostic pathways and refine treatment strategies for PA. This review evaluates different case scenarios comparing the utility of AVS with 11C-MTO PET-CT, suggesting a practical approach for its interpretation and highlighting the clinical decision-making process.

Indexed as

HyperaldosteronismMolecular ImagingAdrenalectomyAdrenal GlandsAldosteroneFemaleHumansHypertensionMalePositron Emission Tomography Computed TomographyAldosteronefunctional/nuclear imaginglaparoscopic adrenalectomysecondary hypertensionsteroid hybrid hormonessubtyping

Identifiers

PMID40690719
PMCPMC12623052

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.