Evidence map›Paper›PMID 41633032›Full record

ReviewEndocrinology and metabolism (Seoul, Korea)2026

New Sparks and Spots: Molecular Imaging with Positron Emission Tomography Will Change Management of Cushing's Disease.

Martin Reincke, Tugce Apaydin, Mariam Kakashvili, Nathalie L Albert, Jun Thorsteinsdottir, Júnia R O L Schweizer, Marily Theodoropoulou, Katharina Schilbach, Friederike Völter

Abstract readReview
In one paragraph

Review in Endocrinology and metabolism (Seoul, Korea), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Functional pituitary adenoma imaging.Reviews in endocrine & metabolic disorders · 2026
    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

9 authors.

Martin ReinckeDepartment of Internal Medicine IV, Endocrinology, Diabetes and Metabolism, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany. martin.reincke@med.uni-muenchen.de.
Tugce ApaydinDepartment of Internal Medicine IV, Endocrinology, Diabetes and Metabolism, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Mariam KakashviliDepartment of Internal Medicine IV, Endocrinology, Diabetes and Metabolism, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Nathalie L AlbertDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Jun ThorsteinsdottirDepartment of Neurosurgery, LMU University Hospital, LMU Munich, Munich, Germany.
Júnia R O L SchweizerDepartment of Internal Medicine IV, Endocrinology, Diabetes and Metabolism, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Marily TheodoropoulouDepartment of Internal Medicine IV, Endocrinology, Diabetes and Metabolism, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Katharina SchilbachDepartment of Internal Medicine IV, Endocrinology, Diabetes and Metabolism, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Friederike VölterDepartment of Internal Medicine IV, Endocrinology, Diabetes and Metabolism, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.

Funding

Deutsche Forschungsgemeinschaft 314061271-TRR 205Else Kröner-Fresenius Stiftung in support of the German Cushing's Registry CUSTODES 2012_A103 and 2015_A228German Research Foundation
6 · The paper itself

Abstract

Cushing's disease is caused by corticotroph tumors of the pituitary gland, resulting in adrenocorticotropic hormone hypersecretion and cortisol excess. The majority of the tumors are microadenomas. Magnetic resonance imaging (MRI) imaging is able to detect up to 70% of the corticotroph tumors. In the remaining patients, no tumor is detectable on MRI or there are equivocal changes without a clear demarcation of a tumor. Hence, the cure rates following transsphenoidal pituitary surgery are far from being satisfactory, with around 60% to 90% short-term remission in expert centers. Positron emission tomography (PET) has recently emerged as a potent method for the localization of small corticotroph adenomas and corticotroph adenomas without demarcation on the MRI. This review analyzes the radiopharmaceuticals most commonly used in evaluating pituitary disorders and explores the potential utilization of new PET tracers for personalized management of patients with Cushing's disease. Especially 11C-methionine and 18F-fluorethyltyrosine PET have recently been reported to be highly sensitive methods to detect MRI-undetectable corticotropinomas in 80% to 100% of patients. If confirmed in randomized controlled trials, PET imaging could be a major break-through towards targeted, individualized surgical therapy.

Indexed as

ACTH-Secreting Pituitary AdenomaAdenomaMolecular ImagingPituitary ACTH HypersecretionPositron-Emission TomographyHumansMagnetic Resonance ImagingPituitary NeoplasmsRadiopharmaceuticalsRadiopharmaceuticalsAdrenocorticotropic hormoneCorticotroph adenomaCortisolFluorethyltyrosine-positron emission tomographyPituitary adenomaPituitary tumor

Identifiers

PMID41633032
PMCPMC12963763

What OpenQuestion holds

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LicenceCC BY-NC
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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.