Evidence map›Paper›PMID 41793555›Full record

Observational studyPituitary2026

The clinical value of [

Loren S van der Hoeven, Siebren G van Vugt, Tessa Timmers, Eva A M Heshof, Miou S Koopman, Eleonora Aronica, Jantien Hoogmoed, Alberto M Pereira, Elsmarieke van de Giessen, Dirk Jan Stenvers

Abstract readObservational Study
In one paragraph

Observational study in Pituitary, 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

10 authors.

Loren S van der HoevenAmsterdam UMC, Department of Endocrinology and Metabolism, University of Amsterdam, Amsterdam Gastroenterology Endocrinology and Metabolism (AGEM), Amsterdam, Netherlands. l.s.vanderhoeven@amsterdamumc.nl.ORCID http://orcid.org/0009-0000-4912-3616
Siebren G van VugtDepartment of Radiology & Nuclear Medicine, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.ORCID http://orcid.org/0009-0005-1854-2929
Tessa TimmersDepartment of Radiology & Nuclear Medicine, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0001-5503-7933
Eva A M HeshofAmsterdam UMC, Department of Endocrinology and Metabolism, University of Amsterdam, Amsterdam Gastroenterology Endocrinology and Metabolism (AGEM), Amsterdam, Netherlands.ORCID http://orcid.org/0009-0006-2741-7975
Miou S KoopmanPituitary Center Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-4709-0130
Eleonora AronicaPituitary Center Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-3542-3770
Jantien HoogmoedPituitary Center Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-0749-8070
Alberto M PereiraAmsterdam UMC, Department of Endocrinology and Metabolism, University of Amsterdam, Amsterdam Gastroenterology Endocrinology and Metabolism (AGEM), Amsterdam, Netherlands.ORCID http://orcid.org/0000-0002-1194-9866
Elsmarieke van de GiessenPituitary Center Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-9956-4233
Dirk Jan StenversAmsterdam UMC, Department of Endocrinology and Metabolism, University of Amsterdam, Amsterdam Gastroenterology Endocrinology and Metabolism (AGEM), Amsterdam, Netherlands.ORCID http://orcid.org/0000-0002-9519-5140

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the clinical value of [18F]fluoroethyl-L-tyrosine PET ([18F]FET-PET) correlated with MRI in patients with functioning pituitary adenoma (FPA) with negative or equivocal conventional MRIs during diagnosis, persistent disease and recurrence.

methodsRetrospective observational cohort study of 34 patients with FPAs who underwent a total of 37 [18F]FET-PETs (Cushing’s disease: n = 19, acromegaly: n = 14, prolactinoma: n = 3, and TSH producing adenoma: n = 1) between January 2022 and April 2025. The clinical performance was assessed in the surgically treated cohort, using confirmative histopathology and/or postoperative remission as reference standard.

results[18F]FET-PET identified a single lesion in 28 scans (76%), two lesions in 1 scan (3%), and no lesion in 8 scans (22%). [18F]FET-PET and MRI were concordant positive in 14/37 scans, concordant negative in 1/37, discordant MRI+/[18F]FET-PET + different location in 2/37, discordant MRI-/[18F]FET-PET + in 8/37, discordant MRI+/[18F]FET-PET- in 7/37 and partly concordant in 5/37 scans. In 14 cases surgery resulted in confirmative histopathology and/or postoperative remission, 12 of those had a positive [18F]FET-PET. In 6 cases surgery did not result in confirmative histopathology and/or postoperative remission, of whom 5 had a positive [18F]FET-PET. Overall, the sensitivity was 86% and the positive predictive value 71%. In three patients with acromegaly, [18F]FET-PET was able to localize a lesion, despite biochemical control under continued somatostatin analogue treatment.

conclusion[18F]FET-PET enhances lesion detection and improves personalized treatment in patients with FPA and negative or equivocal conventional MRIs throughout the disease course. Consensus on the timing of [18F]FET-PET with respect to medication and biochemical status is warranted.

Indexed as

AdenomaMagnetic Resonance ImagingPituitary NeoplasmsPositron-Emission TomographyTyrosineAdultAgedFemaleHumansMaleMiddle AgedRetrospective Studies(18F)fluoroethyltyrosineTyrosine[18F]FETAcromegalyAdenoma localizationCushing’s diseaseFunctional imagingFunctioning pituitary adenomaPET

Identifiers

PMID41793555
PMCPMC12967589

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.