ArticleFrontiers in endocrinology2026
An FDG-first functional imaging approach in phaeochromocytoma and paraganglioma.
Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: Functional imaging is central to the diagnosis and management of phaeochromocytomas and paragangliomas (PPGLs). This study aimed to compare the diagnostic performance of different functional imaging modalities for the detection of primary and metastatic PPGL. Methods: We conducted a retrospective, cross-sectional comparative study at a tertiary referral centre (2012-2023). Seventy three patients were with diagnosed with PPGL; 38 who underwent triple functional imaging. These 38 patients underwent Results: Among the 38 patients who underwent triple functional imaging, 18 (47%) were women, with a median age of 41 years (range 11-81). There were 23 phaeochromocytomas and 15 paragangliomas. Overall detection rates were positive in 36/38 (94.7%) patients on FDG, 35/38 (92.1%) on Dotatate, and 34/38 (89.5%) on mIBG. Among patients with metastatic disease, lesion detection was observed in 16/16 (100%) with FDG, 12/13 (92.3%) with Dotatate, and 11/13 (84.6%) with mIBG. FDG SUV Conclusion: In this study, FDG demonstrated the highest per-patient detection and the strongest association with aggressive biochemical and genetic phenotypes. These findings support an FDG-first functional imaging strategy for diagnosis and staging in PPGL, with additional targeted imaging reserved for theranostic decision-making.
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