{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T19:10:23Z","timestamp":1780513823545,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T00:00:00Z","timestamp":1552867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe clinical practice experience of <jats:sup>11<\/jats:sup>C\u2010Metomidate PET\/CT as an adjunct to adrenal vein sampling (AVS) in the lateralization of aldosterone\u2010producing adenomas (APA) in primary aldosteronism (PA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Context<\/jats:title><jats:p>Accurate lateralization of APA in the setting of PA offers the potential for surgical cure and improved long\u2010term cardiovascular outcomes. Challenges associated with AVS, the current gold standard lateralization modality, mean that only a small proportion of potentially eligible patients currently make it through to surgery. This has prompted consideration of alternative strategies for lateralization, including the application of novel molecular PET tracers such as <jats:sup>11<\/jats:sup>C\u2010Metomidate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Clinical Service Evaluation\/Retrospective audit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>Fifteen individuals with a confirmed diagnosis of PA, undergoing lateralization with <jats:sup>11<\/jats:sup>C\u2010Metomidate PET\/CT prior to final clinical decision on surgical vs medical management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>All patients underwent screening aldosterone renin ratio (ARR), followed by confirmatory testing with the seated saline infusion test, according to Endocrine Society Clinical Practice Guidelines. Adrenal glands were imaged using dedicated adrenal CT. <jats:sup>11<\/jats:sup>C\u2010Metomidate PET\/CT was undertaken due to equivocal or failed AVS. Management outcomes were assessed by longitudinal measurement of blood pressure, ARR, number of hypertensive medications following adrenalectomy or institution of medical therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We describe the individual lateralization and clinical outcomes for 15 patients with PA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:sup>11<\/jats:sup>C\u2010Metomidate PET\/CT in conjunction with adrenal CT and AVS provided useful information which aided clinical decision\u2010making for PA within a multidisciplinary hypertension clinic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.13942","type":"journal-article","created":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T20:44:20Z","timestamp":1549399460000},"page":"670-679","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["<sup>11<\/sup>C\u2010Metomidate PET\/CT is a useful adjunct for lateralization of primary aldosteronism in routine clinical practice"],"prefix":"10.1111","volume":"90","author":[{"given":"Paula M.","family":"O\u2019Shea","sequence":"first","affiliation":[{"name":"Department of Clinical Biochemistry Galway University Hospital Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darragh","family":"O\u2019Donoghue","sequence":"additional","affiliation":[{"name":"Discipline of Pharmacology and Therapeutics, School of Medicine National University of Ireland Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waiel","family":"Bashari","sequence":"additional","affiliation":[{"name":"Metabolic Research Laboratories, Institute of Metabolic Science University of Cambridge and National Institute for Health Research Cambridge Biomedical Research Centre, Addenbrooke\u2019s Hospital Cambridge 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