New PET/MRI scan could spot elusive brain tumors in Cushing's patients
NCT ID NCT03346954
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether a special scan called [11C]-Methionine PET/MRI can better locate tiny pituitary tumors that cause Cushing's disease. Standard MRI often misses these tumors, leading to risky exploratory surgery. The study involved 33 adults with confirmed Cushing's disease who received the new scan before surgery. If successful, this approach could reduce the need for invasive catheter tests and improve surgical outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- [11C]-Methionine (a radioactive tracer used in PET imaging)
- What this could lead to
- If this scan works well, it could help doctors find hidden pituitary tumors more accurately, reducing the need for invasive catheter tests and improving surgical success.
- What could go wrong
- This was a small, completed study with only 33 people, so results may not apply to everyone. The scan may still miss some tumors or give false positives.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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33 people
The number who actually took part.
- Started
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Dec 2017
- Finished
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Aug 2020
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged 18 years old or over * Patient with a diagnosed Cushing's disease according to the French "protocole national de diagnostic et de soins (PNDS)" * Patient who underwent a MRI pituitary for diagnostic purposes * Patient who have undergone catheterization of the lower petrosal sinuses (if MRI does not detect pituitary adenoma) and have a result in favor of a central secretion of ACTH * Patient having an indication of surgical excision of the adenoma * Patient with a micro-adenoma (less than 1 cm in diameter) if the tumor is visualized on MRI * Patient for which informed and written consent to participate has been obtained. Exclusion Criteria: * \- Patient participating in another study * Patient with a pituitary macro-adenoma with visual impairment * Patient with ACTH-dependent Cushing's syndrome secondary to ectopic ACTH secretion * Patient with recurrence and / or history of pituitary adenoma excision * Patient with a contraindication to pituitary surgery or general anesthesia * Pregnant woman, breastfeeding or old enough to have children but without effective recognized contraception * Contra-indication to the realization of an MRI: permanently fixed metal parts (pacemaker, cerebral clip, cephalic end piercing, cochlear implant, pin or screw for recent bone fracture, dental equipment, metal splinters), claustrophobia
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Service de Médecine Nucléaire - Hospices Civils de Lyon
Bron, 69677, France
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Other studies related to the condition(s) this trial covers.
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