CXCR4 Targeted PET Imaging in APA Preoperative Localization Diagnosis

A Single Center Study on the Evaluation of Diagnostic Efficacy of CXCR4 Targeted PET Imaging in Primary Aldosteronism

The goal of this clinical trial is to evaluate the effectiveness of CXCR4 targeted PET imaging in preoperative localization diagnosis of primary aldosteronism (PA). Participants diagnosed with PA will be asked to be scanned by 68Ga-PentixaFor PET, and then underwent adrenal venous sampling (AVS). Then, the responsible adrenal adenoma will be resected by adrenalectomy, and examined with pathological section and staining. Researchers will compare the sensitivity and specificity between 68Ga-PentixaFor PET imaging and AVS in preoperative localization diagnosis of PA.

Inclusion Criteria:

• Patients with PA, confirmed by an elevated aldosterone/renin ratio (ARR) and an intravenous salt loading test.
• The patient has provided written informed consent authorisation before participating in the study.
• The patient is 18 to 70 years of age at the time of consent.

Exclusion Criteria:

• Refusal by the patients to undergo 68Ga-PentixaFor PET/CT, AVS, CT, or adrenalectomy.
• Suspicion of familial hyperaldosteronism type 1 (FH-1) or type 3 (FH-3).
• Suspicion of adrenocortical carcinoma.
• Severe comorbidity potentially interfering with treatment or health-related quality of life.
• Patients need to take drugs that interfere with clinical research.
• Any medical condition present that in the opinion of the investigator will affect patients clinical status.
• Pregnancy or lactation.
• Estimated glomerular filtration rate <40mL/min/1.73m2.
• Interfering treatment in between 68Ga-PentixaFor PET/CT and AVS.