Functional pituitary adenoma imaging. (PubMed, Rev Endocr Metab Disord)
This review proposes an MRI-first, tiered imaging strategy and a pragmatic approach to tracer selection from the available armamentarium ([11C]methionine, [68 Ga]SSTR ligands, [68 Ga]PentixaFor, [18F]FET and [18F]FDG). We emphasise how to optimise PET acquisition and reporting, and how to integrate imaging with endocrine phenotype, treatment history and surgical/radiosurgical planning to maximise clinical impact while safeguarding pituitary function.