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Updated: Oct 23, 2025

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High-Resolution Cardiac Positron Emission Tomography/Computed Tomography for Small Animals
Published on: December 16, 2022
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Incidental Detection of Ischemic Myocardium on 68 Ga-FAPI PET/CT
Piyush Chandra1, Satish Nath1, Jaishankar Krishnamoorthy2
1Department of Nuclear, Medicine, MIOT International, Chennai, India.
Nuclear Medicine and Molecular Imaging
|August 23, 2021
Summary
Gallium-68 fibroblast activation protein inhibitor (FAPI) PET scans can reveal coronary artery disease. This case highlights incidental FAPI uptake in the heart, correlating with myocardial ischemia and coronary stenosis.
Area of Science:
- Nuclear Medicine
- Cardiology
- Oncology
Background:
- Ga-68 labeled fibroblast activation protein inhibitors (FAPI) PET imaging is increasingly used.
- Studies suggest FAPI uptake in the myocardium correlates with coronary artery disease (CAD).
Purpose of the Study:
- To present a case of incidental FAPI PET uptake in the left ventricle myocardium.
- To correlate this finding with ischemia and coronary stenosis.
Main Methods:
- A 76-year-old female patient with breast cancer underwent Ga-68 FAPI PET.
- Findings were correlated with dobutamine stress myocardial perfusion imaging (MPI) and coronary angiography.
Main Results:
- Incidental focal FAPI uptake was observed in the apex and septal wall of the left ventricle.
- This uptake corresponded to areas of ischemia on MPI and anatomical stenosis on coronary angiography.
Conclusions:
- Ga-68 FAPI PET may reveal cardiac abnormalities like ischemia.
- FAPI PET could potentially serve as a non-invasive tool for detecting CAD in specific patient populations.
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