Discordant Uptake of Leg Thrombi Versus Pulmonary Emboli on 68 Ga-FAPI-46 PET/CT
Sang-Geon Cho1, Chan Park2, Jahae Kim1
1From the Departments of Nuclear Medicine.
Abstract:
Fibroblast activation protein inhibitor (FAPI) PET is gaining clinical relevance for visualizing activated fibroblasts in various diseases. Here, we report discordant FAPI uptake between venous thrombi of the lower extremities and pulmonary emboli. An 86-year-old man complained of left leg swelling and acute dyspnea; he was diagnosed with deep vein thrombosis involving the left femoral vein and acute pulmonary thromboembolism. Positive FAPI uptake was observed only in the thrombi of the left femoral vein, but not in the pulmonary emboli. Such discrepancies may indicate different thrombus constituents and chronologies even in the same patient.
Insights
Fibroblast activation protein inhibitor (FAPI) PET imaging revealed differing uptake in venous thrombi versus pulmonary emboli in a single patient. This suggests variations in thrombus composition and age, even within the same individual.
Area of Science:
- Nuclear Medicine
- Radiochemistry
- Vascular Biology
Background:
- Fibroblast activation protein inhibitor (FAPI) Positron Emission Tomography (PET) is emerging as a key imaging modality for activated fibroblasts.
- Activated fibroblasts play crucial roles in various pathological conditions, including thrombosis.
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