[68Ga]Ga-FAPI-46 PET/MRI for Therapy Monitoring of Desmoid Tumors

Anna Hinterberger1,2, Jens Jakob3, Franka Menge3

  • 1DKFZ Hector Cancer Institute, University Medical Center Mannheim.

Clinical Nuclear Medicine
|December 9, 2025
PubMed

Insights

[68Ga]Ga-FAPI-46 PET shows promise for monitoring desmoid tumor (DT) therapy. This fibroblast activation protein inhibitor (FAPI) PET imaging offers a more precise method for tracking treatment response in DT patients.

Area of Science:

  • Oncology
  • Radiology
  • Nuclear Medicine

Background:

  • Desmoid tumors (DT) are locally aggressive neoplasms with a high recurrence rate.
  • Magnetic resonance imaging (MRI) is standard for DT staging but has limitations in therapy monitoring.
  • Fibroblast activation protein (FAP) is highly expressed in desmoid tumors.

Purpose of the Study:

  • To evaluate the utility of [68Ga]Ga-FAPI-46 positron emission tomography (PET) for therapy monitoring in a patient with desmoid tumors.
  • To demonstrate the potential of FAPI-PET as an advanced imaging modality for assessing treatment response in DT.

Main Methods:

  • A case study of a desmoid tumor patient undergoing therapy.
  • Utilized [68Ga]Ga-FAPI-46 PET imaging for visualizing tumor activity and response.
  • Compared PET findings with conventional imaging modalities (implicitly MRI).

Main Results:

  • [68Ga]Ga-FAPI-46 PET successfully visualized desmoid tumor activity.
  • The study suggests FAPI-PET is a promising tool for therapy monitoring in DT.
  • Demonstrated potential for more precise assessment of treatment efficacy.

Conclusions:

  • [68Ga]Ga-FAPI-46 PET imaging is a valuable tool for monitoring desmoid tumor therapy.
  • FAPI-PET offers improved precision for assessing treatment response compared to traditional methods.
  • This modality holds significant promise for optimizing desmoid tumor management.

Related Concept Videos

Magnetic Resonance Imaging01:24

Magnetic Resonance Imaging

Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
8.9K
Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
296
Imaging Studies IV: Magnetic Resonance Imaging01:27

Imaging Studies IV: Magnetic Resonance Imaging

Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
215
Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
763
Imaging Studies II: Positron Emission Tomography and Scintigraphy01:25

Imaging Studies II: Positron Emission Tomography and Scintigraphy

Positron Emission Tomography (PET) is a medical imaging technique that provides crucial insights into the body's physiological functions at a molecular level. It is an indispensable resource for diagnosing, staging, and monitoring various illnesses, notably cancer, neurological disorders, and cardiovascular conditions.
Fundamental Principles of PET
472