[68Ga]Ga-FAPI 与[18F]FDG PET/CT 在带有塑性线膜炎的标记环细胞癌中:诊断性能和陷
Roopal Agrawal1, Keerti Sitani1, Sandip Basu2
1Radiation Medicine Centre, Bhabha Atomic Research Centre, Tata Memorial Centre, Mumbai, India; and Homi Bhabha National Institute, Mumbai, India.
Journal of nuclear medicine technology
|December 9, 2025
概括
诊断晚期胃癌,尤其是塑性线炎,是很困难的. 纤维细胞激活蛋白抑制剂成像显示在这些情况下高瘤吸收,超过标准的FDG PET/CT扫描.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 分子成像学分子成像学
背景情况:
- 胃癌,特别是塑性线炎,存在诊断方面的挑战.
- 纤维细胞激活蛋白 (FAP) 在与癌症相关的纤维细胞中高度表达,为向成像提供了潜力.
- 像[18F]FDG PET/CT这样的标准成像在某些胃癌亚型中可能显示出有限的效用.
研究的目的:
- 为了评估纤维细胞激活蛋白抑制剂 ([68Ga]Ga-FAPI-04) PET/CT在带有塑性线性炎形态的封号环细胞胃腺癌的诊断性能.
- 在这些具有挑战性的案例中,将[68Ga]Ga-FAPI-04 PET/CT发现与[18F]FDG PET/CT进行比较.
主要方法:
- 2名患有封戒细胞胃腺癌和塑性线炎的患者的病例报告.
- 使用[68Ga]Ga-FAPI-04 PET/CT和[18F]FDG PET/CT进行成像.
- 评估瘤吸收和瘤与背景对比度.
主要成果:
- 这两种情况都显示[18F]FDG PET/CT的吸收量很小.
- 在这两种情况下都观察到[68Ga]Ga-FAPI-04 PET/CT的强烈吸收.
- 纤维细胞激活蛋白抑制剂成像显示了高瘤与背景对比度.
结论:
- [68Ga]Ga-FAPI-04 PET/CT与[18F]FDG PET/CT相比,在线性塑性胃癌的诊断性能优越.
- 纤维细胞激活蛋白抑制剂成像是挑战胃癌诊断的一个有希望的工具.
- 向纤维细胞激活蛋白可以改善特定胃癌亚型的可视化.
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