基于FDG和FAPIPET的响应评估减少剂量尼沃卢马布在多间皮瘤:一个案例报告
Morten Bentestuen1,2, Anne H Thostrup1,2, Weronika M Szejniuk2,3
1Department of Nuclear Medicine and Clinical Cancer Research Centre, Aalborg University Hospital, Aalborg, Denmark.
Clinical physiology and functional imaging
|February 20, 2026
概括
这一案例研究表明,尼沃卢马布免疫疗法可以使患有瘤性多层甲骨瘤的患者受益,即使剂量减少. 像PET/CT这样的先进成像技术有效评估了治疗反应.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 免疫治疗是一种免疫疗法.
背景情况:
- 客观反应评估对于接受免疫治疗的肺部间皮瘤患者至关重要.
- 瘤性多性骨间皮瘤是一种侵略性的亚型,需要有效的治疗策略.
研究的目的:
- 报告一个用nivolumab治疗的sarcomatoid 膜间皮瘤患者.
- 为了比较CT,[18F]FDG PET/CT和[68Ga]Ga-FAPI PET/CT在评估治疗反应中的疗效.
主要方法:
- 一名75岁的男性患者患有肉类质性膜间皮瘤,由于过敏反应,接受了降低剂量的nivolumab.
- 在治疗前和治疗后进行了包括CT,[18F]FDG PET/CT和[68Ga]Ga-FAPI PET/CT在内的连续成像.
主要成果:
- 患者经历了显著的临床益处,尽管降低了尼沃卢马布剂量.
- 随访成像显示了所有模式的显著形态和代谢改善.
- [18F]FDG PET/CT和[68Ga]Ga-FAPI PET/CT在响应评估中表现出互补的作用.
结论:
- 尼沃卢马布免疫疗法可以有效治疗瘤性多叶膜间皮瘤,即使用剂量修改.
- 结合CT和先进的PET/CT技术,可以全面评估治疗反应.
- 这一案例凸显了[68Ga]Ga-FAPI PET/CT作为中皮瘤中新型成像生物标志物的实用性.
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