Intense FAPI Uptake in Inflammation May Mask the Tumor Activity of Pancreatic Cancer in 68Ga-FAPI PET/CT

被引:95
作者
Luo, Yaping [1 ,2 ]
Pan, Qingqing [1 ,2 ]
Zhang, Wen [3 ,4 ]
Li, Fang [1 ,2 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Dept Nucl Med, Beijing 100730, Peoples R China
[2] Beijing Key Lab Mol Targeted Diag & Therapy Nucl, Beijing 100730, Peoples R China
[3] Chinese Acad Med Sci, Dept Rheumatol, Beijing, Peoples R China
[4] Peking Union Med Coll Hosp, Beijing, Peoples R China
关键词
F-18-FDG; Ga-68-FAPI; pancreatic cancer; PET/CT;
D O I
10.1097/RLU.0000000000002914
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Contrast CT revealed diffuse enlargement of the pancreas with a suspicious lesion in the uncinate process in a 57-year-old man who presented with jaundice. F-18-FDG PET/CT showed increased radioactivity in the enlarged pancreas with a nodular lesion with even higher uptake in the uncinate process. To differentiate autoimmune pancreatitis and pancreatic cancer, Ga-68-FAPI PET/CT was performed. It revealed intense Ga-68-FAPI uptake in the pancreas, but the FDG-avid lesion in the uncinate process was not shown. The patient was finally diagnosed with pancreatic cancer with tumor-induced pancreatitis with endoscopic ultrasonography-guided biopsy.
引用
收藏
页码:310 / 311
页数:2
相关论文
共 8 条
[1]   FAPI-PET/CT improves staging in a lung cancer patient with cerebral metastasis [J].
Giesel, Frederik L. ;
Heussel, Claus Peter ;
Lindner, Thomas ;
Roehrich, Manuel ;
Rathke, Hendrik ;
Kauczor, Hans-Ulrich ;
Debus, Juergen ;
Haberkorn, Uwe ;
Kratochwil, Clemens .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2019, 46 (08) :1754-1755
[2]   68Ga-FAPI PET/CT: Biodistribution and Preliminary Dosimetry Estimate of 2 DOTA-Containing FAP-Targeting Agents in Patients with Various Cancers [J].
Giesel, Frederik L. ;
Kratochwil, Clemens ;
Lindner, Thomas ;
Marschalek, Manfred M. ;
Loktev, Anastasia ;
Lehnert, Wencke ;
Debus, Juergen ;
Jaeger, Dirk ;
Flechsig, Paul ;
Altmann, Annette ;
Mier, Walter ;
Haberkorn, Uwe .
JOURNAL OF NUCLEAR MEDICINE, 2019, 60 (03) :386-392
[3]   68Ga-FAPI PET/CT: Tracer Uptake in 28 Different Kinds of Cancer [J].
Kratochwil, Clemens ;
Flechsig, Paul ;
Lindner, Thomas ;
Abderrahim, Labidi ;
Altmann, Annette ;
Mier, Walter ;
Adeberg, Sebastian ;
Rathke, Hendrik ;
Roehrich, Manuel ;
Winter, Hauke ;
Plinkert, Peter K. ;
Marme, Frederik ;
Lang, Matthias ;
Kauczor, Hans-Ulrich ;
Jaeger, Dirk ;
Debus, Juergen ;
Haberkorn, Uwe ;
Giesel, Frederik L. .
JOURNAL OF NUCLEAR MEDICINE, 2019, 60 (06) :801-805
[4]   Development of Quinoline-Based Theranostic Ligands for the Targeting of Fibroblast Activation Protein [J].
Lindner, Thomas ;
Loktev, Anastasia ;
Altmann, Annette ;
Giesel, Frederik ;
Kratochwil, Clemens ;
Debus, Juergen ;
Jaeger, Dirk ;
Mier, Walter ;
Haberkorn, Uwe .
JOURNAL OF NUCLEAR MEDICINE, 2018, 59 (09) :1415-1422
[5]   A Tumor-Imaging Method Targeting Cancer-Associated Fibroblasts [J].
Loktev, Anastasia ;
Lindner, Thomas ;
Mier, Walter ;
Debus, Juergen ;
Altmann, Annette ;
Jaeger, Dirk ;
Giesel, Frederik ;
Kratochwil, Clemens ;
Barthe, Philippe ;
Roumestand, Christian ;
Haberkorn, Uwe .
JOURNAL OF NUCLEAR MEDICINE, 2018, 59 (09) :1423-1429
[6]   IgG4-related disease revealed by 68Ga-FAPI and 18F-FDG PET/CT [J].
Luo, Yaping ;
Pan, Qingqing ;
Zhang, Wen .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2019, 46 (12) :2625-2626
[7]   IDH-wildtype glioblastomas and grade III/IV IDH-mutant gliomas show elevated tracer uptake in fibroblast activation protein-specific PET/CT [J].
Roehrich, Manuel ;
Loktev, Anastasia ;
Wefers, Annika K. ;
Altmann, Annette ;
Paech, Daniel ;
Adeberg, Sebastian ;
Windisch, Paul ;
Hielscher, Thomas ;
Flechsig, Paul ;
Floca, Ralf ;
Leitz, Dominik ;
Schuster, Julius P. ;
Huber, Peter E. ;
Debus, Juergen ;
von Deimling, Andreas ;
Lindner, Thomas ;
Haberkorn, Uwe .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2019, 46 (12) :2569-2580
[8]  
Varasteh Z., 2019, J NUCL MED