Dual-Tracer PET/CT Protocol with [ 18 F]-FDG and [ 68 Ga]Ga-FAPI-46 for Cancer Imaging: A Proof of Concept

Imaging studies with PET tracers acting as fibroblast activation protein inhibitors (FAPIs) show promising results that could usefully complement [ F]-FDG in cancer imaging. All patients received [ F]-FDG PET/CT and dual-tracer PET/CT after an additional injection of [ Ga]Ga-FAPI-46 after the [ F]-F...

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Veröffentlicht in:Journal of Nuclear Medicine 2022-11, Vol.63 (11), p.1683
Hauptverfasser: Roth, Katrin S, Voltin, Conrad-Amadeus, van Heek, Lutz, Wegen, Simone, Schomäcker, Klaus, Fischer, Thomas, Marnitz, Simone, Drzezga, Alexander, Kobe, Carsten
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container_end_page
container_issue 11
container_start_page 1683
container_title Journal of Nuclear Medicine
container_volume 63
creator Roth, Katrin S
Voltin, Conrad-Amadeus
van Heek, Lutz
Wegen, Simone
Schomäcker, Klaus
Fischer, Thomas
Marnitz, Simone
Drzezga, Alexander
Kobe, Carsten
description Imaging studies with PET tracers acting as fibroblast activation protein inhibitors (FAPIs) show promising results that could usefully complement [ F]-FDG in cancer imaging. All patients received [ F]-FDG PET/CT and dual-tracer PET/CT after an additional injection of [ Ga]Ga-FAPI-46 after the [ F]-FDG PET/CT. Two readers visually compared detection rate and analyzed target-to-background ratios for tumor and metastatic tissue in single- and dual-tracer PET/CT. Detection rate in dual-tracer PET/CT was visually as good as that in single-tracer PET/CT in 4 patients and superior in 2 patients, whereas target-to-background ratios were significantly higher in dual-tracer PET/CT. Dual-tracer [ F]-FDG/[ Ga]Ga-FAPI-46 PET/CT within a single session is feasible and has potential. The dual-tracer approach may have superior sensitivity to [ F]-FDG PET/CT alone without compromising individual assessment of either scan.
doi_str_mv 10.2967/jnumed.122.263835
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subjects Cancer
Complement activation
Computed tomography
Fibroblast activation protein
Fluorine isotopes
Fluorodeoxyglucose F18
Gallium Radioisotopes
Humans
Medical imaging
Metastases
Neoplasms - metabolism
Positron emission
Positron emission tomography
Positron Emission Tomography Computed Tomography - methods
Quinolines
Target detection
Tumors
title Dual-Tracer PET/CT Protocol with [ 18 F]-FDG and [ 68 Ga]Ga-FAPI-46 for Cancer Imaging: A Proof of Concept
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