机构:[1]Department of Nuclear Medicine, Sichuan Cancer Hospital&Institute, SichuanCancer Center, University of Electronic Science and Technology of China,No.55, Section 4, South People’s Road, Sichuan 610041 Chengdu, China四川省肿瘤医院[2]Department of Radiation Oncology, Sichuan Cancer Hospital&Institute,Sichuan Cancer Center, University of Electronic Science and Technologyof China, No.55, Section 4, South People’s Road, 610041 Chengdu, China四川省肿瘤医院[3]Institute of Isotope, China Institute of Atomic Energy, 102413 Beijing, China
Background: We aimed to determine the performance of 18 F-FAPI PET/CT used for preprocedural assessment of
glioblastoma before radiotherapy.
Methods: Twelve glioblastoma patients having undergone incomplete surgical resection or biopsy were examined
with 18 F-FAPI PET/CT and MRI scanning before radiotherapy. All patients had confirmed tumor residues according
to findings of histopathological and/or long-term clinical and radiological follow-ups. Lesion characterization data,
including SUVmax
and tumor-to-background ratio (TBR) on PET/CT were attained. PET/CT and MRI findings were compared
in terms of number of lesions. The correlation between immunohistochemistry, molecular expression, and PET/
CT parameters was also evaluated.
Results: 18 F-FAPI PET/CT detected 16 FAPI-avid out of 23 lesions in 12 patients described on MRI. MRI was statistically
different from 18 F-FAPI PET/CT for lesion detection according to the exact McNemar statistical test (P = 0.0156).
The SUVmax
and TBR of the glioblastomas was 7.08 ± 3.55 and 19.95 ± 13.22, respectively. The sensitivity and positive
predictive value (PPV) of 18 F-FAPI PET were 69.6% and 100%, respectively. Neither the Ki-67 index nor the molecular
expression was correlated with the FAPI-PET/CT parameters.
Conclusion: 18 F-FAPI PET/CT detects glioblastomas at a lower rate than MRI. However, the 100% PPV of the examination
may make it useful for differentiating controversial lesions detected on MRI. The 18 F-FAPI-avid lesions are
displayed more clearly probably due to a higher TBR. 18 F-FAPI PET/CT imaging might find application in glioblastoma
biopsy and radiotherapy planning.
基金:
Science and Technology Program of
Sichuan Province (No. 2020YFS0417 and 2021YFS0227), Sichuan Medicine
Research Project (No. S21030), The Education Program of Sichuan
Province(No.18ZB0241), Sichuan Cancer Hospital Outstanding Youth Funding
(YB2021029).
第一作者机构:[1]Department of Nuclear Medicine, Sichuan Cancer Hospital&Institute, SichuanCancer Center, University of Electronic Science and Technology of China,No.55, Section 4, South People’s Road, Sichuan 610041 Chengdu, China
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
Yao Yutang,Tan Xiaofei,Yin Wenya,et al.Performance of 18 F‑FAPI PET/CT in assessing glioblastoma before radiotherapy: a pilot study[J].BMC MEDICAL IMAGING.2022,22(1):doi:10.1186/s12880-022-00952-w.
APA:
Yao Yutang,Tan Xiaofei,Yin Wenya,Kou Ying,Wang Xiaoxiong...&Cheng Zhuzhong.(2022).Performance of 18 F‑FAPI PET/CT in assessing glioblastoma before radiotherapy: a pilot study.BMC MEDICAL IMAGING,22,(1)
MLA:
Yao Yutang,et al."Performance of 18 F‑FAPI PET/CT in assessing glioblastoma before radiotherapy: a pilot study".BMC MEDICAL IMAGING 22..1(2022)