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Performance of 18 F‑FAPI PET/CT in assessing glioblastoma before radiotherapy: a pilot study

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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 [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 [3]Institute of Isotope, China Institute of Atomic Energy, 102413 Beijing, China
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关键词: Glioblastoma FAPI PET/CT Metabolic parameters Molecular expression MRI

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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.

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 4 区 核医学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 核医学
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出版当年[2022]版:
Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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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
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