18F-FAPI-04与18F-FAPI-42 PET/CT对肿瘤患者正常组织生理摄取的比较

Xingyu Mu, Xiaoxue Huang, Meng Li, Wenjie Sun, Wei Fu
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引用次数: 0

摘要

目的利用18F-AlF-NOTA-FAPI-04 (18F-FAPI-04)和18F-AlF-NOTA-FAPI-42 (18F-FAPI-42) PET/CT计算肿瘤患者各组织的生理摄取,并比较两种扫描的标准摄取值的变化。材料和方法本回顾性分析包括40例接受18F-FAPI治疗的癌症患者;前20例患者接受18F-FAPI-04 PET/CT,其余20例患者接受18F-FAPI-42 PET/CT。CT图像共发现49个正常组织,包括脑(大脑/小脑)、腮腺和下颌下腺、腭扁桃体和甲状腺。对这些正常组织计算最大标准化摄取值(SUVmax)和平均标准化摄取值(SUVmean)。我们还比较了相同组织的SUVmean,以探索两种放射性示踪剂之间生物分布的差异。结果18F-FAPI-04和18F-FAPI-42的积累模式相似。两种示踪剂在胆囊、子宫、颌下腺和肾盂的高摄取被证实(范围:SUVmax, 4.01-5.75;SUVmean, 2.92 - -4.22)。此外,18F-FAPI-42的骨组织摄取略高于18F-FAPI-04(范围:SUVmean, 0.4±0.22-0.9±0.34和0.3±0.24-0.7±0.18,p < 0.05),而18F-FAPI-04的部分软组织摄取高于18F-FAPI-42(范围:SUVmean, 0.9±0.24-1.5±0.35和0.9±0.26-1.2±0.37,p < 0.05)。结论两种放射性配体在癌症患者正常组织中表现出相似的生理摄取。此外,18F-FAPI-42对骨组织的摄取高于18F-FAPI-04,而对软组织的摄取低于18F-FAPI-04。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of physiological uptake of normal tissues in patients with cancer using 18F-FAPI-04 and 18F-FAPI-42 PET/CT.

Purpose: To calculate the physiological uptake of various tissues in patients with cancer using 18F-AlF-NOTA-FAPI-04 (18F-FAPI-04) and 18F-AlF-NOTA-FAPI-42 (18F-FAPI-42) PET/CT and to compare the variation in standard uptake values between the two scans.

Materials and methods: This retrospective analysis included 40 patients with cancer who underwent 18F-FAPI; the first 20 patients received 18F-FAPI-04 PET/CT and the remaining 20 patients received 18F-FAPI-42 PET/CT. A total of 49 normal tissues, including the brain (cerebrum/cerebellum), parotid and submandibular glands, palatine tonsils, and thyroid, were identified on CT images. For these normal tissues, maximum standardized uptake value (SUVmax) and mean standardized uptake value (SUVmean) were calculated. We also compared the SUVmean of identical tissues to explore the difference in biodistribution between the two radiotracers.

Results: The accumulation of 18F-FAPI-04 and 18F-FAPI-42 showed an analogous pattern. High uptake of both radiotracers in the gallbladder, uterus, submandibular gland, and renal pelvis was demonstrated (range: SUVmax, 4.01-5.75; SUVmean, 2.92-4.22). Furthermore, the uptake of bony tissues was slightly higher in 18F-FAPI-42 than in 18F-FAPI-04 (range: SUVmean, 0.4 ± 0.22-0.9 ± 0.34 and 0.3 ± 0.24-0.7 ± 0.18, respectively, p < 0.05), while the uptake of some soft tissues was higher in 18F-FAPI-04 than in 18F-FAPI-42 (range: SUVmean, 0.9 ± 0.24-1.5 ± 0.35 and 0.9 ± 0.26-1.2 ± 0.37, respectively, p < 0.05).

Conclusions: Both radioligands exhibited similar physiological uptake of normal tissues in patients with cancers. In addition, 18F-FAPI-42 demonstrated higher uptake of bone tissues than 18F-FAPI-04 while showing lower uptake of soft tissues than 18F-FAPI-04.

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