From the Departments of Nuclear Medicine & Minnan PET Center.
PET Center, Huashan Hospital.
Clin Nucl Med. 2022 Jan 1;47(1):90-92. doi: 10.1097/RLU.0000000000003752.
Pineal yolk sac tumors (YSTs) are a rare type of extragonadal YST. They make up a small fraction of all intracranial germ cell tumors and an even small fraction of pineal masses overall. This study reported a case of pineal YST with α-fetoprotein production revealed by 18F-FDG and 68Ga-FAPI PET/MRI. In the PET images, 68Ga-FAPI showed a far better tumor-to-background ratio than 18F-FDG in the pineal YST because there is little 68Ga-FAPI uptake in the brain. This case indicates that 68Ga-FAPI PET/MRI may be a useful tool for evaluating intracranial YST and other types of tumors in central nervous system.
松果体卵黄囊瘤(YST)是一种罕见的颅外 YST。它们在所有颅内生殖细胞瘤中所占比例很小,在整个松果体肿块中所占比例更小。本研究报告了一例松果体 YST 的病例,该病例通过 18F-FDG 和 68Ga-FAPI PET/MRI 显示出甲胎蛋白的产生。在 PET 图像中,由于大脑中几乎没有 68Ga-FAPI 摄取,因此 68Ga-FAPI 在松果体 YST 中的肿瘤与背景的比值远高于 18F-FDG。该病例表明,68Ga-FAPI PET/MRI 可能是评估颅内 YST 和中枢神经系统其他类型肿瘤的有用工具。