Mori Yuriko, Kramer Vasko, Novruzov Emil, Mamlins Eduards, Röhrich Manuel, Fernández René, Amaral Horacio, Soza-Ried Cristian, Monje Barbara, Sabbagh Eduardo, Florenzano Matías, Giesel Frederik L, Undurraga Álvaro
Department of Nuclear Medicine, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University Duesseldorf, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Center for Nuclear Medicine and PET/CT, PositronMed, 7501068, Providencia, Santiago, Chile.
Eur J Nucl Med Mol Imaging. 2024 May;51(6):1605-1611. doi: 10.1007/s00259-023-06564-y. Epub 2023 Dec 20.
UNLABELLED: Idiopathic pulmonary fibrosis (IPF) is a chronic fibrosing interstitial lung disease with a poor prognosis. Ga-labeled FAP ligands exhibited highly promising results due to the crucial role of activated fibroblasts in fibrosis imaging of the lung. However, F-labeled FAP ligands might provide qualitatively much higher imaging results with accompanying economic benefits due to large-scale production. Thus, we sought to investigate the potential of [F]FAPI-74 prospectively in a small patient cohort. METHODS: Eight patients underwent both [F]FAPI-74-PET/CT and HRCT scans and were then compared with a control group without any fibrosing pulmonary disease. The tracer uptake of fibrotic lung areas was analyzed in synopsis with radiological and clinical parameters. RESULTS: We observed a positive correlation between the fibrotic active volume, the Hounsfield scale, as well as the vital and diffusing capacity of the lung. CONCLUSION: The initial results confirm our assumption that [F]FAPI-74 offers a viable non-invasive assessment method for pulmonary fibrotic changes in patients with IPF.
未标记:特发性肺纤维化(IPF)是一种预后不良的慢性纤维化间质性肺疾病。由于活化成纤维细胞在肺部纤维化成像中的关键作用,镓标记的FAP配体显示出非常有前景的结果。然而,由于大规模生产,氟标记的FAP配体可能在质量上提供更高的成像结果并带来经济效益。因此,我们试图前瞻性地研究[F]FAPI-74在一小群患者中的潜力。 方法:8名患者接受了[F]FAPI-74-PET/CT和HRCT扫描,然后与没有任何纤维化肺病的对照组进行比较。结合放射学和临床参数分析纤维化肺区域的示踪剂摄取情况。 结果:我们观察到纤维化活性体积、亨氏菲尔德量表以及肺的肺活量和弥散能力之间存在正相关。 结论:初步结果证实了我们的假设,即[F]FAPI-74为IPF患者的肺部纤维化变化提供了一种可行的非侵入性评估方法。
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