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Comparison of the diagnostic efficacy of 68  Ga-FAPI-04 PET/MR and 18 F-FDG PET/CT in patients with pancreatic cancer

We sought to assess the performance of  Ga-FAPI-04 PET/MR for the diagnosis of primary tumours as well as metastatic lesions in patients with pancreatic cancer and to compare the results with those of F-FDG PET/CT. Prospectively, we evaluated 33 patients suspected to have pancreatic adenocarcinoma,...

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Published in:European journal of nuclear medicine and molecular imaging 2022-07, Vol.49 (8), p.2877
Main Authors: Zhang, Zeyu, Jia, Guorong, Pan, Guixia, Cao, Kai, Yang, Qinqin, Meng, Hongyu, Yang, Jian, Zhang, Lu, Wang, Tao, Cheng, Chao, Zuo, Changjing
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container_title European journal of nuclear medicine and molecular imaging
container_volume 49
creator Zhang, Zeyu
Jia, Guorong
Pan, Guixia
Cao, Kai
Yang, Qinqin
Meng, Hongyu
Yang, Jian
Zhang, Lu
Wang, Tao
Cheng, Chao
Zuo, Changjing
description We sought to assess the performance of  Ga-FAPI-04 PET/MR for the diagnosis of primary tumours as well as metastatic lesions in patients with pancreatic cancer and to compare the results with those of F-FDG PET/CT. Prospectively, we evaluated 33 patients suspected to have pancreatic adenocarcinoma, of whom thirty-two were confirmed by histopathology, and one had autoimmune pancreatitis confirmed by needle biopsy and glucocorticoid treatment. Within 1 week, each patient underwent both  Ga-FAPI-04 PET/MR and F-FDG PET/CT. Comparisons of the detection abilities for primary tumours, lymph nodes, and metastases were conducted for the two imaging approaches. The original maximum standard uptake values (SUV ) and normalised SUV (SUV /SUV ) of paired lesions on  Ga-FAPI-04 PET/MR and F-FDG PET/CT were measured and compared. Thirty pancreatic cancer patients and three pancreatitis patients were enrolled.  Ga-FAPI-04 PET/MR and F-FDG PET/CT exhibited equivalent (100%) detection rates for primary tumours. The original/normalised SUV of primary tumours on  Ga-FAPI-04 PET was markedly higher than that on F-FDG (p 
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Sixteen pancreatic cancer patients had pancreatic parenchymal uptake, whereas F-FDG PET images showed parenchymal uptake in only four patients (53.33% vs. 13.33%, p &lt; 0.001).  Ga-FAPI-04 PET detected more positive lymph nodes than F-FDG PET (42 vs. 30, p &lt; 0.001), while F-FDG PET was able to detect more liver metastases than  Ga-FAPI-04 (181 vs. 104, p &lt; 0.001). In addition, multisequence MR imaging helped explain ten pancreatic cancers that could not be definitively revealed due to  Ga-FAPI-04 inflammatory uptake and identified more liver metastases than F-FDG (256 vs. 181, p &lt; 0.001).  Ga-FAPI-04 PET might be better than F-FDG PET in the detection of suspicious lymph node metastases. 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Sixteen pancreatic cancer patients had pancreatic parenchymal uptake, whereas F-FDG PET images showed parenchymal uptake in only four patients (53.33% vs. 13.33%, p &lt; 0.001).  Ga-FAPI-04 PET detected more positive lymph nodes than F-FDG PET (42 vs. 30, p &lt; 0.001), while F-FDG PET was able to detect more liver metastases than  Ga-FAPI-04 (181 vs. 104, p &lt; 0.001). In addition, multisequence MR imaging helped explain ten pancreatic cancers that could not be definitively revealed due to  Ga-FAPI-04 inflammatory uptake and identified more liver metastases than F-FDG (256 vs. 181, p &lt; 0.001).  Ga-FAPI-04 PET might be better than F-FDG PET in the detection of suspicious lymph node metastases. 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Sixteen pancreatic cancer patients had pancreatic parenchymal uptake, whereas F-FDG PET images showed parenchymal uptake in only four patients (53.33% vs. 13.33%, p &lt; 0.001).  Ga-FAPI-04 PET detected more positive lymph nodes than F-FDG PET (42 vs. 30, p &lt; 0.001), while F-FDG PET was able to detect more liver metastases than  Ga-FAPI-04 (181 vs. 104, p &lt; 0.001). In addition, multisequence MR imaging helped explain ten pancreatic cancers that could not be definitively revealed due to  Ga-FAPI-04 inflammatory uptake and identified more liver metastases than F-FDG (256 vs. 181, p &lt; 0.001).  Ga-FAPI-04 PET might be better than F-FDG PET in the detection of suspicious lymph node metastases. 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subjects Adenocarcinoma
Fluorodeoxyglucose F18
Humans
Liver Neoplasms
Magnetic Resonance Imaging
Pancreatic Neoplasms
Pancreatic Neoplasms - diagnostic imaging
Positron Emission Tomography Computed Tomography - methods
Quinolines
title Comparison of the diagnostic efficacy of 68  Ga-FAPI-04 PET/MR and 18 F-FDG PET/CT in patients with pancreatic cancer
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