001     168701
005     20240917145525.0
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037 _ _ |a DKFZ-2021-01009
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Röhrich, Manuel
|b 0
245 _ _ |a 68Ga-FAPI-PET/CT improves diagnostic staging and radiotherapy planning of Adenoid Cystic Carcinomas - imaging analysis and histological validation.
260 _ _ |a Amsterdam [u.a.]
|c 2021
|b Elsevier Science
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500 _ _ |a 2021 May 1;160:192-201
520 _ _ |a Adenoid cystic carcinomas (ACCs) are rare epithelial tumors mostly situated in the head and neck region and characterized by infiltrative growth. The tumor stroma of ACCs includes cancer-associated fibroblasts (CAFs) expressing Fibroblast Activation Protein (FAP), a new target for positron emission tomography (PET) imaging. Here we describe the value of PET/ computed tomography (PET/CT) imaging using 68Ga-labelled FAP-Inhibitors (68Ga-FAPI-PET/CT) and their clinical potential for staging and radiotherapy planning in 12 ACC patients (7 primary, 5 recurrent).Patients underwent contrast enhanced staging CT (ceCT) and magnetic resonance imaging (ceMRI) before 68Ga-FAPI - PET/CT. PET-scans were acquired 10, 60 and 180 minutes after administration of 150-250 MBq of 68Ga-labelled FAPI tracers. SUVmax and SUVmean values of ACCs and healthy organs were obtained using a 60% of maximum iso-contour. FAP and alpha smooth muscle actin (α-SMA) immunohistochemistry was performed in 13 cases (3 with and 10 without 68Ga FAPI-PET/CT). Staging and radiotherapy planning based on 68Ga-FAPI-PET/CT versus ceCT/MRI alone were compared.We observed elevated tracer uptake in all ACCs. Immunohistochemistry showed FAP-expressing CAFs in the tumor. Compared to conventional staging, 68Ga-FAPI-PET/CT led to upstaging in 2/12 patients and to detection of additional metastases in 3 patients, thus in total 42% of patients had their staging altered. Moreover, 68Ga-FAPI PET improved the accuracy of target volume delineation for radiotherapy, as compared to CT and MRI.68Ga-FAPI-PET/CT is a promising imaging modality for ACC, increasing the accuracy of staging exams and radiotherapy planning volumes, as compared conventional to CT and MRI.
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650 _ 7 |a ACC
|2 Other
650 _ 7 |a Adenoid cystic carcinoma
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650 _ 7 |a FAP
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650 _ 7 |a Fibroblast Activation Protein
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650 _ 7 |a Positron Emission Tomography
|2 Other
650 _ 7 |a Radiotherapy
|2 Other
650 _ 7 |a Staging
|2 Other
650 _ 7 |a TNM
|2 Other
650 _ 7 |a alpha SMA
|2 Other
700 1 _ |a Syed, Mustafa
|b 1
700 1 _ |a Liew, Dawn P
|b 2
700 1 _ |a Giesel, Frederik L
|0 P:(DE-He78)5ca7e97b2769bb97f8c73431c6566b94
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700 1 _ |a Liermann, Jakob
|b 4
700 1 _ |a Choyke, Peter L
|b 5
700 1 _ |a Wefers, Annika K
|0 P:(DE-He78)32977c5abc127b0373ece54294a41f63
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700 1 _ |a Ritz, Thomas
|b 7
700 1 _ |a Szymbara, Marina
|0 P:(DE-He78)fb880577e0932ea92d81172263f291f0
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700 1 _ |a Schillings, Lisa
|b 9
700 1 _ |a Heger, Ulrike
|b 10
700 1 _ |a Rathke, Hendrik
|b 11
700 1 _ |a Kratochwil, Clemens
|b 12
700 1 _ |a Huber, Peter E
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700 1 _ |a von Deimling, Andreas
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700 1 _ |a Debus, Jürgen
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700 1 _ |a Kauczor, Hans-Ulrich
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700 1 _ |a Haberkorn, Uwe
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700 1 _ |a Adeberg, Sebastian
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Marc 21