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@ARTICLE{Hoppner:284822,
author = {J. Hoppner and L. van Genabith and T. Hielscher$^*$ and U.
Heger and L. Sperling and T. Colbatzky and E. Gutjahr and M.
Lang and T. Pausch and A.-M. Spektor and F. M. Glatting$^*$
and J. Liermann and T. Hackert and C. Kratochwil and F. L.
Giesel and U. Haberkorn$^*$ and M. Röhrich},
title = {{C}omparison of early and late 68{G}a-{FAPI}-46-{PET} in 33
patients with possible recurrence of pancreatic ductal
adenocarcinomas.},
journal = {Scientific reports},
volume = {13},
number = {1},
issn = {2045-2322},
address = {[London]},
publisher = {Macmillan Publishers Limited, part of Springer Nature},
reportid = {DKFZ-2023-02118},
pages = {17848},
year = {2023},
abstract = {Positron emission tomography with 68Gallium (68Ga) labeled
inhibitors of fibroblast activation protein (68Ga-FAPI-PET)
is a promising imaging technique for patients with recurrent
pancreatic ductal adenocarcinomas (PDAC). To date, it is not
clear if different acquisition timepoints for 68Ga-FAPI-PET
may result in comparable imaging information and if
repetitive 68Ga-FAPI-PET imaging may add diagnostic value to
single timepoint acquisition for recurrent PDAC. Here we
analyzed retrospectively early (20 min p.i.) and late (60
min p.i.) 68Ga-FAPI-PET imaging using FAPI-46 of 33 patients
with possible recurrence of PDAC concerning detection rates
and uptake over time of local recurrences, metastases,
inflammatory lesions of the pancreas, cholestatic lesions of
the liver and reactive tissue. 33 patients with
histologically confirmed PDAC after complete or partial
resection of the pancreas and possible recurrence were
examined by 68Ga-FAPI-46-PET acquired 20- and 60-min post
injection (p.i.) of the radiotracer. FAPI-positive lesions
were classified as local recurrences, metastases,
inflammatory lesions of the pancreas (ILP), cholestatic
lesions of the liver and reactive tissue based on histology,
PET- and CT-morphology and clinical information. Lesions
were contoured, and standardized uptake values (SUVmax and
SUVmean) and target-to-background ratios (TBR) were analyzed
for both acquisition timepoints. In total, 152 FAPI-positive
lesions (22 local relapses, 47 metastases, 26 inflammatory
lesions of the pancreas, 28 reactive tissues, and 29
cholestatic lesions) were detected. Detection rates for the
early and late acquisition of 68Ga-FAPI-46-PET were almost
identical except cholestatic lesions, which showed a higher
detection rate at early imaging. SUV parameters and TBRs of
ILP significantly decreased over time. Cholestatic lesions
showed a tendency towards decreasing uptake. All other types
of lesions showed relatively stable uptake over time. Early
and late acquisition of 68Ga-FAPI-PET results in comparable
imaging information in patients with possible recurrence of
PDAC. Two timepoint imaging offers additional diagnostic
potential concerning differential diagnoses.},
cin = {C060 / E055 / E060},
ddc = {600},
cid = {I:(DE-He78)C060-20160331 / I:(DE-He78)E055-20160331 /
I:(DE-He78)E060-20160331},
pnm = {315 - Bildgebung und Radioonkologie (POF4-315)},
pid = {G:(DE-HGF)POF4-315},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37857656},
doi = {10.1038/s41598-023-43049-2},
url = {https://inrepo02.dkfz.de/record/284822},
}