FAPI radiopharmaceuticals in nuclear oncology and theranostics of solid tumours: are we nearer to surrounding the hallmarks of cancer?
Annals of Nuclear Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 11, 2025
Abstract
[
18
F]FDG
PET/CT
is
the
most
widely
used
PET
radiopharmaceutical
in
oncology,
but
it
not
exempt
of
diagnostic
limitations.
FAPI
have
emerged
as
a
great
tool
management
several
different
solid
tumours
which
able
to
provide
enough
information.
The
aim
this
work
was
evaluate
available
evidence
on
and
therapeutic
applications
with
radiopharmaceuticals.
We
underwent
non-systematic
review
focusing
utility
radiopharmaceuticals
diagnosis
treatment
malignancies.
present
characteristics
that
can
potentially
overcome
some
known
limitations
F]FDG.
high
target-to-background
ratio
(TBR)
many
such
oesophageal
cancer,
gastric
pancreatic
hepatic
colorectal
breast
ovarian,
cervical
head
neck
cancer.
Available
suggests
TBR
improves
sensitivity
specificity
compared
F]FDG,
especially
for
detection
lymphadenopathies
peritoneal
metastases,
may
improve
patient
radiation
planning.
Moreover,
important
underline
potential
theranostic
application
Language: Английский
FAPI-PET/CT guided radiotherapy for patients with esophageal cancer
Radiation Oncology,
Journal Year:
2025,
Volume and Issue:
20(1)
Published: Feb. 28, 2025
Language: Английский
Fibroblast Activation Protein Inhibitor (FAPI)-Based Theranostics
Pharmaceuticals,
Journal Year:
2025,
Volume and Issue:
18(4), P. 522 - 522
Published: April 3, 2025
Fibroblast
activation
protein
(FAP)
is
a
serine
protease
selectively
expressed
in
cancer-associated
fibroblasts
(CAFs),
fibrotic
tissues,
and
areas
of
active
tissue
remodeling,
making
it
an
attractive
target
for
diagnostic
imaging
across
spectrum
disease.
FAP
inhibitors
(FAPIs)
labeled
with
PET
tracers
have
rapidly
advanced
as
novel
modality
broad
clinical
applications
that
offers
several
advantages,
including
rapid
tumor
accumulation,
low
background
uptake,
high
tumor-to-background
ratios.
In
oncology,
FAPI
has
demonstrated
excellent
performance
visualizing
wide
range
malignancies,
those
glycolytic
activity,
such
pancreatic
cancer,
cholangiocarcinoma,
certain
sarcomas.
Its
sensitivity
specificity
the
stromal
component
enables
improved
delineation,
staging,
response
assessment.
Additionally,
potential
to
guide
theranostic
approaches,
where
same
tracer
can
be
therapeutic
radionuclides,
positions
key
player
precision
oncology.
Beyond
shown
promise
conditions
characterized
by
inflammatory
processes.
cardiovascular
field,
being
investigated
its
ability
detect
myocardial
fibrosis
cardiac
crucial
like
heart
failure,
post-myocardial
infarction
hypertrophic
cardiomyopathy.
This
review
highlights
expanding
FAPI-based
inflammation,
While
current
data
are
promising,
further
large-scale
studies
multicenter
trials
essential
validate
these
findings
establish
standardized
protocols.
The
versatility
applicability
underscore
transformative
tool
medicine.
Language: Английский
FAPI PET Versus FDG PET/CT in Gastrointestinal Cancers: An Overview
Zhaoguo Lin,
No information about this author
Pawel Rasinski,
No information about this author
Ted Nilsson
No information about this author
et al.
Seminars in Nuclear Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 1, 2025
Fibroblast
activation
protein
(FAP)
is
a
type
II
transmembrane
serine
protease
that
highly
expressed
in
cancer-associated
fibroblasts
(CAFs)
but
absent
quiescent
fibroblasts.
Its
overexpression
associated
with
poor
prognosis
various
cancers
and
contributes
to
treatment
resistance.
In
recent
years,
radiolabeled
FAP
inhibitors
(FAPI)
for
PET
imaging
have
shown
promising
clinical
value
across
range
of
cancers.
Gastrointestinal
(GI)
malignancies,
which
often
exhibit
desmoplastic
reaction
high
density
FAP-expressing
CAFs,
are
particularly
well-suited
FAPI
PET.
Given
the
limitations
[18F]FDG
GI
cancers,
such
as
low
sensitivity
certain
histological
subtypes
physiological
background
uptake,
expected
serve
complementary
method,
potentially
enhancing
both
diagnostic
accuracy
guidance.
This
review
provides
comprehensive
comparison
applications
including
their
diagnosis,
staging,
Additionally,
this
summarizes
studies
on
expanding
role
PET,
its
use
assessing
response
predicting
prognosis,
aiming
provide
insights
into
potential
contribution
improved
management
malignancies.
Language: Английский
One-Stop 68Ga-FAPI/18F-FDG Total-Body PET/CT Scan
Huaping Gao,
No information about this author
Han Tang,
No information about this author
Zhe Zheng
No information about this author
et al.
Clinical Nuclear Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 24, 2025
Purpose:
This
prospective
study
aims
to
assess
the
feasibility
of
a
one-stop
imaging
protocol
using
68
Ga-FAPI-04/
18
F-FDG
dual-radiotracer
with
dual-low-activity
for
tumor
imaging.
Patients
and
Methods:
Forty
patients
underwent
Ga-FAPI-04
PET
(PET
FAPI
)
DUAL
total-body
PET/CT
scanner
194-cm
axial
field
view.
After
half-dose
(0.925
MBq/kg)
PET/CT,
an
additional
(1.85
was
administered
60-minute
dynamic
acquisition.
reconstructed
at
10-minute
intervals
D0–10
,
D10–20
D20–30
D30–40
D40–50
D50–60
).
Data
lesion
detectability,
target-to-background
ratios,
staging,
total
radiation
dose
were
analyzed.
A
target-to-liver
ratio
(TLR)
≥
3
on
considered
indicative
sufficient
fibroblast
activation
protein
expression.
Results:
showed
similar
performance
in
detecting
primary
tumors
(42
vs
41,
P
>
0.999).
However,
significantly
more
metastatic
lesions
identified
compared
(102
60,
<
0.001).
demonstrated
higher
TLR,
target-to-blood-pool
ratio,
target-to-normal-tissue
than
(
0.05).
Lesion
detectability
across
(all
’s
Notably,
detected
all
by
.
no
significant
differences
Up
94.9%
malignant
exhibited
TLR
The
average
effective
9.85
±
2.19
mSv,
that
whole-body
PET/CT.
Conclusions:
one-stop,
dual-radiotracer,
combines
strengths
F-FDG,
offering
shorter
duration
reduced
exposure.
Language: Английский
Radiolabelled FGF-2 for Imaging Activated Fibroblasts in the Tumor Micro-Environment
Biomolecules,
Journal Year:
2024,
Volume and Issue:
14(4), P. 491 - 491
Published: April 18, 2024
Tumor
associated
fibroblasts
(TAFs)
play
a
key
role
in
tumor
growth
and
metastatization.
TAFs
overexpress
different
biomarkers
that
are
usually
expressed
at
low
levels
physiological
conditions.
Among
them
the
fibroblast
factor
receptors
(FGFRs)
bind
factors
(FGFs).
In
particular,
overexpression
of
FGFR-2c
tumors
has
been
with
advanced
clinical
stages
increased
Here,
we
developed
non-invasive
tool
to
evaluate,
vivo,
expression
metastatic
cancer.
This
is
based
on
Language: Английский