
European Journal of Nuclear Medicine and Molecular Imaging, Journal Year: 2025, Volume and Issue: unknown
Published: April 25, 2025
Abstract Purpose This study aims to systematically review and perform a meta-analysis compare the diagnostic performance of fibroblast activation protein inhibitors (FAPI) radiopharmaceuticals 2-deoxy-2-[ 18 F]fluoro-D-glucose ([ F]FDG) in gynaecological cancers. Methods A comprehensive search PubMed/MEDLINE EMBASE was conducted updated October 25, 2024, identify clinical studies evaluating FAPI [ F]FDG PET/CT or PET/MR patients with cancer. Quality assessed using QUADAS-2 tool (Quality Assessment Diagnostic Accuracy Studies). Per-lesion pooled estimates sensitivity, specificity, positive predictive value, negative value were calculated 95% confidence intervals. Results Ten included for qualitative assessment five focusing on ovarian cancer meta-analysis. The detection rates primary cervical ranged from 96 100% both radiopharmaceuticals. For tumour cancer, sensitivities 68 Ga-FAPI 92%, specificities 81% Nodal metastases higher compared Similarly, estimated 97% 88%, 83% 41%, respectively. At peritoneal analysis 70%, 93% visual scores, such as index, detected greater burden F]FDG. comparative PET semiquantitative parameters also performed. Conclusion Despite limited literature data, based FAPIs are promising alternative imaging cancers, particular nodal well detecting Larger prospective needed confirm these results promote inclusion practice. Clinical trial number Not applicable.
Language: Английский