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PET / CT examination using [18F] FAPI-74 is performed on patients diagnosed with malignant tumor, and the pathological condition is determined by comparing with FDG-PET/CT examination of conventional diagnostic imaging.
Cancer stroma accounts for more than 90% of all tumors, and cancer-related fibroblasts (CAFs) play an important role in the growth and progression of cancer. FAP expressed in CAF has been found to be expressed in many cancers, and [68Ga] FAPI-04 and [18F] FAPI-74, which are PET diagnostic agents for FAP ligand FAPI, have been used all over the world. The purpose of this study is to perform PET / CT using [18F] FAPI-74 injection for patients diagnosed with malignant tumors, mainly pancreatic cancer and gastric cancer to evaluate the pathology in detail by comparing with the FDG-PET/CT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FAPI-PET/CT group | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PET/CT ([F-18]FAPI-74) | Drug | PET/CT using [18F] FAPI-74 injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of the uptake on FAPI-PET with conventional imaging | Comparison of SUV (standardized uptake value) of primary site and metastatic lesions between FAPI-PET and FDG-PET | Within 2 hours after administration of [F-18]FAPI-74 injection |
| Comparison with pathological specimens | Comparison of expression level (staining score) in FAP immunostaining and SUV in FAPI-PET (FAP staining is graded by scoring evaluation: high expression (3 points), moderate expression (2 points), mild expression (1 point), and no significant expression (0 point).) | Within one month after FAPI-PET |
| Time course of uptake on FAPI-PET | Time course of uptake on FAPI-PET before and after treatment compared with conventional imaging | Approximately 6 months after initial FAPI-PET |
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Inclusion Criteria:
Patients who meet any of the following conditions.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tadashi Watabe, M.D., Ph.D. | Contact | +81-6-6879-3461 | watabe@tracer.med.osaka-u.ac.jp |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Osaka University Hospital | Recruiting | Suita | Osaka | 565-0871 | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34420105 | Result | Naka S, Watabe T, Lindner T, Cardinale J, Kurimoto K, Moore M, Tatsumi M, Mori Y, Shimosegawa E, Valla F Jr, Kato H, Giesel FL. One-pot and one-step automated radio-synthesis of [18F]AlF-FAPI-74 using a multi purpose synthesizer: a proof-of-concept experiment. EJNMMI Radiopharm Chem. 2021 Aug 21;6(1):28. doi: 10.1186/s41181-021-00142-z. |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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