Clinical applications of fibroblast activation protein-targeted theranostics in oncologic and nononcologic disease: Current status and future directions

iRadiology Pub Date : 2023-12-10 DOI:10.1002/ird3.46
Hao Fu, Wei Guo, Jingxiong Huang, Hua Wu, Haojun Chen
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Abstract

Quinoline-based fibroblast activation protein (FAP) inhibitor (FAPI)-based positron emission tomography (PET) imaging and radioligand therapy (RLT) are being investigated for use in a wide variety of diseases, and recent results have been promising. This review summarizes the current status of FAPI radiopharmaceuticals in PET imaging of malignant tumors and benign conditions and compares their diagnostic efficacy with 18F-fluorodeoxyglucose. In addition, we summarize the previously published FAP-targeted RLT data and discuss its current clinical use and future potential. Our qualitative summary can inform future research directions, medical guidelines, and optimal clinical decision-making.

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成纤维细胞活化蛋白靶向疗法在肿瘤和非肿瘤疾病中的临床应用:现状与未来方向
目前正在研究基于喹啉的成纤维细胞活化蛋白(FAP)抑制剂(FAPI)的正电子发射断层扫描(PET)成像和放射性配体治疗(RLT)在多种疾病中的应用,最近的研究结果令人鼓舞。本综述总结了 FAPI 放射性药物在恶性肿瘤和良性疾病 PET 成像中的应用现状,并将其诊断效果与 18F - 氟脱氧葡萄糖进行了比较。此外,我们还总结了之前发表的 FAP 靶向 RLT 数据,并讨论了其当前的临床应用和未来潜力。我们的定性总结可为未来的研究方向、医疗指南和最佳临床决策提供参考。
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