18F-FDG PET/CT和68Ga-FAPI-04 PET/CT在评估IgG4相关疾病类固醇治疗反应中的不同表现:一例报告

Guorong Jia, Dejian Bian, Chao Cheng, Meitang Wang, Changjing Zuo
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引用次数: 0

摘要

IgG4相关疾病是一种纤维炎症过程,属于免疫调节障碍。我们报告一例57岁男性IgG4相关疾病(RD)。68Ga-FAPI-04 PET/CT在除颈部和纵隔淋巴结外的大多数病变中显示出比18F-FDG PET/CT更显著的摄取。此外,在68Ga-FAPI-04 PET/CT中仅检测到下颌下腺的摄取。颈淋巴结活检结果证实了IgG4相关疾病的诊断。治疗后,在18F-FDG PET/CT中只观察到轻微的FDG狂热的颈部淋巴结,而在胰腺和下颌下腺中可以观察到68Ga-FAPI-04的摄取增加。68Ga-FAPI-04 PET-CT在评估IgG4 RD方面可能具有很好的应用前景,无论是在类固醇治疗期间的初始成像还是后续成像中。
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The different manifestations of 18F-FDG PET/CT and 68Ga-FAPI-04 PET/CT in evaluation of the steroid therapy response for IgG4-related disease: A case report.

IgG4-related disease is a fibrous-inflammatory process belonging to immunomodulation disorders. We report a case of a 57-year-old man with the IgG4-related disease (RD). 68Ga-FAPI-04 PET/CT showed more significant uptake in most lesions than in 18F-FDG PET/CT except for the cervical and mediastinal lymph nodes. Besides, uptake in the submandibular glands were only detected in 68Ga-FAPI-04 PET/CT. The biopsy result of the cervical lymph nodes confirmed the diagnosis of IgG4-related disease. After treatment, only slight FDG-avid cervical lymph nodes were observed in the 18F-FDG PET/CT, while the raised uptake of 68Ga-FAPI-04 could be observed in the pancreas and submandibular glands. 68Ga-FAPI-04 PET-CT might have promising applications in evaluating IgG4-RD, whether in initial or follow-up imaging during steroid therapy.

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