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The Role of 68Ga-FAPI-04 PET/CT in Gastric and Pancreatic Cancers

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Patrocinadores
Tel-Aviv Sourasky Medical Center

Palabras clave

Abstracto

The aim of the suggested study is to assess the added value of 68Ga-FAPI-04 PET/CT over 18F-FDG PET/CT in evaluating the extent of disease in pancreatic and gastric cancer, malignancies that are known to show variable FDG-avidity, at times, no uptake at all.
Although some studies reported a relatively high sensitivity of FDG-PET/CT for pancreatic cancer, FDG uptake in these tumors is usually only slightly higher than the mean SUV of the pancreas itself [10]. Also, false-negative PET results can be observed in hyperglycemic patients or in subcentimeter lesions, whereas false-positive PET results can occur in some inflammatory states.

fechas

Verificado por última vez: 05/31/2020
Primero enviado: 06/13/2020
Inscripción estimada enviada: 06/18/2020
Publicado por primera vez: 06/21/2020
Última actualización enviada: 06/20/2020
Última actualización publicada: 06/22/2020
Fecha de inicio real del estudio: 06/22/2020
Fecha estimada de finalización primaria: 07/04/2020
Fecha estimada de finalización del estudio: 06/22/2021

Condición o enfermedad

Gastric and Pancreatic Cancers

Intervención / tratamiento

Radiation: gastric and pancreatic cancers

Fase

-

Grupos de brazos

BrazoIntervención / tratamiento
Experimental: gastric and pancreatic cancers
The study population will include 25 patients with one of the following indications: Exocrine Pancreatic cancer. Gastric carcinoma, either with low-FDG uptake or known to be mucin-producing or signet-ring carcinoma. The study population will include only patients treated in Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel, and referred by their attending physicians, of whom are part of the hospital staff.
Radiation: gastric and pancreatic cancers
Patients will undergo two scans: first a routine FDG PET scan and a FAPI PET scan, within 10 days. Scans will be interpreted by board certified Nuclear medicine physicians and board certified radiologists. Immunohistochemical analysis with specific staining for FAP will be performed in removed malignant tissues, either at surgery or from biopsy, to assess a possible correlation between the intensity of uptake and the level of FAP expression.

Criterio de elegibilidad

Edades elegibles para estudiar 18 Years A 18 Years
Sexos elegibles para estudiarAll
Acepta voluntarios saludablessi
Criterios

Inclusion Criteria:

The study population will include 25 patients with one of the following indications:

1. Exocrine Pancreatic cancer.

2. Gastric carcinoma, either with low-FDG uptake or known to be mucin-producing or signet-ring carcinoma.

- The study population will include only patients treated in Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel, and referred by their attending physicians, of whom are part of the hospital staff.

Exclusion Criteria:

- Age < 18 years.

- Pregnant females.

- Patients who are reluctant to undergo both FDG and FAPI PET scans.

Salir

Medidas de resultado primarias

1. Patients who preformed 68Ga-FAPI-04 PSMA. [1 year]

To evaluate the avidity of gastric and pancreatic cancers to 68Ga-FAPI-04.

2. Patients who preformed 68Ga-FAPI-04 PSMA and PET/CT FDG. [1 year]

To compare the detectability of FAPI-04 and FDG for malignant lesions.

3. Patients who preformed 68Ga-FAPI-04 PSMA and PET/MRI. [1 year]

To evaluate the potential impact of 68Ga-FAPI-04 PET/CT and/or PET/MRI on patient management.

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