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68Ga-Fapi-46 Pet/Ct in a Metastatic Castration-Resistant Prostate Cancer Patient With Low Psma Expression Publisher Pubmed



Aryana K1 ; Manafifarid R2 ; Amini H3 ; Divband G3 ; Moghadam SZ4
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Authors Affiliations
  1. 1. Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  2. 2. Research Center for Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, Iran
  3. 3. Khatam PET/CT Center, Khatam-al-Anbia Hospital, Tehran, Iran
  4. 4. Nuclear Medicine Center, Velayat Hospital, Qazvin University of Medical Sciences, Qazvin, Iran

Source: Clinical Nuclear Medicine Published:2022


Abstract

A 70-year-old man with mCRPC (metastatic castration-resistant prostate cancer) was referred for 68Ga-PSMA PET/CT for restaging and the possibility of targeted molecular radioligand therapy with 177Lu-PSMA. Numerous 68Ga-PSMA-avid skeletal metastases with low SUVs were noted. Because of low PSMA expression, a 68Ga-FAPI-46 PET/CT was performed to evaluate the eligibility for FAPI-based radioligand therapy. There were some discordant findings between 68Ga-PSMA and 68Ga-FAPI PET/CT scans regarding the detectability of lesions and SUVs. Our case signifies that 68Ga-FAPI theragnostic may have a potential role in the treatment of mCRPC patients with insignificant PSMA expression or in cases after the failure of 177Lu-PSMA therapy. © Wolters Kluwer Health, Inc. All rights reserved.
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