18 F-FAPI-04 PET/CT Outperforms 18 F-FDG in Detecting Multiple Muscle and Subcutaneous Adipose Tissue Involvement of Marginal Zone Lymphoma.
Lijuan Feng, Hao Wang, Wei Zhang
✦ AI-curated · Sources linked
Case in brief
A 63-year-old man presented with marginal zone lymphoma (MZL) involving multiple muscles and subcutaneous adipose tissue, a rare occurrence. Imaging with 18 F-FAPI-04 PET/CT revealed significantly higher radiotracer uptake and better detection of lesions compared to 18 F-FDG PET/CT. Notably, 18 F-FAPI-04 identified occult involvement in the right neck muscle that was not visible on 18 F-FDG PET/CT.
Diagnostic / clinical pearl
18 F-FAPI-04 PET/CT is superior to 18 F-FDG PET/CT in detecting marginal zone lymphoma with muscle and subcutaneous adipose tissue involvement, particularly for lesions with mild FDG avidity.