FAPI and FET PET imaging interpretation & follow up data

PatientMRI findingsFET*** PETFAPI PETDiagnosisFollow-up
T1 post-contrastPerfusionBT-RADS
1Nodular enhancementHyper3C**2.9PositiveRecurrenceRe-surgery, HPR—Grade IV GBM
2Nodular enhancementHyper3C4.07PositiveRecurrenceSalvage TMZ
3Irregular enhancement “Swiss cheese” patternIso3B*2.5NegativePost-treatment changesFollow-up MRI—no change
4Nodular enhancementHyper3B3.6PositiveRecurrenceSalvage TMZ
5Nodular enhancementIso3B5.9PositiveRecurrenceOn Bevacizumab
6Nodular enhancement “Swiss cheese” patternHyper3C4.0PositiveRecurrenceSalvage TMZ

BT-RADS 3B*: indeterminate mix of treatment effect and tumor progression [13]; BT-RADS 3C**: tumor progression favored [13]; FET PET***: tumor-to-white mater cut-off of 2.62 to differentiate between recurrence and post treatment changes [8]; HPR: histopathology report; GBM: glioblastoma; TMZ: temozolamide; MRI: magnetic resonance imaging; FAP: fibroblast-activated protein; FET: fluoro-ethyl tyrosine