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DiagnosticPeer-ReviewedPubMedJournal of nuclear medicine · 2026

Clinical Value of [<sup>68</sup>Ga]Ga-FAPI-46 PET/CT Versus [<sup>18</sup>F]FDG PET/CT for Primary Staging of Gastroesophageal Adenocarcinoma: Results from a Prospective Northern European Trial.

Bentestuen M, Makieva I, Andersen TB, Ladekarl M et al.

Previous studies have demonstrated promising results for radiolabeled fibroblast activation protein inhibitor (FAPI) PET/CT in gastric cancer (GC) when compared with [¹⁸F]FDG PET/CT. In this prospecti…

DiagnosticPeer-ReviewedPubMedMedComm · 2026

Integrated Multi-Time-Point <sup>18</sup>F-FAPI PET/CT and Immune Histopathology for Predicting Pathological Complete Response in Microsatellite-Stable Locally Advanced Rectal Cancer Treated With Neoadjuvant Radiotherapy, Chemotherapy, and Immunotherapy.

He M, Yang H, Shi Y, Zhang R et al.

Predicting pathological complete response (pCR) after neoadjuvant short-course radiotherapy combined with immunotherapy and chemotherapy remains challenging in microsatellite-stable (MSS) locally adva…

DiagnosticPeer-ReviewedPubMedAbdominal radiology (New York) · 2026

Diagnostic performance of [<sup>18</sup>F]-FDG or [<sup>68</sup>Ga]-FAPI PET/MRI for nodal assessment in colorectal cancer: a retrospective comparative analysis.

Zhao M, Lin X, Zhou N, Yu B et al.

PurposeThe evaluation of lymph node metastasis in colorectal cancer (CRC) remains a critical challenge, as it significantly impacts prognosis and treatment decisions. PET/MRI with various tracers may …

DiagnosticRadiopharmacyPeer-ReviewedPubMedJournal of medicinal chemistry · 2026

[18F]FPyQCP: A Robust FAP-Targeted PET Tracer Integrating Covalent C-18F Labeling and Radiometal Chelation for Enhanced In Vivo Performance.

Banerjee SR, Boinapally S, Minn I, Das D et al.

Fibroblast activation protein (FAP) is a validated PET imaging target for the tumor microenvironment. Currently, most 18F-labeled FAP PET agents use Al-F chemistry, with Al18F-FAPI-74 leading clinical…

Diagnostic📖 Free full textPeer-ReviewedPubMedEJNMMI research · 2026

Correlation of apparent diffusion coefficient, FAP expression in IHC and [<sup>68</sup>Ga]Ga‑FAPI‑46 uptake using integrated PET/MRI in high-grade soft tissue sarcoma: initial exploratory results.

Hettler M, Menge F, Ludwig J, Nörenberg D et al.

BackgroundFibroblast activation protein inhibitor (FAPI)-targeted positron emission tomography (PET) has emerged as a promising imaging approach in soft tissue sarcomas (STS), whereas magnetic resonan…

Diagnostic📖 Free full textPeer-ReviewedPubMedJournal of Cancer · 2026

Per-patient Comparison of [<sup>68</sup>Ga]-FAPI-46 Versus [<sup>18</sup>F]FDG as PET Tracers in ER-positive Breast Cancer: Study Design of a Single-centre Prospective Study.

Lenaerts M, Duijx LEHW, Mottaghy FM, Bauwens M et al.

Introduction. [¹⁸F]FDG can be considered as PET tracer to determine whole-body staging in patients with locally advanced (LABC), metastatic, and recurrent breast cancer. Yet, previous studies demonstr…

TheranosticTherapeutic📖 Free full textPeer-ReviewedPubMedCancer biotherapy & radiopharmaceuticals · 2026

Theranostic Radiopharmaceutical-Guided Robotic Surgery for Precision Tumor Resection and Targeted Elimination of Residual Disease in Digestive System Malignancies.

Wen Y, Xue P, Wang Y, Ta H.

BackgroundDigestive system malignancies frequently recur because occult lesions and microscopic residual disease may persist despite apparently complete resection. The authors evaluated an integrated …

DiagnosticPeer-ReviewedPubMedMolecular imaging and biology · 2026

Association of Atherosclerosis [<sup>68</sup>Ga]Ga-FAPI-04 Uptake with Calcified Plaque Burden and Cardiovascular Risk Factors: Comparison with [<sup>18</sup>F]FDG PET/CT.

Lin M, Chen Z, Chen S, Zheng J et al.

PurposeThis study aimed to evaluate the association of atherosclerosis [⁶⁸Ga]Ga-FAPI-04 uptake with calcified plaque burden, cardiovascular risk factors (CVRFs), and to compare these findings with [¹⁸…

Diagnostic📖 Free full textPeer-ReviewedPubMedBMJ open · 2026

[¹⁸F]AlF-FAPI-74 PET/CT for preoperative assessment of the peritoneal cancer index and comparison with MRI-based, surgical and pathological assessment in colorectal cancer patients eligible for CRS-HIPEC: study protocol for a prospective observational proof-of-concept study.

van den Bos M, Vogel WV, van Duijvenvoorde M, Kok NFM et al.

Colorectal cancer patients with peritoneal metastases have a very poor prognosis. A minority of these patients is eligible for curative cytoreductive surgery (CRS) and hyperthermic intraperitoneal che…

TheranosticPeer-ReviewedPubMedAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026

Dual-Target Nectin-4/FAP Heterobivalent Probe ⁶⁸Ga/¹⁷⁷Lu-FZ-NF-1 for Triple-Negative Breast Cancer: Preclinical Theranostic Evaluation and First-in-Human Translation.

Li Y, Sun L, Pan X, Lin S et al.

Triple-negative breast cancer (TNBC) features pronounced molecular heterogeneity and poor prognosis, restricting the efficacy of single-targeted strategies. Leveraging the complementary theranostic ta…

DiagnosticTheranostic📖 Free full textPeer-ReviewedPubMedBioorganic chemistry · 2026

Heterobivalent fibroblast activation protein-targeted Radiotheranostic ligands integrating cyclic peptide and small-molecule motifs for enhanced tumor retention.

Chen B, Sun M, Li N, Xu Z et al.

Fibroblast activation protein (FAP), which is highly expressed in cancer-associated fibroblasts, has emerged as an attractive target for tumor imaging and radionuclide therapy. However, FAP-targeted r…

DiagnosticPeer-ReviewedPubMedEuropean journal of nuclear medicine and molecular imaging · 2026

[⁶⁸Ga]Ga-CTR-FAPI versus [⁶⁸Ga]Ga-FAPI-04 PET/CT for patient evaluation in radioiodine-refractory differentiated thyroid cancer: A prospective comparative study.

Liu S, Zhang X, Li R, Kong Z et al.

ObjectiveIncorporating a sulfur (VI)-fluoride exchange (SuFEx) chemistry-based linker, FAPI-based covalent targeted radioligand (CTR) showed better tumor binding affinity and longer retention time tha…

DiagnosticTherapeuticPeer-ReviewedPubMedBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2026

Fibroblast activation protein-α in liver fibrosis and hepatocarcinogenesis: Stromal remodeling, molecular imaging, and theranostic targeting.

An P, Wu L, Wang R.

Liver fibrosis links chronic liver injury to cirrhosis, hepatic decompensation, and hepatocellular carcinoma (HCC), while current non-invasive tests mainly estimate fibrotic burden and incompletely ca…

DiagnosticRadiopharmacyPeer-ReviewedPubMedApplied radiation and isotopes · 2026

Automated radiochemical synthesis of [⁶⁸Ga]Ga-FAPI-4 employing modular lab standard with fixed-tubing non-cassette methodology: its preliminary clinical feasibility.

Sahu S, Chakraborty A, Lad S, Rakshit S et al.

Fully automated, multiple patient dose preparation of [⁶⁸Ga]Ga-FAPI-4 was standardized using a commercial fixed tubing (non-cassette) based automated module namely Eckert and Ziegler 'Modular-Lab Stan…

Theranostic📖 Free full textPeer-ReviewedPubMedClinical cancer research : an official journal of the American Association for Cancer Research · 2026

Targeting Fibroblast Activation Protein with [177Lu]Lu-FAP-2286 in Patients with Advanced Solid Tumors in the Phase I LuMIERE Trial.

McConathy J, Koshkin VS, Menda Y, Rodon J et al.

PurposeFibroblast activation protein (FAP) is an attractive target for radiopharmaceutical therapy. Phase I of the LuMIERE study (ClinicalTrials.gov, NCT04939610) investigated the safety of [177Lu]Lu-…

TheranosticTherapeuticPeer-ReviewedOpenAlexCancer Biotherapy and Radiopharmaceuticals · 2026

Pharmacokinetic Evaluation of Fibroblast Activation Protein-Targeted Radiopharmaceutical Uptake in Low-Stage Rectal Cancer Tumor Microenvironment

Xudong Zhang, Ke Duan, YuHan Long, Tong Zhou

Purpose: Radionuclide therapy targeting fibroblast activation protein (FAP) offers an effective treatment for tumors with high FAP expression, such as those imaged with 68 Ga-fibroblast activation pro…

Theranostic📖 Free full textPeer-ReviewedPubMedJournal of controlled release : official journal of the Controlled Release Society · 2026

Preclinical and first-in-human pilot evaluation of ¹⁷⁷Lu-DOTA-7ND for fibroblast activation protein-α-targeted radionuclide imaging and therapy.

Liang Y, Liu T, Wang Y, Li H et al.

Fibroblast activation protein-α (FAP) is an attractive cell surface target for radiopharmaceutical development due to its tumor-restricted expression. This study aimed to develop a novel dimeric FAP i…

Theranostic📖 Free full textPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

Safety, Biodistribution, and Dosimetry of FAP and Integrin αvβ₃ Dual-Targeting Radioligand ¹⁷⁷Lu-DOTA-FAPI-RGD: Preclinical Validation and First-in-Human Study in Patients with Advanced Adenocarcinomas.

Xiang J, Wen X, Wang R, Wang J et al.

Fibroblast activation protein (FAP) and integrin αvβ3 are attractive theranostic targets. We developed a dual-targeting radiotheranostic agent, 177Lu-DOTA-FAPI-RGD (177Lu-LNC1009), and conducted a fir…

TherapeuticPeer-ReviewedPubMedEuropean journal of nuclear medicine and molecular imaging · 2026

Context-dependent efficacy of fibroblast activation protein-targeted radionuclide therapy (FAP-TRT): the dual role of CAFs.

Wu C, Kurniawan A, Li G, Ming Z et al.

Fibroblast activation protein-targeted radionuclide therapy (FAP-TRT) shows promise across multiple cancers, but clinical responses remain variable. Here, we aim to investigate how the presence, abund…

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