68 Ga-FAPI-04 Versus 18 F-FDG PET/CT in Detection of Epithelioid Malignant Pleural Mesothelioma.

We describe 68 Ga-FAPI (fibroblast activation protein inhibitor)-04 and 18 F-FDG PET/CT findings in a case with epithelioid malignant pleural mesothelioma. Compared with 18 F-FDG PET/CT, 68 Ga-FAPI-04 PET/CT more clearly showed the pleural tumors and lymph node metastases and detected more pleural lesions because the tumors showed higher 68 Ga-FAPI-04 activity. This case indicates that 68 Ga-FAPI-04 PET/CT may be a promising new tool in evaluation of malignant pleural mesothelioma, which needs further investigation.