ArticleBMC medical imaging2025
Comparison of the value of FAPI imaging and speckle‑tracking echocardiography in assessment of right ventricular remodeling in pulmonary hypertension.
Article in BMC medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposesThis retrospective study was designed to explore the relationship between right ventricular fibroblast activation measured by fibroblast activation protein inhibitor (FAPI) imaging and myocardial deformation measured by Speckle‑tracking Echocardiography (STE) in patients with pulmonary hypertension (PH).
methodsClinical data of PH patients were collected [15 chronic thromboembolic pulmonary hypertension (CTEPH), 4 PAH, 1 PH with unclear and/or multifactorial mechanisms]. All of patients underwent FAPI imaging and echocardiography within one month. FAPI activity of right ventricle higher than that in the blood pool was defined as abnormal. The global and segmental maximum standardised uptake values (SUV
resultsEighteen patients with PH showed abnormal FAPI uptake in right ventricle. No significant differences were found between CTEPH and other types of PH. TBR of right ventricle had negative correlations with RVGLS (r = -0.597, P = 0.005) and RVFWLS (r = -0.586, P = 0.007) at global level. While, at regional level, significant correlation was only demonstrated between TBR of right ventricle free wall and RVFWLS in apical region (r = -0.530, P = 0.016) and middle region (r = -0.457, P = 0.043). Among the traditional Echocardiography parameters, TBR of right ventricle were positively associated with thickness of right ventricular anterior wall (RVAW) (r
conclusionFAPI imaging can partially reflect the right ventricular strain reduction in patients with PH.
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