Evidence map›Paper›PMID 42020812›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2026

Superior correlation with clinical activity and unique detection patterns: a prospective study of FAPI versus FDG-PET in polymyalgia rheumatica and giant cell arteritis.

Xinxin Han, Yanlin He, Jun Yang, Ye Yu, Yiduo Sun, Bei Xu, Weiqian Chen, Jin Lin

Abstract readComparative Study
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2026. 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xinxin HanDivision of Rheumatology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China.
Yanlin HeDivision of Rheumatology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China.
Jun YangDepartment of Nuclear Medicine, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China.
Ye YuDivision of Rheumatology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China.
Yiduo SunDivision of Rheumatology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China.
Bei XuDivision of Rheumatology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China.
Weiqian ChenDivision of Rheumatology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China. cwq678@zju.edu.cn.ORCID 0000-0003-3819-7841
Jin LinDivision of Rheumatology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China. linjinzju@zju.edu.cn.

Funding

Natural Science Foundation of China 82171768Young Talents in medical and health care under the Special Support Program for High-level Talents in Zhejiang Province, the National Key Research and Development Program of China 2022YFC3602000
6 · The paper itself

Abstract

purposeTo perform a prospective comparative study of the novel FAPI-PET/CT with the established FDG-PET/CT for identifying characteristic inflammatory patterns in patients with polymyalgia rheumatica (PMR) and giant cell arteritis (GCA).

methodsIn this prospective study, 78 patients (27 FAPI-PET, 51 FDG-PET) with PMR/GCA were enrolled using the 2012 EULAR/ACR criteria for PMR and the 2022 ACR/EULAR criteria for GCA, with diagnosis confirmed after a median 9.2-month follow-up. All underwent clinical and laboratory evaluation plus PET/CT imaging before any immunosuppressive treatment. The FAPI-PET Visual Index was derived by summing visual scores (0–3) across involved sites. Imaging findings were correlated with the PMR-AS and clinical outcomes.

resultsPure PMR accounted for 83.3% of the cohort. In PMR, FAPI-PET showed superior sensitivity in the shoulder girdle (91.3% vs. 66.7%, P = 0.02) and higher uptake intensity (SUVmax 9.5 vs. 5.6, P < 0.01) versus FDG-PET, which showed higher detection at sites like the ischial tuberosities. Crucially, the FAPI-PET Visual Index correlated strongly with PMR-AS (R = 0.751, P = 0.0002), significantly outperforming FDG-PET (R = 0.312, P = 0.0603). In the smaller GCA subgroup, FDG-PET appeared more sensitive for vascular involvement.

conclusionFAPI-PET demonstrates a distinct imaging profile and shows a superior correlation with clinical disease activity in PMR compared to FDG-PET in this comparative study. In the small subgroup of patients with GCA, FDG-PET appeared more sensitive for vascular involvement, but these findings require confirmation in larger studies. FAPI-PET shows promise as an imaging biomarker of active PMR, potentially improving diagnosis and phenotypic stratification.

Indexed as

Fluorodeoxyglucose F18Giant Cell ArteritisPolymyalgia RheumaticaPositron-Emission TomographyPositron Emission Tomography Computed TomographyAgedAged, 80 and overFemaleFibroblast Activation Protein AlphaHumansMaleMiddle AgedProspective StudiesFibroblast Activation Protein AlphaFluorodeoxyglucose F18FAPI-PETFDG-PETGiant cell arteritisPolymyalgia rheumatica

Identifiers

PMID42020812
PMCPMC13197256

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.