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68Ga-CTR-FAPI is a radiopharmaceutical used for positron emission tomography/computed tomography (PET/CT) imaging in oncology. It is a gallium 68-labeled fibroblast activation protein inhibitor (FAPI) that targets the fibroblast activation protein (FAP), which is highly expressed on cancer-associated fibroblasts within the tumor stroma. The CTR modification refers to a covalent targeted radioligand design, aiming to improve detection sensitivity and diagnostic accuracy over standard FAPIs. In clinical studies, [68Ga]Ga-CTR-FAPI PET/CT has demonstrated superior detection rates and diagnostic accuracy compared with [18F]FDG PET/CT, particularly in medullary thyroid carcinoma and other malignancies. Its mechanism of action involves binding to FAP on activated fibroblasts, enabling precise visualization of primary tumors and metastases for improved disease management[6][9].
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