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<t>FAP-α</t> immunohistochemical staining (400×) in MEC lesions of varying grades is shown in images A-C. Low-grade MEC ( A ) displays minimal FAP-α expression in glandular stroma, while intermediate-grade ( B ) and high-grade ( C ) MEC exhibit FAP-α expression in stromal cells surrounding glandular structures. High-grade MEC ( C ) shows significantly more extensive staining, indicating higher FAP-α expression. Correlation analysis revealed strong positive relationships between ⁶⁸Ga-FAPI PET/CT imaging parameters and FAP-α expression: SUVmax correlated with staining intensity ( r = 0.91, p < 0.01) and area fraction ( r = 0.96, p < 0.01), and TBR also showed strong correlations ( r = 0.91 and r = 0.94, p < 0.01). These findings suggest ⁶⁸Ga-FAPI PET/CT parameters effectively reflect FAP-α expression, supporting its utility for non-invasive tumor biology and grading assessment.
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FAP-α immunohistochemical staining (400×) in MEC lesions of varying grades is shown in images A-C. Low-grade MEC ( A ) displays minimal FAP-α expression in glandular stroma, while intermediate-grade ( B ) and high-grade ( C ) MEC exhibit FAP-α expression in stromal cells surrounding glandular structures. High-grade MEC ( C ) shows significantly more extensive staining, indicating higher FAP-α expression. Correlation analysis revealed strong positive relationships between ⁶⁸Ga-FAPI PET/CT imaging parameters and FAP-α expression: SUVmax correlated with staining intensity ( r = 0.91, p < 0.01) and area fraction ( r = 0.96, p < 0.01), and TBR also showed strong correlations ( r = 0.91 and r = 0.94, p < 0.01). These findings suggest ⁶⁸Ga-FAPI PET/CT parameters effectively reflect FAP-α expression, supporting its utility for non-invasive tumor biology and grading assessment.

Journal: Scientific Reports

Article Title: Superior mucoepidermoid carcinoma detection with ⁶⁸Ga-FAPI PET/CT reflects FAP-α expression and MAML2 fusion status

doi: 10.1038/s41598-025-34528-9

Figure Lengend Snippet: FAP-α immunohistochemical staining (400×) in MEC lesions of varying grades is shown in images A-C. Low-grade MEC ( A ) displays minimal FAP-α expression in glandular stroma, while intermediate-grade ( B ) and high-grade ( C ) MEC exhibit FAP-α expression in stromal cells surrounding glandular structures. High-grade MEC ( C ) shows significantly more extensive staining, indicating higher FAP-α expression. Correlation analysis revealed strong positive relationships between ⁶⁸Ga-FAPI PET/CT imaging parameters and FAP-α expression: SUVmax correlated with staining intensity ( r = 0.91, p < 0.01) and area fraction ( r = 0.96, p < 0.01), and TBR also showed strong correlations ( r = 0.91 and r = 0.94, p < 0.01). These findings suggest ⁶⁸Ga-FAPI PET/CT parameters effectively reflect FAP-α expression, supporting its utility for non-invasive tumor biology and grading assessment.

Article Snippet: Tumor sections (4 μm) from formalin-fixed, paraffin-embedded (FFPE) specimens underwent antigen retrieval (citrate buffer, pH 6.0, 20 min), followed by staining with a monoclonal rabbit anti-FAP-α antibody (Clone D8B3, Cell Signaling Technology, #12300; 1:100 dilution).

Techniques: Immunohistochemical staining, Staining, Expressing, Positron Emission Tomography-Computed Tomography, Imaging