RESUMO
Las neoplasias se componen de células malignas tumorales que se encuentran rodeadas de diversos elementos celulares no tumorales, que conforman el microambiente o estroma tumoral. La evidencia sobre la importancia este último no ha parado de crecer en los últimos años ya que desempeña un papel necesario para la proliferación celular, la invasión tisular, la angiogénesis y la migración celular. El paradigma es la familia de los nuevos radiofármacos inhibidores de la proteína de activación de fibroblastos (FAPI) que nos muestran la densidad de dicha proteína (FAP) que se encuentra sobreexpresada en la membrana celular de los fibroblastos activados asociados al cáncer (CAF), y su presencia está relacionada con un mal pronóstico. En este documento de formación continuada se incluye el procedimiento para la realización de la tomografía por emisión de positrones/tomografía computarizada (PET/TC) con FAPI, la biodistribución y las potenciales aplicaciones clínicas en oncología publicadas hasta el momento. (AU)
Neoplasms are composed of malignant tumour cells, which are surrounded by other non-tumour cellular elements, what has been defined as the microenvironment or tumour stroma. Evidence on the importance of the tumour microenvironment has not stopped growing in recent years. It plays a central role for cell proliferation, tissue invasion, angiogenesis and cell migration. The paradigm is the family of new FAPI radiopharmaceuticals that show us the density of the fibroblast activation protein (FAP) that is overexpressed in the cell membrane of activated cancer-associated fibroblasts (CAF), and its presence is related to poor prognosis. The paradigm is the family of new FAPI radiopharmaceuticals, which represents the density of activated fibroblasts associated with cancer. This educational document includes the procedure for performing PET/CT FAPI, biodistribution and the main potentially clinical applications in oncology to date. (AU)
Assuntos
Microambiente Tumoral , Tomografia por Emissão de Pósitrons , Neoplasias , Neovascularização Patológica , Movimento CelularRESUMO
Neoplasms are composed of malignant tumor cells, which are surrounded by other non-tumor cellular elements, in what has been defined as the microenvironment or tumor stroma. Evidence on the importance of the tumor microenvironment has not stopped growing in recent years. It plays a central role in cell proliferation, tissue invasion, angiogenesis and cell migration. The paradigm is the family of new FAPI radiopharmaceuticals that show the density of the fibroblast activation protein (FAP) which is overexpressed in the cell membrane of activated cancer-associated fibroblasts (CAF), and its presence is related to poor prognosis. This educational document includes the procedure for performing PET/CT FAPI, biodistribution and the main potentially clinical applications in oncology to date.
