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Fig 1.

Flow diagram of patient inclusion and exclusion process.

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Table 1.

Diagnostic efficacy of FAPI-PET for breast cancer.

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Fig 2.

Al¹⁸F-NOTA-FAPI-04 PET/CT images of a 38-year-old female patient with breast invasive ductal carcinoma (molecular subtype: LuminalB).

(A) Whole-body maximum-intensity projection (MIP) image shows multiple FAPI-avid lesions. Solid thick arrows in axial PET (B), CT (C), and fused PET/CT (D) images indicate the primary breast tumor. Open thick arrows in axial PET (E), CT (F), and fused PET/CT (G) images denote supraclavicular lymph node metastases. Thin arrows in axial PET (H), CT (I), and fused PET/CT (J) images indicate axillary lymph node metastases. Triangles in axial PET (K), CT (L), and fused PET/CT (M) images indicate an internal mammary lymph node. Open arrowheads in axial PET (N), CT (O), and fused PET/CT (P) images indicate a hepatic metastasis.

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Fig 3.

Al¹⁸F-NOTA-FAPI-04 PET/CT images of a 50-year-old female patient with breast mucinous carcinoma (molecular subtype: HER2-positive).

(A) Whole-body maximum-intensity projection (MIP) image reveals a mildly FAPI-avid lesion (low to moderate tracer uptake) in the right breast. Solid thick arrows in axial PET (B), CT (C), and fused PET/CT (D) images localize the primary tumor (mucinous carcinoma, a subtype with indolent biology), which exhibits low tracer uptake (consistent with the subtype’s relatively low cancer-associated fibroblast infiltration).

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Table 2.

Comparison of uptake parameters of primary lesions among different pathological types of breast cancer.

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Table 2 Expand

Table 3.

Comparison of uptake parameters of primary lesions among breast cancer patients with different immunohistochemical features.

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Table 3 Expand

Table 4.

Comparison of uptake parameters of primary lesions among different molecular subtypes of breast cancer.

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Table 4 Expand