Vasculitis & polymyalgia rheumatica

[ 68 Ga]Ga-DOTA-Siglec-9 PET/CT in newly diagnosed giant cell arteritis: an inflammation-specific, treatment-responsive molecular imaging biomarker

RMD OpenPublished Proof-of-concept first-in-human molecular imaging study

Authors' conclusion

This first-in-human study demonstrates that [68Ga]Ga-DOTA-Siglec-9 PET/CT detects vascular inflammation in GCA and shows attenuation with prednisolone exposure.

Study context

Population
Patients with newly diagnosed and relapsing giant cell arteritis (GCA), and controls
Comparison
Newly diagnosed GCA vs relapsing GCA
  • Newly diagnosed GCAn = Eight
  • Relapsingn = eightreference
  • Controlsn = eight
Outcome
Vascular [68Ga]Ga-DOTA-Siglec-9 tracer uptake and associations

Main finding

As reported in the abstract

Subclavian artery intima-media thickness (US) vs tracer uptake, r=0.67
p=0.035
Prednisolone exposure vs vascular uptake, SUVmean r=−0.51
p=0.043
Prednisolone exposure vs vascular uptake, SUVmax r=−0.62
p=0.010
MMP2 and MMP3 negatively associated with vascular uptake (eg, aortic arch r=−0.59)
p=0.027

Further findings

OutcomeP value
sVAP-1 levelsNewly diagnosed GCA vs Relapsing · sVAP-1 reduced in newly diagnosed GCAP = 0.0145
sVAP-1 levelsNewly diagnosed GCA vs Controls · sVAP-1 reduced in newly diagnosed GCAP = 0.0446
sVAP-1 levels — sVAP-1 vs MMP2, r=−0.56
p=0.037
sVAP-1 levels — sVAP-1 vs MMP9, r=−0.47
p=0.089

Original publication

[ 68 Ga]Ga-DOTA-Siglec-9 PET/CT in newly diagnosed giant cell arteritis: an inflammation-specific, treatment-responsive molecular imaging biomarker. RMD Open. Published 11 June 2026. doi:10.1136/rmdopen-2025-006633

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