18F-fluorodeoxyglucose positron emission/computed tomography and computed tomography angiography in prosthetic heart valve endocarditis: from guidelines to clinical practice

被引：51

作者：

Swart, Laurens E. ^{[1
,2
]}

Scholtens, Asbjorn M. ^{[3
]}

Tanis, Wilco ^{[4
]}

Nieman, Koen ^{[1
,2
]}

Bogers, Ad J. J. C. ^{[5
]}

Verzijlbergen, Fred J. ^{[6
]}

Krestin, Gabriel P. ^{[1
]}

Roos-Hesselink, JolienW. ^{[2
]}

Budde, Ricardo P. J. ^{[1
]}

机构：

[1] Erasmus MC, Dept Radiol & Nucl Med, Ca 207a,S Gravendijkwal 230, NL-3015 CE Rotterdam, Netherlands

[2] Erasmus MC, Dept Cardiol, Rotterdam, Netherlands

[3] Meander Med Ctr, Dept Nucl Med, Maatweg 3, NL-3813 TZ Amersfoort, Netherlands

[4] Haga Hosp, Dept Cardiol, The Hague, Netherlands

[5] Erasmus MC, Dept Cardiothorac Surg, Rotterdam, Netherlands

[6] Radboud Univ Nijmegen, Med Ctr, Dept Radiol & Nucl Med, Geert Grootepl Zuid 10, NL-6525 GA Nijmegen, Netherlands

来源：

EUROPEAN HEART JOURNAL | 2018年 / 39卷 / 41期

关键词：

Endocarditis; Prosthetic heart valves; Infection; Positron emission tomography; Nuclear imaging; Computed tomography; Cardiac imaging; LOW-CARBOHYDRATE-DIET; INFECTIVE ENDOCARDITIS; F-18-FDG PET/CT; CT ANGIOGRAPHY; DIAGNOSIS; FDG; SURGERY; COMPLICATIONS; ASSOCIATION; MANAGEMENT;

D O I：

10.1093/eurheartj/ehx784

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The timely diagnosis of prosthetic heart valve endocarditis remains challenging yet of utmost importance. F-18-fluorodeoxyglucose (F-18-FDG) positron emission/computed tomography (PET/CT) and cardiac computed tomography angiography (CTA) were recently introduced as additional diagnostic tools in the most recent ESC guidelines on infective endocarditis. However, how to interpret PET/CT findings with regard to what is to be considered abnormal, what the potential confounders may be, as well as which patients benefit most from these additional imaging techniques and how to best perform them in these often-complex patients, remains unclear. This review focusses on factors regarding patient selection and image acquisition that need to be taken into account when employing F-18-FDG PET/CT and CTA in daily clinical practice, and the importance of a multidisciplinary Endocarditis Team herein. Furthermore, it emphasizes the need for standardized acquisition protocols and image interpretation, especially now that these techniques are starting to be widely embraced by the cardiovascular society.

引用

页码：3739 / 3749

页数：11

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