Abstract
Over the past decades, 18F-FDG-PET/CT imaging has been recognized as an indispensable tool in the diagnosis, staging and treatment monitoring of cancer. This modern imaging technique combining functional and morphologic information has approved indications not only in oncology but in clinical cardiology as well. In the current review we discuss the specific requirements of patient preparation and image acquisition protocol for cardiac 18F-FDG-PET/CT. We review the literature in some cases highlighted by our own examinations of well-known "gold standard" viability and onco-cardiology examinations while placing special emphasis on inflammatory disorders involving the heart. This relatively newer class of indications includes prosthetic valve endocarditis, cardiac implantable device infection, myocardial inflammation of varying origin such as sarcoidosis where 18F-FDG-PET/CT appears to be particularly useful in the differential diagnosis of cases where standard investigation is non-diagnostic or equivocal. Orv Hetil. 2019; 160(26): 1015-1024.
Highlights
18F-FDG-PET/CT imaging has been recognized as an indispensable tool in the diagnosis, staging and treatment monitoring of cancer
In the current review we discuss the specific requirements of patient preparation and image acquisition protocol for cardiac 18F-FDG-PET/CT
We review the literature in some cases highlighted by our own examinations of well-known “gold standard” viability and onco-cardiology examinations while placing special emphasis on inflammatory disorders involving the heart
Summary
18F-FDG-PET/CT imaging has been recognized as an indispensable tool in the diagnosis, staging and treatment monitoring of cancer. Az előkészítés nélkül végzett kardiológiai 18F-FDG-PET vizsgálatok esetén komoly nehézséget okozhat a fiziológiás és patológiás myocardium-glükózfelvétel elkülönítése, ami a vizsgálat specificitását ronthatja, fals pozitív eredményekhez vezethet. A myocardium rekonstruált 18F-FDG-PET-metszeti képei esetenként szimultán értékelhetők a párhuzamosan készült myocardiumperfúziós vizsgálat, echokardiográfia vagy szív-MRI-vizsgálatok
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