In the latest update of the European Society of Cardiology (ESC) guidelines for the management of infective endocarditis (IE), imaging is positioned at the centre of the diagnostic work-up so that an early and accurate diagnosis can be reached. Besides echocardiography, contrast-enhanced CT (ce-CT), radiolabelled leucocyte (white blood cell, WBC) SPECT/CT and [18F]FDG PET/CT are included as diagnostic tools in the diagnostic flow chart for IE. Following the clinical guidelines that provided a straightforward message on the role of multimodality imaging, we believe that it is highly relevant to produce specific recommendations on nuclear multimodality imaging in IE and cardiac implantable electronic device infections. In these procedural recommendations we therefore describe in detail the technical and practical aspects of WBC SPECT/CT and [18F]FDG PET/CT, including ce-CT acquisition protocols. We also discuss the advantages and limitations of each procedure, specific pitfalls when interpreting images, and the most important results from the literature, and also provide recommendations on the appropriate use of multimodality imaging.

Erba, P., Lancellotti, P., Vilacosta, I., Gaemperli, O., Rouzet, F., Hacker, M., et al. (2018). Recommendations on nuclear and multimodality imaging in IE and CIED infections. EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 45(10), 1795-1815 [10.1007/s00259-018-4025-0].

Recommendations on nuclear and multimodality imaging in IE and CIED infections

Erba P. A.
Primo
;
2018

Abstract

In the latest update of the European Society of Cardiology (ESC) guidelines for the management of infective endocarditis (IE), imaging is positioned at the centre of the diagnostic work-up so that an early and accurate diagnosis can be reached. Besides echocardiography, contrast-enhanced CT (ce-CT), radiolabelled leucocyte (white blood cell, WBC) SPECT/CT and [18F]FDG PET/CT are included as diagnostic tools in the diagnostic flow chart for IE. Following the clinical guidelines that provided a straightforward message on the role of multimodality imaging, we believe that it is highly relevant to produce specific recommendations on nuclear multimodality imaging in IE and cardiac implantable electronic device infections. In these procedural recommendations we therefore describe in detail the technical and practical aspects of WBC SPECT/CT and [18F]FDG PET/CT, including ce-CT acquisition protocols. We also discuss the advantages and limitations of each procedure, specific pitfalls when interpreting images, and the most important results from the literature, and also provide recommendations on the appropriate use of multimodality imaging.
Articolo in rivista - Articolo scientifico
18; F PET/CT; Cardiac CT; Cardiac implantable electronic device; Echocardiography; Infection; Infective endocarditis; Radiolabelled WBC;
English
2018
45
10
1795
1815
reserved
Erba, P., Lancellotti, P., Vilacosta, I., Gaemperli, O., Rouzet, F., Hacker, M., et al. (2018). Recommendations on nuclear and multimodality imaging in IE and CIED infections. EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 45(10), 1795-1815 [10.1007/s00259-018-4025-0].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/414707
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