TY - JOUR
T1 - Recommendations on nuclear and multimodality imaging in IE and CIED infections
AU - Erba, Paola Anna
AU - Lancellotti, Patrizio
AU - Vilacosta, Isidre
AU - Gaemperli, Oliver
AU - Rouzet, Francois
AU - Hacker, Marcus
AU - Signore, Alberto
AU - Slart, Riemer H.J.A.
AU - Habib, Gilbert
PY - 2018/9/1
Y1 - 2018/9/1
N2 - 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.
AB - 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.
KW - F PET/CT
KW - Cardiac CT
KW - Cardiac implantable electronic device
KW - Echocardiography
KW - Infection
KW - Infective endocarditis
KW - Radiolabelled WBC
KW - n/a OA procedure
UR - http://www.scopus.com/inward/record.url?scp=85044907555&partnerID=8YFLogxK
U2 - 10.1007/s00259-018-4025-0
DO - 10.1007/s00259-018-4025-0
M3 - Article
C2 - 29799067
AN - SCOPUS:85044907555
SN - 1619-7070
VL - 45
SP - 1795
EP - 1815
JO - European journal of nuclear medicine and molecular imaging
JF - European journal of nuclear medicine and molecular imaging
IS - 10
ER -