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. :Absztrakt: Az utóbbi évtizedekben elismertté vált a 18F-FDG-PET/CT nélkülözhetetlen szerepe a daganatos betegségek diagnosztikájában, stádiumbesorolásában és azok terápiára adott válaszának utánkövetésében. Ezen modern funkcionális és morfológiai képalkotást kombináló módszer használatának nemcsak onkológiai, hanem egyes kardiológiai kórképekben is vannak elfogadott evidenciái. Összefoglaló közleményünkben ismertetjük az optimalizált kardiológiai 18F-FDG-PET/CT vizsgálati protokollt és az ehhez szükséges beteg-előkészítés módszereit. Néhány esetben saját eredményekkel is illusztrálva áttekintjük az irodalmát a jól ismert „gold standard” myocardiumviabilitás és onkokardiológiai vizsgálatoknak, melyek mellett különös figyelmet fordítunk a szív gyulladásos megbetegedéseire. Ez a relatív újabb indikációs kör olyan betegségeket foglal magában, mint az infektív műbillentyű-endocarditis, cardialis implantált elektromos eszköz infekciója és a myocardium különböző eredetű gyulladásos megbetegedései, mint a sarcoidosis, amelyekben a 18F-FDG-PET/CT vizsgálatnak kitüntetett szerepe van, különösen a bizonytalan esetek differenciáldiagnosztikájában. Orv Hetil. 2019; 160(26): 1015–1024.
journal_name
Orv Hetiljournal_title
Orvosi hetilapauthors
Besenyi Z,Nagy FT,Sághy L,Pávics Ldoi
10.1556/650.2019.31414subject
Has Abstractpub_date
2019-06-01 00:00:00pages
1015-1024issue
26eissn
0030-6002issn
1788-6120journal_volume
160pub_type
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