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心脏感染的正电子发射断层扫描/计算机断层扫描评估

PET/Computed Tomography Evaluation of Infection of the Heart.

作者信息

Millar Beverley Cherie, de Camargo Raphael Abegão, Alavi Abass, Moore John Edmund

机构信息

Northern Ireland Public Health Laboratory, Department of Bacteriology, Corry Building, Belfast City Hospital, Lisburn Road, Belfast, Co. Antrim BT9 7AD, Northern Ireland, UK.

Nuclear Medicine and Infectious Diseases, University of Sao Paulo Medical School (FMUSP), Sao Paulo, Sao Paulo, Brazil; Hospital Aristides Maltez, Avenida Dom João VI, n° 332, Serviço de Medicina Nuclear, 2° subssolo, Brotas, CEP: 40285-001, Salvador-BA, Brazil.

出版信息

PET Clin. 2019 Apr;14(2):251-269. doi: 10.1016/j.cpet.2018.12.006. Epub 2019 Feb 1.

Abstract

The 2015 European Society of Cardiology guidelines for the management of infective endocarditis included 18F-fluorodeoxyglucose (18F-FDG) PET/computed tomography (CT) in the diagnostic work-up of prosthetic valve endocarditis. This article examines the literature from the last 3 years to highlight the additional role 18F-FDG-PET/CT can contribute to an accurate diagnosis of cardiac infections and associated infectious complications. The challenges and pitfalls associated with 18F-FDG-PET/CT in such clinical settings must be recognized and these are discussed along with the suggested protocols that may be incorporated in an attempt to address these issues.

摘要

2015年欧洲心脏病学会感染性心内膜炎管理指南将18F-氟脱氧葡萄糖(18F-FDG)正电子发射断层显像/计算机断层扫描(PET/CT)纳入人工瓣膜心内膜炎的诊断检查中。本文回顾了过去3年的文献,以突出18F-FDG-PET/CT在准确诊断心脏感染及相关感染并发症方面的额外作用。必须认识到在这种临床情况下与18F-FDG-PET/CT相关的挑战和陷阱,并对其进行讨论,同时还会探讨为解决这些问题可能采用的建议方案。

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