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感染性心内膜炎及心脏装置相关感染的影像学:最新进展

Imaging of Endocarditis and Cardiac Device-Related Infections: An Update.

作者信息

Ferro Paola, Boni Roberto, Slart Riemer Hja, Erba Paola Anna

机构信息

Nuclear Medicine Unit, ASST Ospedale Papa Giovanni XXIII, Bergamo, Italy.

Nuclear Medicine Unit, ASST Ospedale Papa Giovanni XXIII, Bergamo, Italy.

出版信息

Semin Nucl Med. 2023 Mar;53(2):184-198. doi: 10.1053/j.semnuclmed.2023.01.001. Epub 2023 Feb 4.

Abstract

IE is a deadly disease requiring prompt diagnosis for adequate patient's management. The diagnosis requires the integration of clinical signs, microbiology data and imaging data and proper discussion within a multidisciplinary team, the endocarditis team. Since the introduction of F-FDG-PET/CT and WBC SPECT/CT in the diagnostic algorithm of PVE the nuclear medicine imaging specialists is active part of the Endocarditis Team, requiring proper knowledge of dedicated imaging acquisition protocols, expertise for imaging reading and interpretations to select the best test or combination of tests for each specific clinical situation. In this manuscript, we will review the main technical aspects of each imaging procedure, the most recent literature with specific regards to special challenging populations and provide clinical examples.

摘要

感染性心内膜炎(IE)是一种致命疾病,需要及时诊断以对患者进行适当管理。诊断需要综合临床体征、微生物学数据和影像学数据,并在多学科团队(即心内膜炎团队)内进行适当讨论。自从氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(F-FDG-PET/CT)和白细胞单光子发射计算机断层扫描/计算机断层扫描(WBC SPECT/CT)被引入人工瓣膜心内膜炎(PVE)的诊断算法以来,核医学影像专家成为心内膜炎团队的重要组成部分,这要求他们具备专用影像采集协议的专业知识、影像解读的专业技能,以便为每种特定临床情况选择最佳检查或检查组合。在本手稿中,我们将回顾每种成像程序的主要技术方面、针对特殊挑战性人群的最新文献,并提供临床实例。

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