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多模态成像在感染性心内膜炎中的作用:当代诊断与预后考量

Role of multimodality imaging in infective endocarditis: Contemporary diagnostic and prognostic considerations.

作者信息

Xu Bo, Sanaka Krishna O, Haq Ikram-Ul, Reyaldeen Reza M, Kocyigit Duygu, Pettersson Gösta B, Unai Shinya, Cremer Paul, Grimm Richard A, Griffin Brian P

机构信息

Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.

Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.

出版信息

Prog Cardiovasc Dis. 2023 Oct 28. doi: 10.1016/j.pcad.2023.10.007.

Abstract

Infective endocarditis (IE) describes the infection of native and prosthetic cardiac valves as well as cardiac implantable electronic devices. Echocardiography is the most widely used imaging technique for evaluation of IE. Due to its reduced sensitivity in detection of prosthetic valve IE and cardiac implantable electronic device related IE and related complications, complementary techniques such as cardiac computed tomography (CT) and 18-flurodeoxyglucose positron emission tomography/CT play an emerging role. Therefore, multiple guidelines recommend the use of multimodality imaging in the diagnosis and management of IE. In this review, we aim to compare the various guidelines and to discuss the role of imaging in the diagnosis, detection of complications, monitoring of treatment response, and prognostication of IE.

摘要

感染性心内膜炎(IE)是指天然心脏瓣膜、人工心脏瓣膜以及心脏植入式电子设备发生感染。超声心动图是评估IE最常用的影像学技术。由于其在检测人工瓣膜IE和心脏植入式电子设备相关IE及相关并发症方面的敏感性降低,心脏计算机断层扫描(CT)和18-氟脱氧葡萄糖正电子发射断层扫描/CT等补充技术发挥着越来越重要的作用。因此,多项指南推荐在IE的诊断和管理中使用多模态成像。在本综述中,我们旨在比较各种指南,并讨论成像在IE的诊断、并发症检测、治疗反应监测和预后评估中的作用。

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