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感染性心内膜炎的多模态成像方法：少即是多。

Multimodality Imaging Approach in Infective Endocarditis: When Less is More.

作者信息

Di Salvo Giovanni, Muhammad Saleem, Galzerano Domenico, Mansour Al Jufan

机构信息

King Faisal Heart Institute, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

出版信息

J Cardiovasc Echogr. 2024 Oct-Dec;34(4):219-221. doi: 10.4103/jcecho.jcecho_50_24. Epub 2024 Dec 19.

DOI:10.4103/jcecho.jcecho_50_24
PMID:39895887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11784728/
Abstract

The latest ESC guidelines advocate for a multimodality imaging approach in diagnosing infective endocarditis, incorporating echocardiography, computed tomography (CT), magnetic resonance imaging, positron emission tomography/CT, and single-photon emission CT/CT to enhance diagnostic accuracy. This case study examines the limitations of this approach in a patient with suspected prosthetic valve endocarditis, suggesting that while multimodality imaging is valuable, a clinically oriented strategy may be more effective in certain situations.

摘要

欧洲心脏病学会（ESC）最新指南提倡采用多模态成像方法诊断感染性心内膜炎，包括超声心动图、计算机断层扫描（CT）、磁共振成像、正电子发射断层扫描/CT以及单光子发射CT/CT，以提高诊断准确性。本病例研究探讨了该方法在疑似人工瓣膜心内膜炎患者中的局限性，表明虽然多模态成像很有价值，但在某些情况下，以临床为导向的策略可能更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c832/11784728/e36da7163e29/JCE-34-219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c832/11784728/d6bbcf743a9d/JCE-34-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c832/11784728/64fd63352d2b/JCE-34-219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c832/11784728/e36da7163e29/JCE-34-219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c832/11784728/d6bbcf743a9d/JCE-34-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c832/11784728/64fd63352d2b/JCE-34-219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c832/11784728/e36da7163e29/JCE-34-219-g003.jpg

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本文引用的文献

1
Echocardiography in Simple Congenital Heart Diseases: Guiding Adult Patient Management.单纯先天性心脏病的超声心动图检查：指导成年患者管理
J Cardiovasc Echogr. 2023 Oct-Dec;33(4):171-182. doi: 10.4103/jcecho.jcecho_52_23. Epub 2024 Feb 26.
2
Multimodality Imaging Assessment of Tetralogy of Fallot: From Diagnosis to Long-Term Follow-Up.法洛四联症的多模态成像评估：从诊断到长期随访
Children (Basel). 2023 Oct 27;10(11):1747. doi: 10.3390/children10111747.
3
Right-sided infective endocarditis and pulmonary embolism: a multicenter study.
右侧感染性心内膜炎与肺栓塞：一项多中心研究
Monaldi Arch Chest Dis. 2022 Apr 12;92(4). doi: 10.4081/monaldi.2022.2251.
4
FDG PET/CT for the diagnosis and management of infective endocarditis: Expert consensus vs evidence-based practice.18F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描在感染性心内膜炎诊断与管理中的应用：专家共识与循证实践
J Nucl Cardiol. 2019 Feb;26(1):313-315. doi: 10.1007/s12350-018-1398-1. Epub 2018 Aug 14.
5
Imaging the adult with congenital heart disease: a multimodality imaging approach-position paper from the EACVI.先天性心脏病成人影像学检查：欧洲心血管影像协会多模态影像学方法立场文件。
Eur Heart J Cardiovasc Imaging. 2018 Oct 1;19(10):1077-1098. doi: 10.1093/ehjci/jey102.
6
ASNC imaging guidelines/SNMMI procedure standard for positron emission tomography (PET) nuclear cardiology procedures.美国核医学与分子影像学会（ASNC）正电子发射断层扫描（PET）核心脏病学检查的成像指南/SNMMI程序标准。
J Nucl Cardiol. 2016 Oct;23(5):1187-1226. doi: 10.1007/s12350-016-0522-3. Epub 2016 Jul 8.
7
F-FDG positron emission tomography/computed tomography in infective endocarditis.18F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描在感染性心内膜炎中的应用
J Nucl Cardiol. 2017 Feb;24(1):195-206. doi: 10.1007/s12350-015-0325-y. Epub 2015 Dec 9.