Same day comparison of PET/CT and PET/MR in patients with cardiac sarcoidosis.
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ABSTRACT: Background
Inflammatory cardiac disorders, in particular, sarcoidosis, play an important role in left ventricular dysfunction, conduction abnormalities, and arrhythmias. In this study, we compared the imaging characteristics and diagnostic information obtained when patients were imaged sequentially with PET/CT and then with hybrid PET/MRI on the same day following a single 18F-FDG injection.Methods
Ten patients with known or suspected sarcoidosis underwent imaging in sequence of (a) 99mTc-MIBI, (b) 18F-FDG with PET/CT, and (c) 18F-FDG with 3T PET/MRI. Images were compared quantitatively by determination of SUVmax and SUV on a voxel by voxel basis, and qualitatively by two experienced observers.Results
When both platforms were compared quantitatively, similar data for the evaluation of enhanced 18F-FDG uptake were obtained. Qualitatively, there were (1) several instances of normal perfusion with delayed enhancement and/or focal 18F-FDG uptake, (2) comparable enhanced 18F-FDG uptake on PET/CT vs. PET/MRI, and (3) diversity in disease patterns with delayed enhancement only, increased 18F-FDG uptake only, or both.Conclusion
In this limited patient study, PET/CT and PET/MR provided similar diagnostic data for 18F-FDG uptake, and the concurrent acquisition of MR images provided further insight into the disease process.
SUBMITTER: Wisenberg G
PROVIDER: S-EPMC7749056 | biostudies-literature | 2020 Dec
REPOSITORIES: biostudies-literature
Publications
Same day comparison of PET/CT and PET/MR in patients with cardiac sarcoidosis.
Wisenberg G G Thiessen J D JD Pavlovsky W W Butler J J Wilk B B Prato F S FS
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology 20190102 6
<h4>Background</h4>Inflammatory cardiac disorders, in particular, sarcoidosis, play an important role in left ventricular dysfunction, conduction abnormalities, and arrhythmias. In this study, we compared the imaging characteristics and diagnostic information obtained when patients were imaged sequentially with PET/CT and then with hybrid PET/MRI on the same day following a single <sup>18</sup>F-FDG injection.<h4>Methods</h4>Ten patients with known or suspected sarcoidosis underwent imaging in s ...[more]
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