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Cardiovascular 18F-fluoride positron emission tomography-magnetic resonance imaging: A comparison study.


ABSTRACT:

Background

18F-Fluoride uptake denotes calcification activity in aortic stenosis and atherosclerosis. While PET/MR has several advantages over PET/CT, attenuation correction of PET/MR data is challenging, limiting cardiovascular application. We compared PET/MR and PET/CT assessments of 18F-fluoride uptake in the aortic valve and coronary arteries.

Methods and results

18 patients with aortic stenosis or recent myocardial infarction underwent 18F-fluoride PET/CT followed immediately by PET/MR. Valve and coronary 18F-fluoride uptake were evaluated independently. Both standard (Dixon) and novel radial GRE) MR attenuation correction (AC) maps were validated against PET/CT with results expressed as tissue-to-background ratios (TBRs). Visually, aortic valve 18F-fluoride uptake was similar on PET/CT and PET/MR. TBRMAX values were comparable with radial GRE AC (PET/CT 1.55±0.33 vs. PET/MR 1.58 ± 0.34, P = 0.66; 95% limits of agreement - 27% to + 25%) but performed less well with Dixon AC (1.38 ± 0.44, P = 0.06; bias (-)14%; 95% limits of agreement - 25% to + 53%). In native coronaries, 18F-fluoride uptake was similar on PET/MR to PET/CT regardless of AC approach. PET/MR identified 28/29 plaques identified on PET/CT; however, stents caused artifact on PET/MR making assessment of 18F-fluoride uptake challenging.

Conclusion

Cardiovascular PET/MR demonstrates good visual and quantitative agreement with PET/CT. However, PET/MR is hampered by stent-related artifacts currently limiting clinical application.

SUBMITTER: Andrews JPM 

PROVIDER: S-EPMC8616877 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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Publications

Cardiovascular <sup>18</sup>F-fluoride positron emission tomography-magnetic resonance imaging: A comparison study.

Andrews Jack P M JPM   MacNaught Gillian G   Moss Alastair J AJ   Doris Mhairi K MK   Pawade Tania T   Adamson Philip D PD   van Beek Edwin J R EJR   Lucatelli Christophe C   Lassen Martin L ML   Robson Philip M PM   Fayad Zahi A ZA   Kwiecinski Jacek J   Slomka Piotr J PJ   Berman Daniel S DS   Newby David E DE   Dweck Marc R MR  

Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology 20191202 5


<h4>Background</h4><sup>18</sup>F-Fluoride uptake denotes calcification activity in aortic stenosis and atherosclerosis. While PET/MR has several advantages over PET/CT, attenuation correction of PET/MR data is challenging, limiting cardiovascular application. We compared PET/MR and PET/CT assessments of <sup>18</sup>F-fluoride uptake in the aortic valve and coronary arteries.<h4>Methods and results</h4>18 patients with aortic stenosis or recent myocardial infarction underwent <sup>18</sup>F-flu  ...[more]

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