Etiology of amyloidosis determines myocardial 99mTc-DPD uptake in amyloidotic cardiomyopathy

Clin Nucl Med. 2015 May;40(5):446-7. doi: 10.1097/RLU.0000000000000741.

Abstract

Tc-DPD (Tc-3,3-diphosphono-1,2-propanodicarboxylic acid) has a high affinity for transthyretin (TTR)-infiltrated myocardium, allowing a differential diagnosis with light chain cardiac amyloidosis and other nonamyloidotic cardiomyopathies with a hypertrophic phenotype, in which myocardial tracer uptake is low or absent. Myocardial bone tracer uptake in the rarer forms of amyloidosis (eg, apolipoprotein-related) has been rarely studied. We present 4 cases of cardiac amyloidosis that underwent Tc-DPD scintigraphy; myocardial DPD uptake was present in patients with ATTR, wtTTR and apolipoprotein AI and negative in cases with AL and apolipoprotein AII-related disease.

Publication types

  • Case Reports

MeSH terms

  • Amyloidosis / diagnostic imaging*
  • Amyloidosis / etiology
  • Cardiomyopathies / diagnostic imaging*
  • Cardiomyopathies / etiology
  • Diphosphonates*
  • Humans
  • Organotechnetium Compounds*
  • Radionuclide Imaging
  • Radiopharmaceuticals*

Substances

  • Diphosphonates
  • Organotechnetium Compounds
  • Radiopharmaceuticals
  • technetium Tc 99m 1,1-diphosphonopropane-2,3-dicarboxylic acid