F-18 fluorodeoxyglucose positron emission tomography/computed tomography in the infection of heart

Yeungnam Univ J Med. 2021 Apr;38(2):95-106. doi: 10.12701/yujm.2020.00479. Epub 2020 Oct 15.

Abstract

Infections involving the heart are becoming increasingly common, and a timely diagnosis of utmost importance, despite its challenges. F-18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) is a recently introduced diagnostic tool in cardiology. This review focuses on the current evidence for the use of FDG PET/CT in the diagnosis of infective endocarditis, cardiac implantable device infection, left ventricular assist device infection, and secondary complications. The author discusses considerations when using FDG PET/CT in routine clinical practice, patient preparation for reducing physiologic myocardial uptake, acquisition of images, and interpretation of PET/CT findings. This review also functions to highlight the need for a standardized acquisition protocol.

Keywords: Endocarditis; F-18 fluorodeoxyglucose; Heart valve prosthesis; Infections; Positron emission tomography computed tomography.