Is There an Association Between Clinical Presentation and the Location and Extent of Myocardial Involvement of Cardiac Sarcoidosis as Assessed by 18 F- Fluorodoexyglucose Positron Emission Tomography?
| Autor: | Jennifer M. Renaud, Ran Klein, George A. Wells, Rob de Kemp, Brian Mc Ardle, Eugene Leung, Jean N. DaSilva, David H. Birnie, Rob S. Beanlands, Pablo B. Nery |
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| Rok vydání: | 2013 |
| Předmět: |
Receiver operating characteristic
medicine.diagnostic_test business.industry Perfusion scanning Stroke volume Ventricular tachycardia medicine.disease Asymptomatic Positron emission tomography Predictive value of tests medicine Radiology Nuclear Medicine and imaging medicine.symptom Cardiology and Cardiovascular Medicine Nuclear medicine business Prospective cohort study |
| Zdroj: | Circulation: Cardiovascular Imaging. 6:617-626 |
| ISSN: | 1942-0080 1941-9651 |
| DOI: | 10.1161/circimaging.112.000289 |
| Popis: | Background— Positron emission tomography using 18 F-Fluorodeoxyglucose (FDG) is an emerging modality for diagnosis of cardiac sarcoidosis (CS). We compared the location and degree of FDG uptake in CS patients presenting with either advanced atrioventricular block (AVB) or ventricular tachycardia (VT). Methods and Results— We included consecutive patients who presented with either AVB or VT with a diagnosis of CS. A cohort of patients with clinically silent CS was included as controls. FDG activity was quantified as standardized uptake values (SUV) and both the overall mean left ventricular (LV) SUV as well as the Maximum Mean Segmental SUV was recorded for each patient. Receiver operator characteristic (ROC) analysis was performed to identify cutoff SUV values that best identified patients with VT. A total of 27 patients with CS were included (13 females; mean age, 56±8 years; 8 VT, 12 AVB, and 7 controls). Both mean LV SUV and Max SUV in CS patients presenting with VT were significantly higher compared with those with AVB (mean SUV: VT median 5.33, range 4.7–9.35 versus AVB median 2.48, range 0.86–8.59, P =0.016; max SUV: VT median 11.07, range 9.24–14.4 versus AVB median 5.63, range 3.42–15.71, P =0.005) and compared with controls. There was no significant difference in SUV values between AVB patients and controls. ROC analysis for identification of patients with VT showed AUCs of 0.93 and 0.895 for a mean LV SUV of >3.42 and a max SUV >8.56, respectively ( P Conclusions— CS patients with VT displayed significantly higher FDG uptake when compared with those with AVB and asymptomatic controls. Further prospective studies are required to evaluate this finding. |
| Databáze: | OpenAIRE |
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