Clinical use of quantitative cardiac perfusion PET: rationale, modalities and possible indications. Position paper of the Cardiovascular Committee of the European Association of Nuclear Medicine (EANM)

Autor: Alessandro Passeri, Marcus Hacker, Fabien Hyafil, Hein J. Verberne, Oliver Lindner, Alessia Gimelli, Roberto Sciagrà, Riemer H. J. A. Slart, Jan Bucerius, Christopher Übleis, Denis Agostini
Přispěvatelé: Beeldvorming, MUMC+: DA BV Medisch Specialisten Nucleaire Geneesk (9), RS: CARIM - R3.11 - Imaging
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Positron emission tomography
Coronary flow reserve
Association (object-oriented programming)
030204 cardiovascular system & hematology
ISCHEMIC-HEART-DISEASE
Cardiovascular System
Myocardial blood flow
030218 nuclear medicine & medical imaging
VENTRICULAR EJECTION FRACTION
Quantitative perfusion
03 medical and health sciences
0302 clinical medicine
POSITRON-EMISSION-TOMOGRAPHY
Myocardial perfusion scintigraphy
Image Processing
Computer-Assisted

Medicine
Humans
Radiology
Nuclear Medicine and imaging

N 13 ammonia
Societies
Medical

Modalities
MYOCARDIAL BLOOD-FLOW
HYPERTROPHIC CARDIOMYOPATHY
business.industry
RB-82 PET
General Medicine
Cardiac perfusion
Clinical Practice
PROGNOSTIC VALUE
TIME-OF-FLIGHT
Positron-Emission Tomography
Position paper
CORONARY-ARTERY-DISEASE
N-13 AMMONIA
Nuclear Medicine
Radiopharmaceuticals
Nuclear medicine
business
Zdroj: European Journal of Nuclear Medicine and Molecular Imaging, 43(8), 1530-1545. Springer, Cham
ISSN: 1619-7070
DOI: 10.1007/s00259-016-3317-5
Popis: Until recently, PET was regarded as a luxurious way of performing myocardial perfusion scintigraphy, with excellent image quality and diagnostic capabilities that hardly justified the additional cost and procedural effort. Quantitative perfusion PET was considered a major improvement over standard qualitative imaging, because it allows the measurement of parameters not otherwise available, but for many years its use was confined to academic and research settings. In recent years, however, several factors have contributed to the renewal of interest in quantitative perfusion PET, which has become a much more readily accessible technique due to progress in hardware and the availability of dedicated and user-friendly platforms and programs. In spite of this evolution and of the growing evidence that quantitative perfusion PET can play a role in the clinical setting, there are not yet clear indications for its clinical use. Therefore, the Cardiovascular Committee of the European Association of Nuclear Medicine, starting from the experience of its members, decided to examine the current literature on quantitative perfusion PET to (1) evaluate the rationale for its clinical use, (2) identify the main methodological requirements, (3) identify the remaining technical difficulties, (4) define the most reliable interpretation criteria, and finally (5) tentatively delineate currently acceptable and possibly appropriate clinical indications. The present position paper must be considered as a starting point aiming to promote a wider use of quantitative perfusion PET and to encourage the conception and execution of the studies needed to definitely establish its role in clinical practice.
Databáze: OpenAIRE