By Andrew M. Freeman, Howard D. Weinberger
This booklet will offer, for the 1st time to be had, a concise yet excessive yield subject evaluation of cardiac sarcoidosis from possibility components to the improvement of the disorder via cures. The ebook will contain suggestions which are rising and people who at the moment are recognized at the subject, and should use genuine international examples to assist illustrate top practices within the administration of this disorder entity.
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Extra resources for Cardiac Sarcoidosis: Key Concepts in Pathogenesis, Disease Management, and Interesting Cases
These images should be interpreted by a physician who is trained at body PET/CT as it is important to recognize normal distribution of FDG by various organs from pathologic uptake. Image Interpretation Image interpretation requires simultaneous visualization of both rest MPI and FDG PET images. Normal scans will have complete suppression of FDG from the myocardium with normal resting perfusion (Fig. 1). At times, patients without cardiac disease may also have diffuse homogenous uptake of FDG by the myocardium.
Fig. 1 Example of normal F-18 FDG PET/CT. Rest myocardial perfusion imaging demonstrates normal perfusion of the left ventricle with no defects. The cardiac FDG images show good suppression of FDG from the myocardium with no focal uptake involving the left or right ventricles 44 R. Blankstein and S. Dorbala Most patients with cardiac involvement will exhibit a focal or focal-on-diffuse area of myocardial FDG uptake. Less frequently, focal areas of increased FDG uptake involving the right ventricle may also be seen, a finding which is associated with adverse prognosis .
18. Bargout R, Kelly RF. Sarcoid heart disease: clinical course and treatment. Intl J Card. 2004;97:173–82. Chapter 5 Diagnosis II: Imaging of Cardiac Sarcoidosis with Cardiac MRI, PET and SPECT Joyce D. Schroeder and Brett Fenster Abstract Imaging protocols in Cardiac MRI, PET and SPECT provide a rich set of tools for the evaluation of myocardial scar, edema, inflammation, anatomy, functional abnormalities and associated features of cardiac sarcoidosis. Cardiac magnetic resonance imaging (MRI) employs delayed hyperenhancement (DHE) sequences for the detection of bright (high signal intensity) scar in the myocardium as well as T2 imaging for inflammation and cinematic movie imaging for anatomic and functional evaluation.