Radionuclide Imaging for Cardiac Sarcoidosis: Much Potential Benefit, but Still Much to Do.

Mark I Travin
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Abstract

Sarcoidosis, a multi-organ inflammatory condition commonly involving the heart and leading to high morbidity and mortality, is increasingly prevalent. PET imaging with 18F-FDG in conjunction with perfusion imaging is increasingly used for diagnosis, disease characterization, and to guide and follow treatment. However, various challenges remain with regard to protocols, interpretation of image findings, and how best to use test results to guide and monitor therapy. Further investigations of the testing technique, as well as better understanding of disease pathophysiology, are needed for better image utility in order to effectively improve patient outcome.

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放射性核素成像对心脏结节病的潜在益处,但仍有很多工作要做。
结节病是一种多器官炎症,通常累及心脏,导致高发病率和死亡率,越来越普遍。18F-FDG PET成像结合灌注成像越来越多地用于诊断、疾病表征以及指导和跟踪治疗。然而,在方案、图像发现的解释以及如何最好地使用测试结果来指导和监测治疗方面,各种挑战仍然存在。需要进一步研究检测技术,以及更好地了解疾病病理生理学,以便更好地利用图像,从而有效地改善患者的预后。
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