1. PET/CT Imaging of Infectious Diseases: Overview of Novel Radiopharmaceuticals.
- Author
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Calabria, Ferdinando F., Guadagnino, Giuliana, Cimini, Andrea, and Leporace, Mario
- Subjects
COMPUTED tomography ,COMMUNICABLE diseases ,LEUCOCYTES ,RADIOPHARMACEUTICALS ,GLUCOSE metabolism - Abstract
Infectious diseases represent one of the most common causes of hospital admission worldwide. The diagnostic work-up requires a complex clinical approach, including laboratory data, CT and MRI, other imaging tools, and microbiologic cultures. PET/CT with
18 F-FDG can support the clinical diagnosis, allowing visualization of increased glucose metabolism in activated macrophages and monocytes; this tracer presents limits in differentiating between aseptic inflammation and infection. Novel PET radiopharmaceuticals have been developed to overcome these limits;11 C/18 F-labeled bacterial agents, several68 Ga-labeled molecules, and white blood cells labeled with18 F-FDG are emerging PET tracers under study, showing interesting preliminary results. The best choice among these tracers can be unclear. This overview aims to discuss the most common diagnostic applications of18 F-FDG PET/CT in infectious diseases and, as a counterpoint, to describe and debate the advantages and peculiarities of the latest PET radiopharmaceuticals in the field of infectious diseases, which will probably improve the diagnosis and prognostic stratification of patients with active infectious diseases. [ABSTRACT FROM AUTHOR]- Published
- 2024
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