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Detection of acute myocarditis by ECG-triggered PET imaging of somatostatin receptors compared to cardiac magnetic resonance: preliminary results.
- Source :
-
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology [J Nucl Cardiol] 2023 Jun; Vol. 30 (3), pp. 1043-1049. Date of Electronic Publication: 2022 Sep 19. - Publication Year :
- 2023
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Abstract
- Somatostatin receptors are overexpressed by inflammatory cells but not by cardiac cells, under normal conditions. This study assesses the detection of acute myocarditis by the ECG-triggered digital-PET imaging of somatostatin receptors ( <superscript>68</superscript> Ga-DOTATOC-PET), as compared to Cardiac Magnetic Resonance (CMR) imaging, which is the reference diagnostic method in this setting.<br />Methods: Fourteen CMR-defined acute myocarditis patients had a first 15-minutes ECG-triggered <superscript>68</superscript> Ga-DOTATOC PET recording, 4.4 ± 3.0 days from peak troponin, and 10 had a second 4.3 ± 0.3 months later. Myocardial/blood SUVmax ratio was analyzed relative to the normal upper limit of 2.18, which had been previously determined from oncology <superscript>68</superscript> Ga-DOTATOC-PET recordings of patients with a similar age range as the myocarditis patients.<br />Results: An increased myocardial <superscript>68</superscript> Ga-DOTATOC uptake relative to blood activity was invariably observed during the acute phase. SUVmax ratio exceeded 2.18 in all patients during the acute phase but also in 3/10 patients at 4-months, at a time when there were no more signs of active inflammation on CMR. A residual myocardial <superscript>68</superscript> Ga-DOTATOC uptake was still observed on all gated-PET cine loops at 4-months.<br />Conclusion: These preliminary results suggest that <superscript>68</superscript> Ga-DOTATOC ECG-triggered digital-PET may be as sensitive as CMR at detecting myocarditis during the acute phase and more sensitive at later stages.<br /> (© 2022. The Author(s) under exclusive licence to American Society of Nuclear Cardiology.)
Details
- Language :
- English
- ISSN :
- 1532-6551
- Volume :
- 30
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 36123566
- Full Text :
- https://doi.org/10.1007/s12350-022-03090-6