Novel dietary protocol prior to 18F-fluorodeoxyglucose positron emission tomography to evaluate for cardiac sarcoidosis

J Nucl Cardiol. 2021 Oct;28(5):2190-2193. doi: 10.1007/s12350-020-02392-x. Epub 2020 Oct 14.

Abstract

The diagnosis of cardiac sarcoidosis (CS) is challenging. Recently, guidelines incorporated cardiac positron emission tomography (PET) with 18F-Fluorodeoxyglucose (F18-FDG) as a non-invasive diagnostic modality for the detection and follow-up of CS. However, this technique is dependent of patient dietary preparation to suppress physiological myocardial F18-FDG uptake. We present a case of possible CS which highlights a novel preparation protocol that facilitated appropriate myocardial suppression.

Keywords: Image guided application; Inflammation; PET; diseases/processes; imaging agents; metabolism; modalities; outcomes; sarcoid heart disease; tracers.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Fluorodeoxyglucose F18 / therapeutic use*
  • Humans
  • Positron-Emission Tomography / instrumentation*
  • Positron-Emission Tomography / methods
  • Positron-Emission Tomography / statistics & numerical data
  • Radiopharmaceuticals / therapeutic use
  • Sarcoidosis / diagnostic imaging*
  • Sarcoidosis / diet therapy*
  • Sarcoidosis / physiopathology

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18