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- Title
Patient preparation for cardiac fluorine-18 fluorodeoxyglucose positron emission tomography imaging of inflammation.
- Authors
Osborne, Michael; Hulten, Edward; Murthy, Venkatesh; Skali, Hicham; Taqueti, Viviany; Dorbala, Sharmila; DiCarli, Marcelo; Blankstein, Ron; Osborne, Michael T; Hulten, Edward A; Murthy, Venkatesh L; Taqueti, Viviany R; DiCarli, Marcelo F
- Abstract
Although the number of clinical applications for fluorine-18 fluorodeoxyglucose (18F-FDG) cardiac positron emission tomography (PET) has continued to grow, there remains a lack of consensus regarding the ideal method of suppressing normal myocardial glucose utilization for image optimization. This review describes various patient preparation protocols that have been used as well as the success rates achieved in different studies. Collectively, the available literature supports using a high-fat, no-carbohydrate diet for at least two meals with a fast of 4-12 hours prior to 18F-FDG PET imaging and suggests that isolated fasting for less than 12 hours and supplementation with food or drink just prior to imaging should be avoided. Each institution should adopt a protocol and continuously monitor its effectiveness with a goal to achieve adequate myocardial suppression in greater than 80% of patients.
- Subjects
CARDIOGRAPHIC tomography; FLUORODEOXYGLUCOSE F18; POSITRON emission tomography; INFLAMMATION; CARDIAC infections; DEOXY sugars; DIAGNOSTIC imaging; FASTING; LOW-carbohydrate diet; CARDIOMYOPATHIES; RADIOPHARMACEUTICALS; RESEARCH evaluation; CONTINUING education units
- Publication
Journal of Nuclear Cardiology, 2017, Vol 24, Issue 1, p86
- ISSN
1071-3581
- Publication type
journal article
- DOI
10.1007/s12350-016-0502-7