FDG PET/CT of Inflammatory Cardiovascular Disease

The diagnosis and management of inflammatory processes of the cardiovascular system affecting the myocardium, pericardium, and blood vessels are reviewed.

Course ID: Q00374 Category:
Modalities: , , , , ,

2.0

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Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Cardiac-Interventional Radiography: 1.25
Procedures: 1.25
Diagnostic and Conduction System Studies: 1.25

Computed Tomography: 1.25
Procedures: 1.25
Neck and Chest: 1.25

Nuclear Medicine Technology: 2.00
Procedures: 2.00
Cardiac Procedures: 2.00

Registered Radiologist Assistant: 2.00
Procedures: 2.00
Thoracic Section: 2.00

Outline

  1. Introduction
  2. FDG PET/CT Protocol
  3. Myocardial Disease
    1. Sarcoidosis
    2. Myocarditis
  4. Pericardial and Epicardial Disease
    1. Pericarditis
    2. Epicarditis
  5. Vascular Disease
    1. Atherosclerosis
    2. Vasculitis
  6. Summary

Objectives

Upon completion of this course, students will:

  1. be familiar with the affects inflammatory disorders have on the cardiovascular system
  2. be able to identify the symptoms of vasculitis
  3. list the advantages of FDG PET/CT to detect inflammatory processes
  4. be familiar with the imaging modalities traditionally used to diagnose cardiac disease
  5. be familiar with the established role of FDG PET/CT in the clinical setting
  6. be able to identify the radionuclide used in FDG PET/CT
  7. be familiar with the energy of PET photons
  8. know the physical half-life of 18F
  9. identify the normal distribution of FDG in healthy myocar dium
  10. identify the primary factor that determines FDG uptake in the myocardium
  11. be familiar with the differences of FDG distribution in the ventricles of the heart
  12. identify the fasting time necessary to reduce normal FDG myocardial uptake
  13. identify the causes of inflammatory cardiomyopathy
  14. know which imaging modalities provide a more direct assessment of infiltrative processes within the myocardium
  15. be familiar with the potential limitations of using MRI when imaging sarcoidosis patients
  16. identify the testing characteristics of the cardiac biomarker CK-MB for diagnosis of myocarditis
  17. be familiar with the effects of radiation therapy or chemotherapy on FDG uptake in the myocardium
  18. identify which class of drugs have a cardiotoxic effect
  19. be familiar with the most common cardiovascular diseases
  20. identify what is currently the most sensitive and specific cardiac biomarker for myocardial damage
  21. understand the imaging features of pericarditis using FDG PET/CT
  22. know the imaging modality that is best suited for detecting pericarditis
  23. be familiar with the manifestations of epipericarditis
  24. identify the treatment for epipericardial fat necrosis
  25. be familiar with the most common cause of myocarditis in North America and Europe
  26. be familiar with the “gold standard” for definitively diagnosing myocarditis
  27. know what modality is considered the first-choice for diagnosing myocardial disease
  28. be familiar with radionuclides that have been used for inflammation or infection of the myocardium
  29. be familiar with the CMR imaging techniques recommended for diagnosing myocarditis
  30. identify the vessel diameter most commonly seen when atherosclerosis is visualized on FDG PET/CT
  31. be familiar with the most common large cell vasculitides
  32. identify which population is most affected by Takayasu arteritis
  33. be familiar with the specificity of FDG PET/CT for detecting large vessel vasculitis
  34. understand the classification of vasculitis
  35. be familiar with the laboratory test results indicative of active vasculitis