Evaluation of 18F-Fluorodeoxyglucose Positron Emission Tomography Imaging in Myocarditis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Sensitivity of FDG PET/CT imaging with rest perfusion imaging to detect myocarditis
研究概览
简要总结
This study evaluates the diagnostic performance of 18F-2-fluoro-2-deoxy-D-glucose fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) with rest perfusion imaging for the diagnosis of myocarditis. Patients with clinical suspicion of myocarditis will be recruited and undergo a rest myocardial perfusion scan and a FDG PET/CT scan following a myocardial suppression protocol.
详细描述
Myocarditis is characterized by myocardial inflammation, which can lead to fibrosis and heart failure.
FDG PET/CT, with appropriate suppression protocol including high-fat-low-carbohydrate diet, fasting, and IV heparin, can be use to detect myocardial inflammation. It is frequently used for the diagnosis of inflammation in cardiac sarcoidosis. After the initial inflammatory phase, inflammation resolves and fibrosis can seen. Resting perfusion imaging will allow identification of fibrosis. The combination of FDG PET/CT and rest perfusion imaging could allow detection of the various phases of myocarditis; inflammation and fibrosis.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years of age or older
- •Clinical suspicion of myocarditis due to findings such as:
- •Symptoms and signs of myocarditis such as dyspnea, orthopnea, palpitation, and chest pain, without other identifiable cause
- •New onset of cardiovascular symptoms with recent history of viral disease or previous myocarditis
- •Unexplained new onset of left ventricular dysfunction
- •Unexplained elevated troponin
- •Magnetic resonance imaging findings suggestive of myocarditis, such as late gadolinium enhancement and edema
- •Biopsy findings compatible with myocarditis
- •Women of childbearing potential must have a negative urine or blood pregnancy test
- •Capable of giving informed consent and the consent must be obtained prior to any study related procedures
- •Subject's with body mass index inferior or equal to 45 kg/m2
排除标准
- •Female subject who is pregnant or breastfeeding and unwilling to stop for 24h
- •Claustrophobia or inability to lie still in a supine position for imaging purposes
- •Unwillingness or inability to provide informed consent
结局指标
主要结局
Sensitivity of FDG PET/CT imaging with rest perfusion imaging to detect myocarditis
时间窗: 1 year
Sensitivity of FDG-PET/CT with rest perfusion imaging
次要结局
- Left ventricular ejection fraction(1 year)
- Specificity and accuracy of FDG-PET/CT with rest perfusion imaging to detect myocarditis(1 year)
研究者
Matthieu Pelletier-Galarneau, MD MSc
Adjunct Professor of Clinic
Montreal Heart Institute