Building Up the Diagnosis of Cardiac Device Infections: The Role of Imaging
Building Up the Diagnosis of Cardiac Device Infections: The Role of Imaging
复制标题
建立心脏装置感染的诊断：影像学的作用
DOI：
10.1007/978-3-030-46255-0_5
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发表时间：
2020
影响因子：
10.6
通讯作者：
R. Bonfiglioli
中科院分区：
文献类型：
--
作者：
I. Diemberger;Stefano Lorenzetti;R. Bonfiglioli
在心脏可植入电子设备(CIED)的并发症中，鉴于感染对临床结果和相关医疗系统成本的严重影响，感染是最严重的并发症之一。CIED相关感染(CIEDI)可能有几种不同的临床表现，增加了诊断过程的复杂性。临床检查、实验室检查、血培养和拭子都是诊断过程中的强制性步骤，类似于心内膜炎诊断过程中发生的步骤。然而，由于体征和症状可能是轻微的或令人困惑的，成像在提供正确诊断方面起着关键作用。在本章中，我们将讨论超声心动图(经胸、经食道和心内)在排除CIEDI诊断中的各个方面。鉴于计算机断层扫描和磁共振在心内膜炎治疗中的应用日益广泛，我们将在稍后讨论它们在CIEDI环境中的利弊。最后，我们将侧重于核成像，讨论18F-FDG PET扫描和白细胞SPET诊断CIEDI的各个方面，阐明其他成像技术的优势，同时也阐明如何从这些工具中获得最大限度的好处。值得注意的是，成像技术的作用并不局限于帮助定义CIEDI的诊断。为此，我们将在本章的大部分时间里讨论它们在评估感染过程延长、检测并发症、支持经静脉引流(TLE)手术、计划CIED再植入以及帮助预测TLE后再感染或死亡风险方面的作用。
Among the complications of cardiac implantable electronic devices (CIED), infections represent one of the nastiest in view of the heavy impact on clinical outcomes and associated costs for healthcare systems. CIED-related infections (CIEDI) can present with several different clinical manifestations increasing the complexity of the diagnostic process. Clinical examination, laboratory exams, blood cultures, and swabs all are mandatory steps for the diagnostic process, similarly to what occurs during diagnosis of endocarditis. However, since signs and symptom may be mild or confusing, imaging has a key role in providing the correct diagnosis. In the present chapter we will discuss the various aspects of echocardiography (transthoracic, transesophageal, and intracardiac) in ruling out CIEDI diagnosis. Later we will discuss the role of computer tomography and magnetic resonance in view of their increasing use in the management of endocarditis, focusing on their pros and cons in the CIEDI setting. Finally, we will focus on nuclear imaging discussing all the various aspects of 18F-FDG PET scan and white blood cell SPET for diagnosis of CIEDI elucidating the advantages among the other imaging techniques but also clarifying how to obtain the maximum from these tools. Notably, the role of imaging techniques is not limited to help defining the diagnosis of CIEDI. For this reason we will dedicate a large part of this chapter to discuss their role in assessment of the extension of the infectious process, detection of complications, supporting transvenous lead extraction (TLE) procedures, planning CIED reimplantation, and helping in predicting post-TLE risk of reinfection or death.
靶向葡萄糖转运蛋白进行肿瘤成像：“甜蜜”的想法，“酸涩”的结果。
DOI：
--
发表时间：
1996
期刊：
Journal of nuclear medicine : official publication, Society of Nuclear Medicine
影响因子：
--
作者：
Wahl,RL
通讯作者：
Wahl,RL
影响因子：
4
作者：
Zhu A;Lee D;Shim H
通讯作者：
Shim H