FDG-PET/CT(A) imaging in large vessel vasculitis and polymyalgia rheumatica: joint procedural recommendation of the EANM, SNMMI, and the PET Interest Group (PIG), and endorsed by the ASNC.

FDG-PET/CT(A) imaging in large vessel vasculitis and polymyalgia rheumatica: joint procedural recommendation of the EANM, SNMMI, and the PET Interest Group (PIG), and endorsed by the ASNC.
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DOI:
10.1007/s00259-018-3973-8
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发表时间:
2018-07
影响因子:
9.1
通讯作者:
EANM Committee Coordinator
EANM Committee Coordinator
中科院分区:
医学1区
文献类型:
--
作者:
Slart RHJA;Writing group;Reviewer group;Members of EANM Cardiovascular;Members of EANM Infection & Inflammation;Members of Committees, SNMMI Cardiovascular;Members of Council, PET Interest Group;Members of ASNC;EANM Committee Coordinator

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大血管炎(LVV)是一种主要累及大动脉的疾病,有两种主要变体,即大动脉炎(TA)和巨细胞动脉炎(GCA)。GCA通常与风湿性多肌痛(PMR)在同一患者中共存,因为两者属于同一疾病谱。FDG-PET/CT是一种功能性成像技术,是肿瘤学中的既定工具,也已证明在炎症性疾病领域中的作用。功能性FDG-PET联合解剖CT血管造影(FDG-PET/CT(A))可能对最佳诊断、监测疾病活动性和评价LVV损伤进展具有协同价值。目前没有关于LVV和PMR PET成像采集的指南,尽管标准化对于促进临床研究和日常临床实践至关重要。这项工作构成了欧洲核医学协会(EANM)心血管和炎症与感染委员会、核医学与分子成像学会(SNMMI)心血管理事会和PET兴趣小组(PIG)关于大血管炎(LVV)和PMR的FDG-PET/CT(A)成像的联合程序建议,并得到了美国核心脏病学会(ASNC)的认可。这篇联合论文的目的是根据文献中的可用证据和该领域专家的共识,为疑似或诊断为LVV和/或PMR的患者的诊断和随访提供患者准备、FDG-PET/CT(A)采集和解释的建议和声明。本立场文件旨在为FDG-PET/CT(A)成像和LVV和PMR报告制定国际公认的标准。本文的在线版本(10.1007/s 00259 -018-3973-8)包含补充材料,可供授权用户使用。
Large vessel vasculitis (LVV) is defined as a disease mainly affecting the large arteries, with two major variants, Takayasu arteritis (TA) and giant cell arteritis (GCA). GCA often coexists with polymyalgia rheumatica (PMR) in the same patient, since both belong to the same disease spectrum. FDG-PET/CT is a functional imaging technique which is an established tool in oncology, and has also demonstrated a role in the field of inflammatory diseases. Functional FDG-PET combined with anatomical CT angiography, FDG-PET/CT(A), may be of synergistic value for optimal diagnosis, monitoring of disease activity, and evaluating damage progression in LVV. There are currently no guidelines regarding PET imaging acquisition for LVV and PMR, even though standardization is of the utmost importance in order to facilitate clinical studies and for daily clinical practice. This work constitutes a joint procedural recommendation on FDG-PET/CT(A) imaging in large vessel vasculitis (LVV) and PMR from the Cardiovascular and Inflammation & Infection Committees of the European Association of Nuclear Medicine (EANM), the Cardiovascular Council of the Society of Nuclear Medicine and Molecular Imaging (SNMMI), and the PET Interest Group (PIG), and endorsed by the American Society of Nuclear Cardiology (ASNC). The aim of this joint paper is to provide recommendations and statements, based on the available evidence in the literature and consensus of experts in the field, for patient preparation, and FDG-PET/CT(A) acquisition and interpretation for the diagnosis and follow-up of patients with suspected or diagnosed LVV and/or PMR. This position paper aims to set an internationally accepted standard for FDG-PET/CT(A) imaging and reporting of LVV and PMR. The online version of this article (10.1007/s00259-018-3973-8) contains supplementary material, which is available to authorized users.
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