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Review
. 2018 May 29:7:F1000 Faculty Rev-674.
doi: 10.12688/f1000research.13791.1. eCollection 2018.

Advanced imaging improves the diagnosis of infective endocarditis

Daniel Harding  1 , Bernard Prendergast  1
Affiliations
Review

Advanced imaging improves the diagnosis of infective endocarditis

Daniel Harding et al. F1000Res. .

Abstract

Infective endocarditis is a heterogeneous condition whose incidence is rising. Despite advances in surgery and diagnostic methods, one-year mortality has not changed and it remains at 30%. Patients with prosthetic valve and intra-cardiac device-related endocarditis are being seen more frequently and this condition is difficult to diagnose with conventional microbiological and imaging techniques. The modified Duke criteria lack sensitivity in this group and should be supplemented with newer imaging techniques, including 18F-fluorodeoxyglucose positron emission tomography (18F-FDG-PET) and single-photon emission computed tomography (SPECT). In this article, we discuss these techniques and their role in the diagnosis of infective endocarditis.

Keywords: Cardiology; Infective endocarditis; Nuclear Imgaing; PET; SPECT.

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Conflict of interest statement

No competing interests were disclosed.No competing interests were disclosed.No competing interests were disclosed.

Figures

Figure 1.
Figure 1.. Diagnostic criteria for infective endocarditis.
Taken from the 2015 European Society of Cardiology (ESC) guidelines for the management of infective endocarditis (IE) . 18F-FDG PET, 18F-fluorodeoxyglucose positron emission tomography; CT, computed tomography; ECHO, echocardiogram; SPECT, single-photon emission computed tomography; TOE, transoesophageal echocardiography; TTE, transthoracic echocardiography.
See this image and copyright information in PMC

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