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[PMID]: | 28377468 |
[Au] Autor: | Juneau D; Golfam M; Hazra S; Zuckier LS; Garas S; Redpath C; Bernick J; Leung E; Chih S; Wells G; Beanlands RS; Chow BJ |
[Ad] Endereço: | From the Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, Ontario, Canada (D.J., S.H., C.R., J.B., S.C., G.W., R.S.B.B., B.J.W.C.); Division of Nuclear Medicine, Department of Medicine, University of Ottawa, Ontario, Canada (M.G., L.S.Z., S.G., E.L.); and Divisio |
[Ti] Título: | Positron Emission Tomography and Single-Photon Emission Computed Tomography Imaging in the Diagnosis of Cardiac Implantable Electronic Device Infection: A Systematic Review and Meta-Analysis. |
[So] Source: | Circ Cardiovasc Imaging;10(4), 2017 Apr. | [Is] ISSN: | 1942-0080 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | BACKGROUND: The use of cardiac implantable electronic devices (CIED) is increasing, and their associated infections result in significant morbidity and mortality. The introduction of better cardiac imaging techniques could be useful for diagnosing this condition and guiding therapy. Our objective was to systematically assess the diagnostic accuracy of Fluor-18-fluorodeoxyglucose positron emission tomography and computed tomography, labeled leukocyte scintigraphy (LS), and Gallium-67 citrate scintigraphy for the diagnosis of CIED infection. METHODS AND RESULTS: A systematic review of the literature and meta-analysis on the use of all 3 modalities in CIED infection were conducted. Pooled sensitivity, specificity, and summary receiver operating characteristic curves of each imaging modalities were determined. The literature search identified 2493 articles. A total of 13 articles (11 studies for F-FDG PET-CT and 2 for LS), met the inclusion criteria. No studies for Ga citrate scintigraphy met the inclusion criteria. The pooled sensitivity of F-FDG PET-CT for the diagnosis of CIED infection was 87% (95% CI, 82%-91%) and pooled specificity was 94% (95% CI, 88%-98%). The summary receiver operating characteristic curve analysis demonstrated good overall accuracy, with an area under the curve of 0.935. There were insufficient data to do a meta-analysis for LS, but both studies reported sensitivity above 90% and specificity of 100%. CONCLUSIONS: Both F-FDG PET-CT and LS yield high sensitivity, specificity, and accuracy, and thus seem to be useful for the diagnosis of CIED infection, based on robust data for F-FDG PET-CT but limited data for LS. When available, F-FDG PET-CT may be preferred. |
[Mh] Termos MeSH primário: |
Desfibriladores Implantáveis/efeitos adversos Coração Auxiliar/efeitos adversos Técnicas de Diagnóstico Molecular Marca-Passo Artificial/efeitos adversos Tomografia Computadorizada com Tomografia por Emissão de Pósitrons Infecções Relacionadas à Prótese/diagnóstico por imagem Tomografia Computadorizada de Emissão de Fóton Único
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[Mh] Termos MeSH secundário: |
Adulto Idoso Idoso de 80 Anos ou mais Área Sob a Curva Distribuição de Qui-Quadrado Citratos/administração & dosagem Feminino Fluordesoxiglucose F18/administração & dosagem Gálio/administração & dosagem Seres Humanos Masculino Meia-Idade Valor Preditivo dos Testes Infecções Relacionadas à Prótese/microbiologia Curva ROC Compostos Radiofarmacêuticos/administração & dosagem Reprodutibilidade dos Testes Fatores de Risco
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; META-ANALYSIS; REVIEW |
[Nm] Nome de substância:
| 0 (Citrates); 0 (Radiopharmaceuticals); 0Z5B2CJX4D (Fluorodeoxyglucose F18); CH46OC8YV4 (Gallium); HT6C49L0ZP (gallium citrate) |
[Em] Mês de entrada: | 1705 |
[Cu] Atualização por classe: | 170509 |
[Lr] Data última revisão:
| 170509 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170406 |
[St] Status: | MEDLINE |
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