Multimodality Imaging in Infective Endocarditis: An Imaging Team Within the Endocarditis Team

Area of Science:

• Cardiology
• Infectious Diseases
• Radiology

Background:

• Infective endocarditis (IE) presents diagnostic challenges, particularly with prosthetic valves or device infections.
• Echocardiography alone has limitations in diagnosing IE.
• Prompt diagnosis and treatment, including surgery, are crucial for improving IE prognosis.

Purpose of the Study:

• To review the role of multimodality imaging in diagnosing infective endocarditis.
• To highlight the importance of a multidisciplinary approach involving imaging experts.
• To provide practical suggestions for improving IE patient outcomes.

Main Methods:

• Review of contemporary literature on multimodality imaging in IE.
• Critical appraisal of diagnostic performance of various imaging techniques.
• Case illustrations demonstrating the utility of imaging in IE management.

Main Results:

• Advanced imaging modalities like CT, MRI, and nuclear imaging show potential in detecting IE-related cardiac and extracardiac lesions.
• The incremental value and optimal combination of these techniques are still under investigation.
• Multidisciplinary teams are essential for integrating imaging findings into IE diagnosis and treatment strategies.

Conclusions:

• Multimodality imaging holds significant promise for enhancing IE diagnosis and patient management.
• Despite limited evidence, clinicians should consider advanced imaging options when appropriate.
• A collaborative approach involving cardiac and extracardiac imaging experts is vital for optimizing IE care.