感染症内膜炎におけるマルチモダリティ・イメージング:内膜炎チーム内のイメージングチーム
Paola A Erba1,2, Maria N Pizzi3,4, Albert Roque5,4
1Nuclear Medicine, Department of Translational Research and New Technology in Medicine, University of Pisa, Italy (P.A.E.).
Circulation
|November 19, 2019
まとめ
感染症性内臓炎 (IE) の診断は難しい. マルチモダルイメージングは,現在の証拠の限界にもかかわらず,診断と患者の結果を改善する有望なアプローチを提供します.
科学分野:
- 心臓病科
- 感染症
- 放射線科
背景:
- 感染症性心内炎 (IE) は,特に義肢弁や器具の感染症で診断に困難を伴う.
- エコーカルディオグラフィーだけではIEの診断には限界があります.
- 手術を含む早期の診断と治療は,IEの予後を改善するために不可欠です.
研究 の 目的:
- 感染症性心内炎の診断における多様性画像の役割を見直す.
- 画像専門家の関与による多学問的なアプローチの重要性を強調する.
- IE患者の治療結果を改善するための 実践的な提案を提供すること.
主な方法:
- マルチモダリティ イメージングに関する現代文献のレビュー
- 様々なイメージング技術の診断性能を批判的に評価する.
- IE管理におけるイメージングの有用性を示す事例.
主要な成果:
- CT,MRI,核画像などの高度なイメージング方式は,IEに関連する心臓および心臓外損傷を検出する可能性を示しています.
- これらのテクニックのインクリメント・バリューと最適の組み合わせは,まだ調査中です.
- 複数の分野にわたるチームは,IEの診断と治療戦略にイメージングの発見を統合するために不可欠です.
結論:
- マルチモダリティー画像はIEの診断と患者の管理を向上させるのに有望である.
- 限られた証拠にもかかわらず,臨床医は,適当な場合には,高度なイメージングの選択肢を検討すべきである.
- 心臓外科のイメージング専門家の協力によるアプローチは,IEのケアを最適化するために不可欠です.
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