ArticleEuropean radiology2012
Suppression of myocardial 18F-FDG uptake with a preparatory "Atkins-style" low-carbohydrate diet.
Article in European radiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- FDG PET/CT: EANM procedure guidelines for tumour imaging: version 2.0.European journal of nuclear medicine and molecular imaging · 2015Guideline
- The value of 18F-FDG PET/CT in diagnosing infectious endocarditis.European journal of nuclear medicine and molecular imaging · 2013Trial
- Role of Multimodality Images to Diagnose and Follow-Up Recurrent Rheumatic Myocarditis.JACC. Case reports · 2024Article
- A rare case of primary cardiac diffuse large B-cell lymphoma imaged withFrontiers in medicine · 2024Article
- Cardiac Metastasis of Malignant Melanoma Detected byDiagnostics (Basel, Switzerland) · 2023Article
- Hot spot imaging in cardiovascular diseases: an information statement from SNMMI, ASNC, and EANM.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023Article
- Combined Cardiac Fluorodeoxyglucose-Positron Emission Tomography/Magnetic Resonance Imaging Assessment of Myocardial Injury in Patients Who Recently Recovered From COVID-19.JAMA cardiology · 2022Article
- Normal imaging findings after aortic valve implantation onJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021Article
- Added value ofJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021Article
- Suppressing physiologic 18-fluorodeoxyglucose uptake in patients undergoing positron emission tomography for cardiac sarcoidosis: The effect of a structured patient preparation protocol.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021Article
- Utility of FDG PET and Cardiac MRI in Diagnosis and Monitoring of Immunosuppressive Treatment in Cardiac Sarcoidosis.Radiology. Cardiothoracic imaging · 2020Article
- Article
- The role of positron emission tomography in the assessment of cardiac sarcoidosis.The British journal of radiology · 2019Review
- Optimizing myocardial metabolism for fluorine-18 fluorodeoxyglucose positron emission tomography imaging of cardiac inflammation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018Article
- Patient preparation for cardiac fluorine-18 fluorodeoxyglucose positron emission tomography imaging of inflammation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017Article
- Challenges of cardiac inflammation imaging with F-18 FDG positron emission tomography.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017Article
- Role of radionuclide imaging for diagnosis of device and prosthetic valve infections.World journal of cardiology · 2016Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPhysiological myocardial uptake of 18F-FDG during positron emission tomography can mask adjacent abnormal uptake in mediastinal malignancy and inflammatory cardiac diseases. Myocardial uptake is unpredictable and variable. This study evaluates the impact of a low-carbohydrate diet in reducing myocardial FDG uptake.
methodPatients attending for clinically indicated oncological FDG PET were asked to have an "Atkins-style" low-carbohydrate diet (less than 3 g) the day before examination and an overnight fast. A total of 120 patients following low-carbohydrate diet plus overnight fast were compared with 120 patients prepared by overnight fast alone. Patients having an Atkins-style diet also completed a diet compliance questionnaire. SUV(max) and SUV(mean) for myocardium, blood pool and liver were measured in both groups.
resultsMyocardial SUV(max) fell from 3.53 ± 2.91 in controls to 1.77 ± 0.91 in the diet-compliant group. 98 % of diet-compliant patients had a myocardial SUV(max) less than 3.6 compared with 67 % of controls. Liver and blood pool SUV(max) rose from 2.68 ± 0.49 and 1.82 ± 0.30 in the control group to 3.14 ± 0.57 and 2.06 ± 0.30.
conclusionAn Atkins-style diet the day before PET, together with an overnight fast, effectively suppresses myocardial FDG uptake. KEY POINTS : • Low-carbohydrate diet (LCD) the day before PET suppresses myocardial FDG uptake. • LCD before PET increases liver and blood pool SUV ( max ) and SUV ( mean ). • Suppression of myocardial uptake may improve PET imaging of thoracic disease. • Suppression of myocardial uptake may help imaging cardiac inflammatory disease with PET.
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