Multimodality Imaging Diagnosis in Infective Endocarditis
Imaging is an important tool in the diagnosis and management of infective endocarditis (IE). Echocardiography is an essential examination, especially in native valve endocarditis (NVE), but its diagnostic accuracy is reduced in prosthetic valve endocarditis (PVE). The diagnostic ability is superior...
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| Format: | Article |
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MDPI AG
2023-12-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/14/1/54 |
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| author | Elena Emilia Babes Cristiana Bustea Tiberia Ioana Ilias Victor Vlad Babes Silvia-Ana Luca Constantin Tudor Luca Andrei-Flavius Radu Alexandra Georgiana Tarce Alexa Florina Bungau Cristian Bustea |
| author_facet | Elena Emilia Babes Cristiana Bustea Tiberia Ioana Ilias Victor Vlad Babes Silvia-Ana Luca Constantin Tudor Luca Andrei-Flavius Radu Alexandra Georgiana Tarce Alexa Florina Bungau Cristian Bustea |
| author_sort | Elena Emilia Babes |
| collection | DOAJ |
| description | Imaging is an important tool in the diagnosis and management of infective endocarditis (IE). Echocardiography is an essential examination, especially in native valve endocarditis (NVE), but its diagnostic accuracy is reduced in prosthetic valve endocarditis (PVE). The diagnostic ability is superior for transoesophageal echocardiography (TEE), but a negative test cannot exclude PVE. Both transthoracic echocardiography (TTE) and TEE can provide normal or inconclusive findings in up to 30% of cases, especially in patients with prosthetic devices. New advanced non-invasive imaging tests are increasingly used in the diagnosis of IE. Nuclear medicine imaging techniques have demonstrated their superiority over TEE for the diagnosis of PVE and cardiac implantable electronic device infective endocarditis (CIED-IE). Cardiac computed tomography angiography imaging is useful in PVE cases with inconclusive TTE and TEE investigations and for the evaluation of paravalvular complications. In the present review, imaging tools are described with their values and limitations for improving diagnosis in NVE, PVE and CIED-IE. Current knowledge about multimodality imaging approaches in IE and imaging methods to assess the local and distant complications of IE is also reviewed. Furthermore, a potential diagnostic work-up for different clinical scenarios is described. However, further studies are essential for refining diagnostic and management approaches in infective endocarditis, addressing limitations and optimizing advanced imaging techniques across different clinical scenarios. |
| first_indexed | 2024-03-08T10:44:52Z |
| format | Article |
| id | doaj.art-fb6a6e54667e46cc94842940c5607597 |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-08T10:44:52Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-fb6a6e54667e46cc94842940c56075972024-01-26T17:20:36ZengMDPI AGLife2075-17292023-12-011415410.3390/life14010054Multimodality Imaging Diagnosis in Infective EndocarditisElena Emilia Babes0Cristiana Bustea1Tiberia Ioana Ilias2Victor Vlad Babes3Silvia-Ana Luca4Constantin Tudor Luca5Andrei-Flavius Radu6Alexandra Georgiana Tarce7Alexa Florina Bungau8Cristian Bustea9Doctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDepartment of Preclinical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, RomaniaDepartment of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, RomaniaDepartment of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, RomaniaDepartment of Cardiology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, RomaniaDepartment of Cardiology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, RomaniaDoctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaMedicine Program of Study, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, RomaniaDoctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDepartment of Surgery, Oradea County Emergency Clinical Hospital, 410169 Oradea, RomaniaImaging is an important tool in the diagnosis and management of infective endocarditis (IE). Echocardiography is an essential examination, especially in native valve endocarditis (NVE), but its diagnostic accuracy is reduced in prosthetic valve endocarditis (PVE). The diagnostic ability is superior for transoesophageal echocardiography (TEE), but a negative test cannot exclude PVE. Both transthoracic echocardiography (TTE) and TEE can provide normal or inconclusive findings in up to 30% of cases, especially in patients with prosthetic devices. New advanced non-invasive imaging tests are increasingly used in the diagnosis of IE. Nuclear medicine imaging techniques have demonstrated their superiority over TEE for the diagnosis of PVE and cardiac implantable electronic device infective endocarditis (CIED-IE). Cardiac computed tomography angiography imaging is useful in PVE cases with inconclusive TTE and TEE investigations and for the evaluation of paravalvular complications. In the present review, imaging tools are described with their values and limitations for improving diagnosis in NVE, PVE and CIED-IE. Current knowledge about multimodality imaging approaches in IE and imaging methods to assess the local and distant complications of IE is also reviewed. Furthermore, a potential diagnostic work-up for different clinical scenarios is described. However, further studies are essential for refining diagnostic and management approaches in infective endocarditis, addressing limitations and optimizing advanced imaging techniques across different clinical scenarios.https://www.mdpi.com/2075-1729/14/1/54infective endocarditisprosthetic valve endocarditisnative valve endocarditiscardiac implantable electronic device infectionradiolabelled WBC18-fluorodeoxyglucose PET/CT |
| spellingShingle | Elena Emilia Babes Cristiana Bustea Tiberia Ioana Ilias Victor Vlad Babes Silvia-Ana Luca Constantin Tudor Luca Andrei-Flavius Radu Alexandra Georgiana Tarce Alexa Florina Bungau Cristian Bustea Multimodality Imaging Diagnosis in Infective Endocarditis Life infective endocarditis prosthetic valve endocarditis native valve endocarditis cardiac implantable electronic device infection radiolabelled WBC 18-fluorodeoxyglucose PET/CT |
| title | Multimodality Imaging Diagnosis in Infective Endocarditis |
| title_full | Multimodality Imaging Diagnosis in Infective Endocarditis |
| title_fullStr | Multimodality Imaging Diagnosis in Infective Endocarditis |
| title_full_unstemmed | Multimodality Imaging Diagnosis in Infective Endocarditis |
| title_short | Multimodality Imaging Diagnosis in Infective Endocarditis |
| title_sort | multimodality imaging diagnosis in infective endocarditis |
| topic | infective endocarditis prosthetic valve endocarditis native valve endocarditis cardiac implantable electronic device infection radiolabelled WBC 18-fluorodeoxyglucose PET/CT |
| url | https://www.mdpi.com/2075-1729/14/1/54 |
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