PET-CMR in heart failure - synergistic or redundant imaging?

Heart Fail Rev. 2017 Jul;22(4):477-489. doi: 10.1007/s10741-017-9607-6.

Abstract

Imaging in heart failure (HF) provides data for diagnosis, prognosis and disease monitoring. Both MRI and nuclear imaging techniques have been successfully used for this purpose in HF. Positron Emission Tomography-Cardiac Magnetic Resonance (PET-CMR) is an example of a new multimodality diagnostic imaging technique with potential applications in HF. The threshold for adopting a new diagnostic tool to clinical practice must necessarily be high, lest they exacerbate costs without improving care. New modalities must demonstrate clinical superiority, or at least equivalence, combined with another important advantage, such as lower cost or improved patient safety. The purpose of this review is to outline the current status of multimodality PET-CMR with regard to HF applications, and determine whether the clinical utility of this new technology justifies the cost.

Keywords: CMR; Cardiomyopathy; Diagnostic imaging; Heart failure; PET.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Costs and Cost Analysis
  • Heart / diagnostic imaging
  • Heart Failure / diagnostic imaging*
  • Heart Failure / etiology
  • Heart Failure / pathology
  • Humans
  • Magnetic Resonance Imaging* / economics
  • Myocardial Ischemia / diagnostic imaging
  • Myocardium / pathology*
  • Positron-Emission Tomography / economics
  • Positron-Emission Tomography / methods*