Hybrid cardiac imaging using PET/MRI: a joint position statement by the European Society of Cardiovascular Radiology (ESCR) and the European Association of Nuclear Medicine (EANM)

Felix Nensa, Fabian Bamberg*, Christoph Rischpler, Leon Menezes, Thorsten D. Poeppel, Christian la Fougere, Dietrich Beitzke, Sazan Rasul, Christian Loewe, Konstantin Nikolaou, Jan Bucerius, Andreas Kjaer, Matthias Gutberlet, Niek H. Prakken, Rozemarijn Vliegenthart, Riemer H. J. A. Slart, Stephan G. Nekolla, Martin L. Lassen, Bernd J. Pichler, Thomas SchlosserAlexis Jacquier, Harald H. Quick, Michael Schaefers, Marcus Hacker, European Society of Cardiovascular Radiology (ESCR), European Association of Nuclear Medicine (EANM) Cardiovascular Committee

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Positron emission tomography (PET) and magnetic resonance imaging (MRI) have both been used for decades in cardiovascular imaging. Since 2010, hybrid PET/MRI using sequential and integrated scanner platforms has been available, with hybrid cardiac PET/MR imaging protocols increasingly incorporated into clinical workflows. Given the range of complementary information provided by each method, the use of hybrid PET/MRI may be justified and beneficial in particular clinical settings for the evaluation of different disease entities. In the present joint position statement, we critically review the role and value of integrated PET/MRI in cardiovascular imaging, provide a technical overview of cardiac PET/MRI and practical advice related to the cardiac PET/MRI workflow, identify cardiovascular applications that can potentially benefit from hybrid PET/MRI, and describe the needs for future development and research. In order to encourage its wide dissemination, this article is freely accessible on the European Radiology and European Journal of Hybrid Imaging web sites.Key Points center dot Studies and case-reports indicate that PET/MRI is a feasible and robust technology.center dot Promising fields of application include a variety of cardiac conditions.center dot Larger studies are required to demonstrate its incremental and cost-effective value.center dot The translation of novel radiopharmaceuticals and MR-sequences will provide exciting new opportunities.

Original languageEnglish
Pages (from-to)4086-4101
Number of pages16
JournalEuropean Radiology
Volume28
Issue number10
DOIs
Publication statusPublished - Oct 2018

Keywords

  • Cardiac PET
  • MRI
  • Cardiac MRI
  • Hybrid imaging
  • Cardiac imaging
  • FDG
  • POSITRON-EMISSION-TOMOGRAPHY
  • ACUTE MYOCARDIAL-INFARCTION
  • LATE GADOLINIUM ENHANCEMENT
  • MAGNETIC-RESONANCE
  • ATTENUATION CORRECTION
  • MOTION CORRECTION
  • PET-MR
  • DIAGNOSTIC-ACCURACY
  • AMERICAN SOCIETY
  • F-18-FDG PET

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