Abstract
A 49-year-old man had right bundle-branch block, with decreased left ventricle ejection fraction of 43%. Cardiac MRI demonstrated abnormal multifocal delayed gadolinium enhancement involving both ventricles. Cardiac sarcoidosis was further confirmed at cardiac biopsy. Dedicated FDG PET/CT with 72-hour ketogenic diet preparation to suppress physiological myocardial uptake of FDG was performed for disease evaluation. PET/CT revealed multifocal abnormal uptake in both ventricles concordant with cardiac MRI findings, in addition to hypermetabolic lymphadenopathy. Six months later, posttreatment PET/CT with the same 72-hour ketogenic diet preparation showed good response with resolution of active inflammation.
Original language | English (US) |
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Pages (from-to) | 728-729 |
Number of pages | 2 |
Journal | Clinical nuclear medicine |
Volume | 47 |
Issue number | 8 |
DOIs | |
State | Published - Aug 1 2022 |
Externally published | Yes |
Keywords
- cardiac sarcoidosis
- FDG
- ketogenic diet
- MRI
- PET/CT
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging