Table 1.
PET cardiovascular tracers (4Is)
PET tracer | Cardiovascular indication | Clinical | Dose activity | Effective dose^ (uSv/MBq) (112) | Imaging p.i. | Imaging mode | Imaging duration | Reconstruction method | Reconstructed pixel size#/matrix size | Remarks |
---|---|---|---|---|---|---|---|---|---|---|
[18F]-FDG (11, 15, 18, 34, 113–126) |
Vasculitis, endocarditis/ CIED, vascular graft, sarcoidosis, AL amyloidosis, atherosclerosis |
Clinical Not clinical* |
2.5–5.0 MBq/Kg 3.0–7.0 MBq/Kg** |
19 | 45–120 min | 2D / 3D |
2–4 min per bed*** 5–10 min per bed (3D data collection)** 20–30 min per bed (2D data collection)** |
Iterative 2D/3D reconstruction algorithm, OSEM post-filtering Time-of-flight Point spread function correction |
Between 1.0 to 5.3 × 1.0 to 5.3 × 1.0 to 3.4 mm3 |
* AL amyloidosis, atherosclerosis. ** Cardiac sarcoidosis. *** Depending on vendor suggestion of camera system. |
[18F]-NaF (41, 127–132) |
Amyloidosis, atherosclerosis Valve disease |
Clinical trial |
125–370 MBq 1.5–3.7 MBq/Kg |
24 | 60–180 min | 3D | 2–5 min per bed |
OSEM post-filtering |
Between 1.0 to 5.3 × 1.0 to 5.3 × 1.0 to 3.4 mm3 matrix size 128 × 128 |
For coronary imaging suggest performing scans with CT coronary angiogram |
[18F]-fluorocholine (133) | Atherosclerosis | Clinical trial | 4 MB/kg | 28 | 30–60 min | 3D, dynamic, static | 1 bed position | Iterative reconstruction | Matrix size 128 × 128 | |
[18F]-PEG-folate (134) | Atherosclerosis | Clinical trial | 185 MBq | 17 | 1–60 min | 2D / 3D, dynamic, static | 3 min per bed | Iterative reconstruction | Matrix size 128 × 128 | |
[18F]-FLT |
Sarcoidosis | Clinical | 3.7–5 MBq/Kg | 15 | 45–60 min | 3D | 10 min |
OSEM post-filtering Time-of-flight Point spread function correction |
Between 1.0 to 5.3 × 1.0 to 5.3 × 1.0 to 3.4 mm3 | |
[18F]-florbetapir | Amyloidosis | Clinical trial | 169–370 MBq | 19 | 60–90 min | 3D, Static, List mode | 3 min per bed |
Iterative reconstruction Post-filtering Time-of-flight Point spread function correction |
Between 1.0 to 5.3 × 1.0 to 5.3 × 1.0 to 3.4 mm3 | |
[18F]-florbetaben (83, 138, 139) | Amyloidosis | Clinical trial |
222–375 MBq 4 MBq/Kg |
19 | 60–145 min | 3D, static, list mode |
20–120 min 2 min per bed |
OSEM post-filtering Time-of-flight |
Between 1.0 to 5.3 × 1.0 to 5.3 × 1.0 to 3.4 mm3 | Dynamic imaging and whole-body imaging |
[18F]flutemetamol (38) | Amyloidosis | Clinical trial | 360 MBq | 35 | 0–30 min | 3D, static, list mode | 1 bed position | Iterative reconstruction | Matrix size 200 × 200 | Static images of the last 20 min dynamic imaging |
[18F]-flubrobenguane (140, 141)**** | Regional innervation | Clinical trial | 3 MBq/kg | 26 | 5–60 min |
2D or 3D Static |
5–10 min |
Iterative reconstruction or FBP |
3–4 mm | ****Also known as LMI-1195 |
[68Ga]-SST (3, 142, 143) | Sarcoidosis, atherosclerosis | Clinical trial |
150-250 MBq 2–4 MBq/Kg |
21–25 | 60–90 min | 2D, 3D, static |
4 min per bed Cardiac region: 20 min (additional) |
Iterative reconstruction | 2.74 × 2.74 × 3.27 mm | Probably of lower value in cardiac sarcoidosis |
[11C]mHED (40) | Regional innervation | Clinical trial | 200–400 MBq | 5.6 | Dynamic, with injection | 2D, 3D, list mode | 60 min | Iterative reconstruction | 2.2 × 2.2 mm2 | |
[11C]PiB (21, 36, 37, 49) | Amyloidosis | Clinical trial | 5 MBq/kg | 4.7 | Dynamic, with injection | 3D list mode | 30 min | Iterative reconstruction | 2.34 × 2.34 × 3.27 mm | PIB SUV and RI correlate well with BPND which is assumed to be proportional to amyloid concentration |
#Values for reconstructed pixel size of [18F]-radiotracers are based on the literature for [18F]FDG
^Without low dose CT
p.i. post-injection, CIED cardiac implantable electronic device, AL amyloidosis immunoglobulin light chain amyloidosis, OSEM ordered subset expectation maximization, RI retention index, SST somatostatin, mHED metahydroxyephedrine, PiB Pittsburgh compound-B, SUV standardized value, BPND.binding potential