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. 2020 Oct 27;48(4):1016–1039. doi: 10.1007/s00259-020-05066-5

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, 113126)

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, 127132)

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

(135, 136)

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