Non-bacterial thrombotic endocarditis other imaging findings: Difference between revisions

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==Overview==
==Overview==
There are no other imaging findings associated with [disease name].
Whole-body [[CT]] or [[MRI]] may be helpful in the diagnosis of non-bacterial thrombotic endocarditis. It may show evidence of systemic embolism in patients with undetermined NBTE.


OR
[Imaging modality] may be helpful in the diagnosis of [disease name]. Findings on an [imaging modality] suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
==Other Imaging Findings==
*Whole-body [[CT]] or [[MRI]] may be helpful in the diagnosis of non-bacterial thrombotic endocarditis. It may show evidence of [[systemic embolism]] in patients with undetermined NBTE<ref name="urlNonbacterial Thrombotic Endocarditis: Pathogenesis, Diagnosi... : Cardiology in Review">{{cite web |url=https://journals.lww.com/cardiologyinreview/Abstract/2016/09000/Nonbacterial_Thrombotic_Endocarditis_.6.aspx |title=Nonbacterial Thrombotic Endocarditis: Pathogenesis, Diagnosi... : Cardiology in Review |format= |work= |accessdate=}}</ref>.
*Whole-body [[CT]] or [[MRI]] may be helpful in the diagnosis of non-bacterial thrombotic endocarditis. It may show evidence of [[systemic embolism]] in patients with undetermined NBTE<ref name="urlNonbacterial Thrombotic Endocarditis: Pathogenesis, Diagnosi... : Cardiology in Review">{{cite web |url=https://journals.lww.com/cardiologyinreview/Abstract/2016/09000/Nonbacterial_Thrombotic_Endocarditis_.6.aspx |title=Nonbacterial Thrombotic Endocarditis: Pathogenesis, Diagnosi... : Cardiology in Review |format= |work= |accessdate=}}</ref>.
*CT or MRI of the brain may be performed in NBTE patients with suspected cerebral embolization<ref name="pmid15919332">{{cite journal |vauthors=Borowski A, Ghodsizad A, Cohnen M, Gams E |title=Recurrent embolism in the course of marantic endocarditis |journal=Ann. Thorac. Surg. |volume=79 |issue=6 |pages=2145–7 |date=June 2005 |pmid=15919332 |doi=10.1016/j.athoracsur.2003.12.024 |url=}}</ref>. There is no pathognomonic finding but evidence of ischemia/embolism may be seen<ref name="pmid11988602">{{cite journal |vauthors=Singhal AB, Topcuoglu MA, Buonanno FS |title=Acute ischemic stroke patterns in infective and nonbacterial thrombotic endocarditis: a diffusion-weighted magnetic resonance imaging study |journal=Stroke |volume=33 |issue=5 |pages=1267–73 |date=May 2002 |pmid=11988602 |doi=10.1161/01.str.0000015029.91577.36 |url=}}</ref>.  
*CT or MRI of the brain may be performed in NBTE patients with suspected cerebral embolization<ref name="pmid15919332">{{cite journal |vauthors=Borowski A, Ghodsizad A, Cohnen M, Gams E |title=Recurrent embolism in the course of marantic endocarditis |journal=Ann. Thorac. Surg. |volume=79 |issue=6 |pages=2145–7 |date=June 2005 |pmid=15919332 |doi=10.1016/j.athoracsur.2003.12.024 |url=}}</ref>. There is no pathognomonic finding but evidence of ischemia/embolism may be seen<ref name="pmid11988602">{{cite journal |vauthors=Singhal AB, Topcuoglu MA, Buonanno FS |title=Acute ischemic stroke patterns in infective and nonbacterial thrombotic endocarditis: a diffusion-weighted magnetic resonance imaging study |journal=Stroke |volume=33 |issue=5 |pages=1267–73 |date=May 2002 |pmid=11988602 |doi=10.1161/01.str.0000015029.91577.36 |url=}}</ref>.
*There is limited data to support the use of [[positron emission tomography]] (PET) in the diagnosis of NBTE<ref name="urlPrognostic Value of 18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in Infective Endocarditis - ScienceDirect">{{cite web |url=https://www.sciencedirect.com/science/article/abs/pii/S073510971935764X?via%3Dihub |title=Prognostic Value of 18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in Infective Endocarditis - ScienceDirect |format= |work= |accessdate=}}</ref>.
*There is limited data to support the use of [[positron emission tomography]] (PET) in the diagnosis of NBTE<ref name="urlPrognostic Value of 18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in Infective Endocarditis - ScienceDirect">{{cite web |url=https://www.sciencedirect.com/science/article/abs/pii/S073510971935764X?via%3Dihub |title=Prognostic Value of 18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in Infective Endocarditis - ScienceDirect |format= |work= |accessdate=}}</ref>.
*So far only one published [[case report]] supports the use of [[cardiac magnetic resonance]] (CMR) in the diagnosis of NBTE<ref name="pmid31034381">{{cite journal |vauthors=Elagha A, Mohsen A |title=Cardiac MRI clinches diagnosis of Libman-Sacks endocarditis |journal=Lancet |volume=393 |issue=10182 |pages=e39 |date=April 2019 |pmid=31034381 |doi=10.1016/S0140-6736(19)30770-6 |url=}}</ref>.
*So far only one published [[case report]] supports the use of [[cardiac magnetic resonance]] (CMR) in the diagnosis of NBTE<ref name="pmid31034381">{{cite journal |vauthors=Elagha A, Mohsen A |title=Cardiac MRI clinches diagnosis of Libman-Sacks endocarditis |journal=Lancet |volume=393 |issue=10182 |pages=e39 |date=April 2019 |pmid=31034381 |doi=10.1016/S0140-6736(19)30770-6 |url=}}</ref>.

Revision as of 15:14, 25 August 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]

Overview

Whole-body CT or MRI may be helpful in the diagnosis of non-bacterial thrombotic endocarditis. It may show evidence of systemic embolism in patients with undetermined NBTE.

  • Whole-body CT or MRI may be helpful in the diagnosis of non-bacterial thrombotic endocarditis. It may show evidence of systemic embolism in patients with undetermined NBTE[1].
  • CT or MRI of the brain may be performed in NBTE patients with suspected cerebral embolization[2]. There is no pathognomonic finding but evidence of ischemia/embolism may be seen[3].
  • There is limited data to support the use of positron emission tomography (PET) in the diagnosis of NBTE[4].
  • So far only one published case report supports the use of cardiac magnetic resonance (CMR) in the diagnosis of NBTE[5].
MRI of the brain. Images on the top show increased signal on diffusion weighted imaging (DWI) throughout the bilateral frontal, parietal, and occipital lobes. Images on the bottom show a corresponding decreased signal intensity on apparent diffusion coefficient that is consistent with acute abnormal restricted diffusion. These findings suggest new/ongoing acute infarcts.Source: Ghulam Murtaza. et al, Department of Internal Medicine, Advocate Christ Medical Center, Oak Lawn, IL, USA
CT of head without contrast showing extensive multifocal areas of hypoattentuation throughout the bilateral frontal, parietal, occipital, and right > left temporal lobes. No mass effect or midline shift or hemorrhage was seen.Source: Ghulam Murtaza. et al, Department of Internal Medicine, Advocate Christ Medical Center, Oak Lawn, IL, USA

References

  1. ↑ "Nonbacterial Thrombotic Endocarditis: Pathogenesis, Diagnosi... : Cardiology in Review".
  2. ↑ Borowski A, Ghodsizad A, Cohnen M, Gams E (June 2005). "Recurrent embolism in the course of marantic endocarditis". Ann. Thorac. Surg. 79 (6): 2145–7. doi:10.1016/j.athoracsur.2003.12.024. PMID 15919332.
  3. ↑ Singhal AB, Topcuoglu MA, Buonanno FS (May 2002). "Acute ischemic stroke patterns in infective and nonbacterial thrombotic endocarditis: a diffusion-weighted magnetic resonance imaging study". Stroke. 33 (5): 1267–73. doi:10.1161/01.str.0000015029.91577.36. PMID 11988602.
  4. ↑ "Prognostic Value of 18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in Infective Endocarditis - ScienceDirect".
  5. ↑ Elagha A, Mohsen A (April 2019). "Cardiac MRI clinches diagnosis of Libman-Sacks endocarditis". Lancet. 393 (10182): e39. doi:10.1016/S0140-6736(19)30770-6. PMID 31034381.
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