PMID- 32002845 OWN - NLM STAT- MEDLINE DCOM- 20220322 LR - 20240130 IS - 1532-6551 (Electronic) IS - 1071-3581 (Linking) VI - 28 IP - 5 DP - 2021 Oct TI - Myocardial viability with chronic total occlusion assessed by hybrid positron emission tomography/magnetic resonance imaging. PG - 2335-2342 LID - 10.1007/s12350-020-02041-3 [doi] AB - BACKGROUND: The present study was performed to compare the relationship of (18)F-fluorodeoxyglucose (FDG) uptake and late gadolinium enhancement (LGE) transmurality with the improvement of left ventricular function in patients with coronary chronic total occlusion (CTO) assessed by hybrid FDG positron emission tomography (PET)/magnetic resonance imaging (MRI). METHODS: Thirty-eight consecutive patients with CTO underwent FDG PET/MRI. Twenty-three patients then underwent percutaneous coronary intervention (PCI), and the final study population comprised 15 patients who underwent both initial and follow-up MRI. The degree of wall motion abnormality in each of the 17 myocardial segments was evaluated based on the extent of wall thickening on cine MRI using a 5-point scale. RESULTS: Among all 646 myocardial segments at baseline, FDG uptake significantly decreased as the transmurality of LGE is advanced. Of the 15 patients who underwent PCI, 152 segments showed wall motion abnormalities at baseline. The functional recovery of the wall motion abnormality of the PET-viable/MRI-viable segments was highest, and that of the PET-nonviable/MRI-nonviable segments was lowest. There were no differences in functional recovery between the PET-viable/MRI-nonviable and PET-nonviable/MRI-viable segments. CONCLUSION: Simultaneous assessment of FDG and LGE using a hybrid PET/MRI system can help to predict functional recovery after PCI in patients with CTO. CI - (c) 2020. American Society of Nuclear Cardiology. FAU - Kiko, Takatoyo AU - Kiko T AD - Department of Cardiovascular Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima, Japan. tkiko@fmu.ac.jp. FAU - Yokokawa, Tetsuro AU - Yokokawa T AD - Department of Cardiovascular Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima, Japan. FAU - Misaka, Tomofumi AU - Misaka T AD - Department of Cardiovascular Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima, Japan. FAU - Masuda, Atsuro AU - Masuda A AD - Department of Diagnostic Radiology, Tohoku University Hospital, Sendai, Japan. FAU - Yoshihisa, Akiomi AU - Yoshihisa A AD - Department of Cardiovascular Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima, Japan. FAU - Yamaki, Takayoshi AU - Yamaki T AD - Department of Cardiovascular Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima, Japan. FAU - Kunii, Hiroyuki AU - Kunii H AD - Department of Cardiovascular Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima, Japan. FAU - Nakazato, Kazuhiko AU - Nakazato K AD - Department of Cardiovascular Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima, Japan. FAU - Takeishi, Yasuchika AU - Takeishi Y AD - Department of Cardiovascular Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima, Japan. LA - eng PT - Journal Article DEP - 20200130 PL - United States TA - J Nucl Cardiol JT - Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology JID - 9423534 RN - 0 (Radiopharmaceuticals) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) SB - IM MH - Aged MH - Chronic Disease MH - Coronary Occlusion/*diagnostic imaging/physiopathology/therapy MH - Female MH - Fluorodeoxyglucose F18/*pharmacokinetics MH - Humans MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Percutaneous Coronary Intervention MH - *Positron-Emission Tomography MH - Radiopharmaceuticals/*pharmacokinetics MH - Recovery of Function MH - Stroke Volume/physiology MH - Ventricular Function, Left/*physiology OTO - NOTNLM OT - CAD OT - MRI OT - PET OT - hybrid imaging EDAT- 2020/02/01 06:00 MHDA- 2022/03/23 06:00 CRDT- 2020/02/01 06:00 PHST- 2019/11/06 00:00 [received] PHST- 2020/01/13 00:00 [accepted] PHST- 2020/02/01 06:00 [pubmed] PHST- 2022/03/23 06:00 [medline] PHST- 2020/02/01 06:00 [entrez] AID - S1071-3581(23)01589-1 [pii] AID - 10.1007/s12350-020-02041-3 [doi] PST - ppublish SO - J Nucl Cardiol. 2021 Oct;28(5):2335-2342. doi: 10.1007/s12350-020-02041-3. Epub 2020 Jan 30.