Cardiac sympathetic innervation scintigraphy with 123I-meta-iodobenzylguanidine. Basis, protocols and clinical applications in Cardiology

Publication date: Available online 4 June 2019Source: Revista Española de Medicina Nuclear e Imagen Molecular (English Edition)Author(s): I. Casáns-Tormo, A. Jiménez-Heffernan, V. Pubul-Núñez, R. Ruano-PérezAbstractImaging of cardiac sympathetic innervation is only possible by nuclear cardiology techniques and its assessment is key in the evaluation of and decision-making for patients with cardiac sympathetic impairment. This review includes the basis of cardiac sympathetic scintigraphy with 123I-meta-iodobenzylguanidine (123I-MIBG), recommended protocols, patient preparation, image acquisition and quantification, reproducibility, dosimetry, etc., and also the clinical indications for cardiac patients, mainly with regard to heart failure, arrhythmia, coronary artery disease, cardiotoxicity, including its contribution to establishing the indication for and monitoring the response to implantable cardiac devices, pharmacological treatment, heart transplantation and other.ResumenLa obtención de imágenes de la inervación simpática cardiaca solo es posible mediante técnicas de cardiología nuclear, y su valoración es de importancia decisiva en la evaluación y en la toma de decisiones en pacientes en los que exista deterioro de inervación simpática. Se revisa el fundamento de la gammagrafía de inervación simpática cardiaca con 123I-metayodobencilguanidina (123I-MIBG), los protocolos recomendados para su realización, incluyendo preparación del paciente, técnicas ...
Source: Revista Espanola de Medicina Nuclear e Imagen Molecular - Category: Nuclear Medicine Source Type: research