40 Years Anniversary of Cardiac 123I-mIBG Imaging: State of the Heart

AbstractPurpose of ReviewThis narrative review reflects on the body of evidence on cardiac123I-mIBG imaging that has accumulated since the introduction in the late 1970s and focusses on to what extent cardiac123I-mIBG imaging has fulfilled its potential in cardiology especially.Recent FindingsIn contrast to the linear relationship between123I-mIBG-derived parameters and overall prognosis in heart failure, there seems a “bell-shape” curve for123I-mIBG-derived parameters and arrhythmic events. In addition, there is a potential clinical role for cardiac123I-mIBG in optimizing patient selection for expensive devices (i.e., ICD and CRT). This needs of course to be established in future trials.SummaryCardiac123I-mIBG imaging is, despite the numerous of studies, sometimes mistakenly seen as a nice to have technique rather than a must have imaging modality. Although cardiac123I-mIBG imaging has grown and matured over the years, its full clinical potential has still not been tested to the maximum.
Source: Current Cardiovascular Imaging Reports - Category: Radiology Source Type: research