Myocardial hypoattenuation in cardiac sarcoidosis: CT correlation with CMR, PET and SPECT

Clin Imaging. 2020 Nov:67:136-142. doi: 10.1016/j.clinimag.2020.06.018. Epub 2020 Jun 15.

Abstract

We report a marked abnormality in myocardial attenuation on non-gated contrast-enhanced CT in a patient with multiorgan sarcoidosis and correlate our findings with CMR, PET and SPECT. The noteworthy observation of myocardial hypoattenuation, in correspondence with the multimodality cardiovascular imaging findings, suggests that standard contrast-enhanced CT may provide information regarding tissue characterization. This report also demonstrates the independent clinical utility of CMR and PET in the evaluation and management of cardiac sarcoidosis.

Keywords: Attenuation; Cardiac sarcoidosis; Computed tomography; Multimodality cardiovascular imaging; Tissue characterization.

Publication types

  • Case Reports

MeSH terms

  • Cardiomyopathies / diagnostic imaging*
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Aged
  • Multimodal Imaging
  • Myocardium
  • Positron-Emission Tomography / methods
  • Sarcoidosis / diagnostic imaging*
  • Tomography, Emission-Computed, Single-Photon / methods
  • Tomography, X-Ray Computed / methods