Journal article
The value of FDG-PET/CT imaging in the assessment, monitoring, and management of COVID-19
European physical journal plus, v 138(3), 283
27 Mar 2023
PMID: 37008755
Abstract
The pathogenesis of Coronavirus Disease 2019 (COVID-19) involves cytokine-driven recruitment and accumulation of inflammatory cells at sites of infection. These activated neutrophils, monocytes, and effector T cells are highly glycolytic and thus appear as [18]F-labeled fluorodeoxyglucose (FDG) avid sites on positron emission tomography (PET) imaging. FDG-PET-computed tomography (FDG-PET/CT) is a highly sensitive modality for the detection, monitoring, and assessing response related to COVID-19 disease activity that holds significant clinical relevance. To date, concerns over cost, access, and undue radiation exposure have limited the use of FDG-PET/CT in COVID-19 to a small number of individuals where PET-based interventions were already indicated. In this review, we summarize the existing literature on the use of FDG-PET in the detection and monitoring of COVID-19 with particular focus on several areas of clinical relevance that warrant future research: (1) incidental early detection of subclinical COVID-19 in patients who have undergone FDG-PET for other underlying diseases, (2) standardized quantitative assessment of COVID-19 disease burden at specific points in time, and (3) analysis of FDG-PET/CT data leading to better characterization of COVID-19 pathogenesis. Employing FDG-PET/CT for these purposes may allow for the earliest detection of COVID-19-associated venous thromboembolism (VTE), standardized monitoring of disease progression and response to treatment, and better characterization of the acute and chronic complications of this disease.
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Details
- Title
- The value of FDG-PET/CT imaging in the assessment, monitoring, and management of COVID-19
- Creators
- Matthew T. Griffin - Philadelphia, PA USA Philadelphia, PA USAThomas J. Werner - Hospital of the University of PennsylvaniaAbass Alavi - University of PennsylvaniaMona-Elisabeth Revheim - Hospital of the University of Pennsylvania
- Publication Details
- European physical journal plus, v 138(3), 283
- Publisher
- Springer Nature
- Grant note
- ;
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiology (Radiologic Sciences)
- Web of Science ID
- WOS:000959701700004
- Scopus ID
- 2-s2.0-85151308370
- Other Identifier
- 991022207159104721