Asia Oceania Journal of Nuclear Medicine and Biology

Asia Oceania Journal of Nuclear Medicine and Biology

The significance of cardiac inflammatory protocol of FDG PET-CT in the diagnosis and response assessment of tuberculous pericarditis: A case report

Document Type : Case report

Authors
Kabilash Dhayalan 1
Harish Goyal 1
Dhanapathi Halanaik 1
Shaheer Ahamed 2
1 Department of Nuclear Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
2 Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
10.22038/aojnmb.2025.80912.1580
Abstract
Tuberculous pericarditis (TBP) is a rare but potentially life-threatening manifestation of tuberculosis, often presenting with nonspecific symptoms and varied clinical features. The disease is characterised by inflammation of the pericardium due to mycobacterium tuberculosis, leading to complications such as effusion, tamponade, and, in chronic cases, constrictive pericarditis. TBP is associated with high mortality, particularly if not promptly diagnosed and treated. 18F-fluorodeoxyglucose positron emission tomography-computed tomography (18FDG PET-CT) has proven invaluable in diagnosing and managing TBP. This imaging modality allows for precise inflammatory activity localisation and differentiates TBP from other causes of pericardial disease. Additionally, the cardiac inflammation protocol of 18FDG PET-CT enhances imaging accuracy by suppressing the normal physiological FDG uptake in the myocardium. In this case report, we highlight the pivotal role of the cardiac inflammation protocol of 18FDG PET-CT in both the initial diagnosis and subsequent response assessment of TBP, underscoring its importance in clinical practice.
Keywords
Tuberculous pericarditis
18FDG PET-CT
Cardiac inflammation protocol
Pericardial diseases
Response assessment
Subjects
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Asia Oceania Journal of Nuclear Medicine and Biology
Volume 13, Issue 2
July 2025
Pages 195-197