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PET scanning (positron emission tomography) is a well-established technique used to identify areas of interest within the body. It involves injecting a radioactive tracer which highlights abnormal areas. It has recently been combined with CT (computed tomography) and MRI (magnetic resonance imaging) scanning to more accurately identify abnormalities within the heart. Cardiac sarcoidosis, a condition which causes scarring and inflammation within the heart muscle, is of particular interest.
The study makes use of hybrid PET/MR scanning using a designated scanner which enables PET scanning combined with MRI scanning. This will allow imaging of abnormal areas within the heart in this condition alongside treatment regimens in a way which hasn't been done before. If successful, this imaging method will play a key role in diagnosing, quantifying and monitoring these conditions.
All participants will undergo PET scanning, where a radioactive tracer is injected into a vein before the scan. The radioactive substance only lasts for a short time and is safe, passed out of the body in urine. The scan will be performed twice; once before treatment and once after treatment has been established. A cohort of healthy volunteers will undergo scanning in exactly the same way to enable us to compare the results with hearts of people who don't have cardiac sarcoidosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cardiac Sarcoidosis | Other | Patients with an established diagnosis of cardiac sarcoidosis. |
|
| Healthy volunteers | Other | Healthy volunteer subjects of similar age and gender to patient cohort. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 18F-FDG | Other | Hybrid 18F-FDG PET/MR imaging for observational diagnostic purposes. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Myocardial 18F-FDG uptake | Quantification of myocardial PET tracer uptake before steroid therapy | Within 1 year |
| Myocardial 18F-FDG uptake | Quantification of myocardial PET tracer uptake after steroid therapy | Within 1 year |
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Inclusion Criteria:
Cardiac Sarcoidosis Patients:
Healthy Volunteers:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc R Dweck, MD PhD | University of Edinburgh | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Queen's Medical Research Institute | Edinburgh | Midlothian | EH16 4TJ | United Kingdom |
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| ID | Term |
|---|---|
| D019788 | Fluorodeoxyglucose F18 |
| D011239 | Prednisolone |
| ID | Term |
|---|---|
| D003847 | Deoxyglucose |
| D003837 | Deoxy Sugars |
| D002241 | Carbohydrates |
| D011246 | Pregnadienetriols |
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Patients and healthy subjects will be allocated in a non-randomised fashion to either corticosteroid or control arms, for parallel comparison within the two groups. The corticosteroid is recognised treatment for the condition and is being used to observe the impact on diagnostic imaging; no treatment effects are being studied or are endpoints of the study (i.e. the study is not a clinical trial of treatment in cardiac sarcoidosis with corticosteroid).
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| Prednisolone | Drug | Oral course of Prednisolone for treatment of sarcoidosis (patient cohort) or as control (healthy volunteer cohort) |
|
| D011245 |
| Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |