Global Practices in Cardiac Imaging for Cardiac Sarcoidosis

JACC Cardiovasc ImagingPublication date not resolved

Authors' conclusion

Several consensus areas for cardiac imaging in suspected and established cardiac sarcoidosis were identified.

Study context

Population: International experts in cardiac sarcoidosis (61 centres, 13 countries)75 in round 2
Participants: 89 experts

As reported in the abstract

Consensus reached

Round 1: consensus on 22 of 46 items

48%

Round 2: consensus on 21 of 29 items

72%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Low threshold for advanced cardiac imaging for new rhythm abnormalities or ventricular dysfunction on echocardiography in established extracardiac sarcoidosis
FDG-PET an important co-primary modality with cardiac magnetic resonance (CMR) for initial diagnosis

More notes

If CMR first: consensus to proceed to FDG-PET after any abnormal CMR, or after normal CMR with moderate or high pretest probability
LGE quantification important; no consensus on risk threshold or how to quantify LGE
Reduced FDG uptake important for treatment response; no consensus on how to quantify FDG uptake or what is an adequate radiographic response

Global Practices in Cardiac Imaging for Cardiac Sarcoidosis. JACC Cardiovasc Imaging. doi:10.1016/j.jcmg.2025.02.010

Summarised from the published abstract; every number is checked against it