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REVIEW article

Front. Cardiovasc. Med.
Sec. Cardiovascular Imaging
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1459833
This article is part of the Research Topic Imaging for the Assessment of Infective Endocarditis View all articles

Cardiac Computed Tomography in Infective Endocarditis: "Bridging the Detection Gap"

Provisionally accepted
Natalie Montarello Natalie Montarello 1*Gabriel Bioh Gabriel Bioh 1*Calum Byrne Calum Byrne 1*Imtiaz Hassan Imtiaz Hassan 1*Vitaliy Androshchuk Vitaliy Androshchuk 1*Camelia Demetrescu Camelia Demetrescu 1*Sze Mun Mak Sze Mun Mak 2*Ronak Rajani Ronak Rajani 3,4
  • 1 Department of cardiology, Guys and St Thomas´NHS Foundation Trust, London, United Kingdom
  • 2 Service of Radiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
  • 3 Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
  • 4 School of Biomedical Engineering & Imaging Sciences, Faculty of Life Sciences & Medicine, King's College London, London, England, United Kingdom

The final, formatted version of the article will be published soon.

    Infective Endocarditis (IE) remains a significant health challenge. Despite an increasing awareness, mortality is high and has remained largely unchanged over recent decades. Early diagnosis of IE is imperative and to assist clinicians several diagnostic criteria have been proposed. The best known are the Duke criteria. Originally published in 1994, these criteria have undergone significant modifications. This manuscript provides a timeline of the successive changes that have been made over the last 30 years. Changes which to a large degree have reflected both the evolving epidemiology of IE and the proliferation and increasing availability of advanced multi-modality imaging. Importantly, many of these changes now form part of societal guidelines for the diagnosis of IE. To provide validation for the incorporation of cardiac computed tomography (CT) in current guidelines, the manuscript demonstrates a spectrum of pictorial case studies that re-enforce the utility and growing importance of early cardiac CT in the diagnosis and treatment of suspected IE.

    Keywords: Infective endocarditis, Duke criteria, cardiac computer tomography (CT) imaging, vegetations, Pseudoaneursym

    Received: 04 Jul 2024; Accepted: 07 Aug 2024.

    Copyright: © 2024 Montarello, Bioh, Byrne, Hassan, Androshchuk, Demetrescu, Mak and Rajani. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Natalie Montarello, Department of cardiology, Guys and St Thomas´NHS Foundation Trust, London, United Kingdom
    Gabriel Bioh, Department of cardiology, Guys and St Thomas´NHS Foundation Trust, London, United Kingdom
    Calum Byrne, Department of cardiology, Guys and St Thomas´NHS Foundation Trust, London, United Kingdom
    Imtiaz Hassan, Department of cardiology, Guys and St Thomas´NHS Foundation Trust, London, United Kingdom
    Vitaliy Androshchuk, Department of cardiology, Guys and St Thomas´NHS Foundation Trust, London, United Kingdom
    Camelia Demetrescu, Department of cardiology, Guys and St Thomas´NHS Foundation Trust, London, United Kingdom
    Sze Mun Mak, Service of Radiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.