Introduction

Infective endocarditis (IE) remains a diagnostic challenge. Prompt diagnosis is essential for accurate risk stratification and appropriate therapeutic decisions and surgical management. In recent years, use of multimodal imaging has had a transformative effect on the diagnostic approach of IE in selected patients.

Areas covered

This review assesses published literature on different imaging modalities for the diagnosis of IE published between January 1, 2009 and February 1, 2020. We illustrate the diagnostic approach to IE with three clinical cases.

Expert opinion

Novel approaches to imaging for cardiac and extracardiac complications improve and individualize diagnosis, management, and prognosis in patients with suspected IE. The use of multimodal imaging should be guided by a multidisciplinary group of medical providers that includes infectious diseases specialists, radiologists, cardiologists, and cardiothoracic surgeons.

中文翻译：

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感染性心内膜炎的诊断成像：当代观点

介绍

感染性心内膜炎（IE）仍然是诊断难题。及时诊断对于准确的风险分层，适当的治疗决策和手术管理至关重要。近年来，多模式成像的使用对选定患者的IE诊断方法产生了转化性影响。

覆盖区域

这篇综述评估了2009年1月1日至2020年2月1日之间发表的有关IE诊断的不同影像学方法的文献。我们通过三个临床病例说明了IE的诊断方法。

专家意见

心脏和心外膜并发症的新颖成像方法可改善并个性化可疑IE患者的诊断，管理和预后。多模式成像的使用应在多学科的医疗服务提供者的指导下进行，其中包括传染病专家，放射科医生，心脏病专家和心胸外科医生。