Radionuclide Imaging of Heart-Brain Connections

Cardiol Clin. 2023 May;41(2):267-275. doi: 10.1016/j.ccl.2023.01.013. Epub 2023 Feb 19.

Abstract

The heart and brain have a complex interplay wherein disease or injury to either organ may adversely affect the other. The mechanisms underlying this connection remain incompletely characterized. However, nuclear molecular imaging is uniquely suited to investigate these pathways by facilitating the simultaneous assessment of both organs using targeted radiotracers. Research within this paradigm has demonstrated important roles for inflammation, autonomic nervous system and neurohormonal activity, metabolism, and perfusion in the heart-brain connection. Further mechanistic clarification may facilitate greater clinical awareness and the development of targeted therapies to alleviate the burden of disease in both organs.

Keywords: Heart-brain; Inflammation; Molecular imaging; Positron emission tomography; Psychosocial stress; Radionuclides.

Publication types

  • Review

MeSH terms

  • Brain / diagnostic imaging
  • Brain / metabolism
  • Heart Failure*
  • Heart* / diagnostic imaging
  • Humans
  • Positron-Emission Tomography
  • Radionuclide Imaging