Correlation Between Epicardial Adipose Tissue and PET Cardiac Perfusion: A Systematic Review

: This systematic review seems to suggest a potential association between increased EAT and impaired myocardial perfusion, as assessed by PET. However, significant methodological heterogeneity across the available studies-including differences in EAT quantification, PET protocols, and tracer selection-limits the strength of this conclusion. Standardized imaging protocols and larger, prospective, multicenter studies are required to validate this relationship, determine its incremental prognostic value, and evaluate its potential for integration into routine clinical risk stratification pathways.