EACVI survey on the use of multi-modality cardiovascular imaging in immune-mediated inflammatory diseases

Abstract Aim To scope the current European landscape of multi-modality cardiovascular imaging practices in Immune-Mediated Inflammatory Diseases (IMIDs). Methods & Results An electronic (e)-survey was distributed to members of the European Association of Cardiovascular Imaging (EACVI) about imaging in cardio-rheumatology. A parallel e-survey focused on the use of coronary CT for cardiovascular disease (CVD) risk-stratification in IMIDs was conducted via the British Society of Cardiovascular Imaging (BSCI). Of the total 111 respondents to the EACVI survey, 92 (82.9%) were consultant-grade physicians and 68 (61.3%) worked in tertiary centres. These individuals had varied experience in cardio-rheumatology, with limited access to dedicated cardio-rheumatology services and training opportunities. Sixty-nine (62.2%) used coronary CT to guide preventive therapies in IMID patients with borderline risk scores and cardiac symptoms, with a preference for coronary CT angiography over coronary artery calcium scoring alone in this setting. These findings about coronary CT were corroborated in the parallel survey of 54 BSCI members. When using CMR to detect myocardial involvement in IMIDs, 73/111 (67.6%) perceived a need for IMID-specific CMR criteria beyond the current modified Lake Louise criteria for myocarditis. In terms of nuclear imaging, timely access to 18F-fluorodeoxyglucose PET imaging was identified as a barrier for diagnosing large-vessel vasculitis, and 61/111 (57%) of responders felt that the development of novel radionuclide tracers should be a future research priority. Conclusion This European survey highlights the need for dedicated cardio-rheumatology services and specialist training, and further evidence to inform future clinical practice recommendations on multi-modality cardiovascular imaging in IMIDs.

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Publication Details

Journal
European Heart Journal - Imaging Methods and Practice
Published
2026-05-16
DOI
https://doi.org/10.1093/ehjimp/qyag094
Primary Topic
IgG4-Related and Inflammatory Diseases
Type
article
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article

EACVI survey on the use of multi-modality cardiovascular imaging in immune-mediated inflammatory diseases

Marta Peverelli, Robert Manka, Simona Botezatu, Maya H Buch et al.
European Heart Journal - Imaging Methods and Practice
IgG4-Related and Inflammatory Diseases
article

EACVI survey on the use of multi-modality cardiovascular imaging in immune-mediated inflammatory diseases

Marta Peverelli, Robert Manka, Simona Botezatu, Maya H Buch, Beth Whittington, Ahmet Demirkıran, Declan P. O’Regan, Jason M. Tarkin, Sven Plein, Anna Baritussio, Ziad Mallat, M Dweck, J F Rodriguez Palomares, Vanessa Ferreira, Jonathan Weir-McCall, TARYN YOUNGSTEIN, Timothy Fairbairn, Theo Pezel, Tor Biering-Sørensen, Maria Lembo, Michelle C Williams, Sanjeev Bhattacharyya
article en

Abstract

Abstract Aim To scope the current European landscape of multi-modality cardiovascular imaging practices in Immune-Mediated Inflammatory Diseases (IMIDs). Methods & Results An electronic (e)-survey was distributed to members of the European Association of Cardiovascular Imaging (EACVI) about imaging in cardio-rheumatology. A parallel e-survey focused on the use of coronary CT for cardiovascular disease (CVD) risk-stratification in IMIDs was conducted via the British Society of Cardiovascular Imaging (BSCI). Of the total 111 respondents to the EACVI survey, 92 (82.9%) were consultant-grade physicians and 68 (61.3%) worked in tertiary centres. These individuals had varied experience in cardio-rheumatology, with limited access to dedicated cardio-rheumatology services and training opportunities. Sixty-nine (62.2%) used coronary CT to guide preventive therapies in IMID patients with borderline risk scores and cardiac symptoms, with a preference for coronary CT angiography over coronary artery calcium scoring alone in this setting. These findings about coronary CT were corroborated in the parallel survey of 54 BSCI members. When using CMR to detect myocardial involvement in IMIDs, 73/111 (67.6%) perceived a need for IMID-specific CMR criteria beyond the current modified Lake Louise criteria for myocarditis. In terms of nuclear imaging, timely access to 18F-fluorodeoxyglucose PET imaging was identified as a barrier for diagnosing large-vessel vasculitis, and 61/111 (57%) of responders felt that the development of novel radionuclide tracers should be a future research priority. Conclusion This European survey highlights the need for dedicated cardio-rheumatology services and specialist training, and further evidence to inform future clinical practice recommendations on multi-modality cardiovascular imaging in IMIDs.

European Heart Journal - Imaging Methods and Practice
St Bartholomew's Hospital (GB), University of Leeds (GB), University of Padua (IT), University of Liverpool (GB), Ecolab (United Kingdom) (GB), Inserm (FR), King's College London (GB), Université Paris Cité (FR), General Medical Council (GB), Instituto de Salud Carlos III (ES), Gentofte Hospital (DK), British Heart Foundation (GB), University of Oxford (GB), Liverpool Heart and Chest Hospital (GB), Assistance Publique – Hôpitaux de Paris (FR), University Hospital of Zurich (CH), Vall d'Hebron Institut de Recerca (ES), Cambridge University Health Partners (GB), Centro de Investigación Biomédica en Red (ES), Hôpital Lariboisière (FR), Vall d'Hebron Hospital Universitari (ES), Sağlık Bilimleri Üniversitesi (TR), Amsterdam University Medical Centers (NL), NIHR Manchester Biomedical Research Centre (GB), Istanbul University (TR), University of Health Sciences Antigua (AG), Medical Research Council (GB)
Openalex Percentile: Top 4%
IgG4-Related and Inflammatory Diseases
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