Global Practices in Cardiac Imaging for Cardiac Sarcoidosis

Guest: Tahir Kafil, M.D.

Host: Sharonne Hayes, M.D.

Cardiac imaging is a cornerstone in the diagnostic work-up and management of cardiac sarcoidosis. However, indications and use of advanced cardiac imaging vary from institution to institution, and even between providers at the same institution. We conducted an international Delphi consensus study of 89 global experts in cardiac sarcoidosis to evaluate real-world clinical practices and use of advanced cardiac imaging. We developed consensus for use of advanced cardiac imaging in cardiac sarcoidosis. Areas lacking consensus were noted as priority areas for research.

Topics Discussed:

From a big picture perspective, how is cardiac sarcoidosis generally diagnosed?
What exactly is the Delphi methodology your team used to build consensus?
The suggested algorithm for imaging in suspected cardiac sarcoidosis uses pretest probability, how was that defined?
Was cardiac MRI superior to PET in your study? Does one have to be first?
How do experts decide how often to do follow up PET imaging in established cardiac sarcoidosis?
What were areas of priority research that were identified?

The research study cited by Dr. Kafil was published on June 2, 2025. Click the following link to view the paper:

https://www.jacc.org/doi/full/10.1016/j.jcmg.2025.02.010

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Podcast episode transcript found here.