Patient Preparation
- Low fat diet in previous 24 h.
- Three hours prior to injection give, 250 mg of acipimox and 350 mg of acetyl salicylic acid orally. Repeat acipimox 250 mg, 1.5 h prior to 18F-FDG . Check before schedule if acipimox is available in your institution.
- A meal containing 75 g carbohydrate is given 1.5 h prior to the injection of 18F-FDG, after a minimum of 4 h of fasting.
- Only patients with BGL less than 160 mg/dl are injected.
- If BGL > 160 mg/dl, inject iv regular insulin according to the formula:
Insulin Dose = BGL(mg/dl)-50 / 25 and wait 45 min.References:
1 González P et al. Viabilidad Miocárdica, p 105-119 in: Medicina Nuclear Aplicaciones Clínicas. Eds: I. Carrio - P. González. Editorial Masson, Barcelona España, 2003.
2 Bax JJ et al. 18-Fluorodeoxyglucose imaging with positron emission tomography and single photon emission computed tomography: cardiac applications. Semin Nucl Med. 2000 Oct;30(4):281-98.