Related Experiment Video

Updated: Jul 6, 2026

Quantification of Atherosclerotic Plaque Activity and Vascular Inflammation using [18-F] Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography (FDG-PET/CT)
10:02

Quantification of Atherosclerotic Plaque Activity and Vascular Inflammation using [18-F] Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography (FDG-PET/CT)

Published on: May 2, 2012

Detection of plaque rupture using 64-slice multidetector row computed tomography

Anja J Reimann1, Torsten Beck, Martin Heuschmid

  • 1Department of Diagnostic Radiology, Eberhard-Karls-University, Tuebingen, Germany. anja.reimann@med.uni-tuebingen.de <anja.reimann@med.uni-tuebingen.de>

The Canadian Journal of Cardiology
|March 15, 2008
PubMed

Insights

A myocardial infarction case revealed intimal flap and plaque rupture via computed tomography, not seen on conventional angiography. Multidetector row computed tomography precisely guided stent placement for this coronary artery lesion.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Myocardial infarction (MI) can present without significant coronary artery stenosis on conventional angiography.
  • Accurate diagnosis of coronary artery dissection and plaque rupture is crucial for effective treatment.

Observation:

  • A 37-year-old male presented with MI symptoms but normal catheter angiography.
  • Multidetector row computed tomography (MDCT) identified an intimal flap and fibrous plaque in the left anterior descending artery.

Findings:

  • The intimal flap on MDCT confirmed a plaque rupture as the cause of MI.
  • An 18 mm stent was successfully deployed to treat the ruptured plaque.

Implications:

  • MDCT is valuable for diagnosing coronary artery dissection and plaque rupture when angiography is inconclusive.
  • Precise MDCT imaging aids in accurate stent placement for complex coronary lesions.

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