Advances in diagnostic imaging for peripheral arterial disease
Gale L Tang1, Jason Chin, Melina R Kibbe
1VA Puget Sound Health Care System, Division of Vascular Surgery, University of Washington, Seattle, WA, USA.
Expert Review of Cardiovascular Therapy
|October 13, 2010
Summary
Advances in imaging techniques improve peripheral arterial disease diagnosis and treatment. This review covers established and emerging methods for lower extremity arterial imaging, aiding personalized patient care.
Area of Science:
- Vascular Medicine
- Medical Imaging
- Cardiovascular Disease
Background:
- Peripheral arterial disease (PAD) diagnosis and treatment have significantly advanced.
- Noninvasive and invasive imaging techniques are crucial for evaluating PAD.
- Numerous complementary imaging modalities exist for PAD assessment.
Purpose of the Study:
- To review current and emerging imaging techniques for peripheral arterial disease.
- To discuss the advantages, disadvantages, and recent advances of various modalities.
- To guide the selection of optimal imaging and intervention strategies for PAD patients.
Main Methods:
- Review of clinical applications of duplex ultrasonography, magnetic resonance angiography, computed tomographic angiography, digital subtraction angiography, and intravascular ultrasound.
- Discussion of experimental techniques including PET, hyperspectral imaging, and molecular imaging of atherosclerosis.
- Analysis of lesion and patient characteristics influencing response to peripheral interventions.
Main Results:
- Established imaging modalities offer distinct benefits and drawbacks for lower extremity arterial imaging.
- Emerging techniques show promise for enhanced PAD evaluation and atherosclerosis imaging.
- Understanding patient-specific factors is key to tailoring imaging and treatment selection.
Conclusions:
- Optimized selection of imaging modalities and interventions improves peripheral arterial disease treatment efficacy.
- Continued research into advanced imaging techniques will further refine PAD management.
- Personalized medicine approaches, guided by detailed imaging, are essential for effective PAD care.
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