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Updated: May 15, 2026

Novel Quantification Protocol for Cardiovascular Calcification Progression Using Longitudinal MicroPET/MicroCT Images
Published on: November 15, 2024
Visualizing novel concepts of cardiovascular calcification
Jesper Hjortnaes1, Sophie E P New, Elena Aikawa
1Cardiovascular Medicine, Brigham & Women's Hospital, Harvard Medical School, 77 Avenue Louis Pasteur, NRB741J, Boston, MA 02115, USA.
Insights
Cardiovascular calcification, a disease process affecting heart valves and arteries, requires new imaging techniques for early detection. Understanding its mechanisms is crucial for developing effective treatments beyond invasive surgery.
Area of Science:
- Cardiovascular Medicine
- Biomedical Imaging
- Pathology
Background:
- Cardiovascular calcification, resembling embryonic bone formation, impacts aortic valves and arteries, increasing mortality.
- Shared risk factors include age, gender, diabetes, chronic renal disease, and smoking, yet mechanisms remain unclear.
- Current imaging (echocardiography, CT) detects late-stage calcification, hindering early diagnosis and treatment.
Purpose of the Study:
- To review novel imaging techniques for visualizing early cardiovascular calcification.
- To explore new concepts in understanding the cellular and molecular mechanisms of calcification.
- To address the limitations of conventional imaging in detecting calcification progression.
Main Methods:
- Review of current literature on cardiovascular calcification.
- Analysis of emerging imaging modalities for early detection.
- Discussion of cellular and molecular pathways involved in calcification.
Main Results:
- Conventional imaging detects calcification only at advanced stages.
- Early detection of cardiovascular calcification is limited.
- Novel imaging techniques show promise for visualizing early disease processes.
Conclusions:
- Understanding cardiovascular calcification mechanisms is vital.
- New imaging modalities are needed to detect early calcification and guide treatment.
- Advancements in imaging can potentially reduce reliance on invasive interventions.
Abstract:
Cardiovascular calcification is currently viewed as an active disease process similar to embryonic bone formation. Cardiovascular calcification mainly affects the aortic valve and arteries and is associated with increased mortality risk. Aortic valve and arterial calcification share similar risk factors, including age, gender, diabetes, chronic renal disease, and smoking. However, the exact cellular and molecular mechanism of cardiovascular calcification is unknown. Late-stage cardiovascular calcification can be visualized with conventional imaging modalities such as echocardiography and computed tomography. However, these modalities are limited in their ability to detect the development of early calcification and the progression of calcification until advanced tissue mineralization is apparent. Due to the subsequent late diagnosis of cardiovascular calcification, treatment is usually comprised of invasive interventions such as surgery. The need to understand the process of calcification is therefore warranted and requires new imaging modalities which are able to visualize early cardiovascular calcification. This review focuses on the use of new imaging techniques to visualize novel concepts of cardiovascular calcification.
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