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Quantitative imaging biomarkers for the evaluation of cardiovascular complications in type 2 diabetes mellitus
Kai Lin1, Donald M Lloyd-Jones2, Debiao Li1
1Department of Radiology, Northwestern University Feinberg School of Medicine, 737N Michigan Avenue, Suite 1600, Chicago, IL 60611, USA.
Abstract:
Type 2 diabetes mellitus (T2DM) is a prevalent condition in aged populations. Cardiovascular diseases are leading causes of death and disability in patients with T2DM. Traditional strategies for controlling the cardiovascular complications of diabetes primarily target a cluster of well-defined risk factors, such as hyperglycemia, lipid disorders and hypertension. However, there is controversy over some recent clinical trials aimed at evaluating efficacy of intensive treatments for T2DM. As a powerful tool for quantitative cardiovascular risk estimation, multi-disciplinary cardiovascular imaging have been applied to detect and quantify morphological and functional abnormalities in the cardiovascular system. Quantitative imaging biomarkers acquired with advanced imaging procedures are expected to provide new insights to stratify absolute cardiovascular risks and reduce the overall costs of health care for people with T2DM by facilitating the selection of optimal therapies. This review discusses principles of state-of-the-art cardiovascular imaging techniques and compares applications of those techniques in various clinical circumstances. Individuals measurements of cardiovascular disease burdens from multiple aspects, which are closely related to existing biomarkers and clinical outcomes, are recommended as promising candidates for quantitative imaging biomarkers to assess the responses of the cardiovascular system during diabetic regimens.
Insights
Cardiovascular imaging offers advanced methods to assess heart risks in older adults with type 2 diabetes (T2DM). Quantitative imaging biomarkers can personalize treatment and improve outcomes for T2DM patients facing cardiovascular disease.
Area of Science:
- Cardiology
- Radiology
- Endocrinology
Background:
- Type 2 diabetes mellitus (T2DM) is common in older adults and significantly increases cardiovascular disease (CVD) risk.
- CVD is a primary cause of death and disability in T2DM patients.
- Current T2DM treatments targeting traditional risk factors show controversial efficacy in recent trials.
Purpose of the Study:
- To review state-of-the-art cardiovascular imaging techniques for T2DM.
- To discuss the application of these techniques in clinical settings.
- To highlight the potential of quantitative imaging biomarkers for risk stratification and therapy selection in T2DM.
Main Methods:
- Review of current literature on multi-disciplinary cardiovascular imaging.
- Comparison of various imaging modalities and their applications.
- Focus on quantitative imaging biomarkers for assessing cardiovascular abnormalities.
Main Results:
- Cardiovascular imaging provides quantitative assessment of morphological and functional cardiovascular abnormalities.
- Advanced imaging techniques can detect and quantify cardiovascular disease burden.
- Quantitative imaging biomarkers are emerging as valuable tools for risk stratification.
Conclusions:
- Quantitative imaging biomarkers derived from advanced cardiovascular imaging can offer novel insights into cardiovascular risk in T2DM.
- These biomarkers can aid in selecting optimal therapies and potentially reduce healthcare costs for T2DM patients.
- Individualized measurements of cardiovascular disease burden are recommended for assessing treatment response in T2DM.
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