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Updated: Mar 14, 2026

Three-Dimensional Imaging of Aortic Tissues in Atherosclerosis
Published on: October 25, 2024
Imaging Atherosclerosis in Diabetes: Current State
Sina Rahmani1, Rine Nakanishi1, Matthew J Budoff2
1Department of Cardiology, Los Angeles Biomedical Research Institute, 1124 W Carson Street, CDCRC, Torrance, CA, 90502, USA.
Insights
Cardiovascular events are a major cause of death in diabetes patients. Atherosclerosis imaging helps identify high-risk individuals, improving prediction of coronary heart disease and mortality beyond traditional methods.
Area of Science:
- Cardiology
- Diabetology
- Medical Imaging
Background:
- Cardiovascular events, such as myocardial infarction and stroke, are leading causes of mortality in patients with type 1 and type 2 diabetes.
- Many diabetic patients have undiagnosed coronary artery disease.
- Cardiovascular risk varies significantly among individuals with diabetes.
Purpose of the Study:
- To review the evidence for using atherosclerosis imaging in diabetic patients.
- To assess the ability of imaging to predict future cardiovascular events and mortality.
- To highlight the role of imaging in risk stratification for coronary heart disease.
Main Methods:
- Review of existing scientific literature and clinical studies.
- Analysis of data correlating atherosclerosis imaging findings with cardiovascular outcomes.
- Comparison of imaging-based risk assessment versus traditional population-based risk prediction models.
Main Results:
- Atherosclerosis imaging can identify individuals with subclinical coronary artery disease.
- Imaging provides a more personalized risk assessment compared to standard risk calculators.
- Specific imaging modalities show promise in predicting coronary heart disease events and mortality in diabetic populations.
Conclusions:
- Atherosclerosis imaging is a valuable tool for risk stratification in patients with diabetes.
- Integrating imaging into clinical practice can improve the prediction of cardiovascular events.
- Further research is warranted to optimize imaging protocols for diabetic patients.
Abstract:
Cardiovascular events, including myocardial infarction and stroke, are the primary causes of mortality in both type 1 and type 2 diabetes. Affected patients frequently have asymptomatic coronary artery disease. Studies have shown heterogeneity in cardiovascular risk among patients with diabetes. Imaging can help categorize risk of future cardiovascular events by identifying those patients with atherosclerosis, rather than relying on risk prediction based on population-based studies. In this article, we will review the evidence regarding use of atherosclerosis imaging in patients with diabetes to predict risk of coronary heart disease and mortality.
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