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Radionuclide Imaging of Atherothrombotic Diseases
1Department of Surgery, The Ohio State University College of Medicine, Columbus, OH.
Purpose Of Review:
A variety of approaches and molecular targets have emerged in recent years for radionuclide-based imaging of atherosclerosis and vulnerable plaque using single photon emission computed tomography (SPECT) and positron emission tomography (PET), with numerous methods focused on characterizing the mechanisms underlying plaque progression and rupture. This review highlights the ongoing developments in both the preclinical and clinical environment for radionuclide imaging of atherosclerosis and atherothrombosis.
Recent Findings:
Numerous physiological processes responsible for the evolution of high-risk atherosclerotic plaque, such as inflammation, thrombosis, angiogenesis, and microcalcification, have been shown to be feasible targets for SPECT and PET imaging. For each physiological process, specific molecular markers have been identified that allow for sensitive non-invasive detection and characterization of atherosclerotic plaque.
Summary:
The capabilities of SPECT and PET imaging continue to evolve for physiological evaluation of atherosclerosis. This review summarizes the latest developments related to radionuclide imaging of atherothrombotic diseases.
Insights
Radionuclide imaging using SPECT and PET offers new ways to study atherosclerosis. These techniques help visualize plaque progression and rupture, aiding in the diagnosis of atherothrombotic diseases.
Area of Science:
- Nuclear medicine
- Cardiovascular imaging
- Molecular imaging
Background:
- Atherosclerosis and vulnerable plaque are major causes of cardiovascular events.
- Understanding plaque progression and rupture mechanisms is crucial for effective treatment.
Purpose of the Study:
- To review recent advancements in radionuclide imaging for atherosclerosis.
- To highlight developments in preclinical and clinical applications of SPECT and PET.
Main Methods:
- Focus on single photon emission computed tomography (SPECT) and positron emission tomography (PET).
- Exploration of various molecular targets and imaging approaches.
- Characterization of physiological processes in plaque evolution.
Main Results:
- SPECT and PET can target key plaque processes like inflammation, thrombosis, angiogenesis, and microcalcification.
- Specific molecular markers enable sensitive, non-invasive plaque detection and characterization.
- Ongoing evolution of imaging capabilities for atherosclerosis evaluation.
Conclusions:
- Radionuclide imaging continues to advance for physiological assessment of atherosclerosis.
- This review summarizes the latest developments in imaging atherothrombotic diseases.
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