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Updated: Dec 5, 2025

Aortic Ring Assay
Published on: November 24, 2009
Hot Aortic Nodules
Erik Soule1, Quoc-Han Nguyen1, Mario Dervishi1
1Interventional Radiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.
Insights
Positron emission tomography can detect 18-fluorodeoxyglucose uptake in atherosclerotic plaques. This finding may help identify high-risk patients for cardiovascular disease, enabling early intervention.
Area of Science:
- Cardiovascular Medicine
- Nuclear Medicine
- Radiology
Background:
- Atherosclerotic cardiovascular disease (ASCVD) is a major global health concern, leading to severe thrombotic complications like stroke and heart attack.
- Early identification of aggressive ASCVD is crucial for effective risk stratification and treatment planning.
Observation:
- This report details four patients where 18-fluorodeoxyglucose (FDG) uptake was observed in atherosclerotic plaques during positron emission tomography (PET) scans.
- These PET scans were initially performed for indications unrelated to atherosclerosis detection.
Findings:
- The study highlights the potential for FDG-avid atherosclerotic plaques to be incidentally discovered via PET imaging.
- This incidental finding suggests a potential imaging biomarker for active or high-risk atherosclerosis.
Implications:
- Detecting FDG-avid plaques could facilitate earlier diagnosis and intervention for ASCVD.
- This may lead to improved patient outcomes through intensified lifestyle changes, medication, or procedures like endovascular atherectomy.
Abstract:
Atherosclerotic cardiovascular disease is the leading cause of death worldwide. Morbidity of the dreaded thrombotic complications of atherosclerosis such as cerebrovascular accident and myocardial infarction may be severe. Early detection of fulminant disease is therefore important for risk stratification and selecting a treatment strategy. In this report we present four patients in which 18-fluorodeoxyglucose uptake was identified in atherosclerotic plaques at positron emission tomography, performed for other indications. The study aims to showcase the potential implications of 18-fluorodeoxyglucose avid plaques, which may be otherwise overlooked at positron emission tomography. Early detection may aid in prevention of complications of atherosclerotic cardiovascular disease through aggressive lifestyle modification, as well as pharmacologic or other intervention, such as endovascular atherectomy.
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