Erschienen in:
01.08.2013 | Original Article
Association of linear 18F-sodium fluoride accumulation in femoral arteries as a measure of diffuse calcification with cardiovascular risk factors: A PET/CT study
verfasst von:
Tido Janssen, MD, Peter Bannas, MD, Jochen Herrmann, MD, Simon Veldhoen, MD, Jasmin D. Busch, MD, András Treszl, PhD, Silvia Münster, MD, Janos Mester, PhD, Thorsten Derlin, MD
Erschienen in:
Journal of Nuclear Cardiology
|
Ausgabe 4/2013
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Abstract
Background
The aim of this study was to correlate linear 18F-sodium fluoride accumulation in the femoral arteries as a measure of diffuse mineral deposition in medial elastocalcinosis with cardiovascular risk factors (RFs) and calcified plaque burden (CPB).
Methods and Results
In this study, 409 patients were examined by 18F-sodium fluoride positron emission tomography/computed tomography (PET/CT). Tracer accumulation was analyzed both qualitatively and semiquantitatively by measuring the target-to-background ratio, and compared with cardiovascular RFs and CPB. Linear 18F-sodium fluoride accumulation was observed in 159 (38.9%) patients and correlated significantly with age (P < .0001), hypertension (P < .0001), hypercholesterolemia (P = .0003), diabetes (P = .0003), history of smoking (P = .0007), prior cardiovascular events (P = .03), and CPB (P < .0001). The prevalence of linear tracer uptake increased as the number of cardiovascular RFs increased (P < .0001).
Conclusions
Linear 18F-sodium fluoride uptake in the femoral arteries (1) provides a measure of diffuse mineral deposition, (2) demonstrates a highly significant correlation with cardiovascular RFs and CPB, and (3) is found to accumulate more frequently in patients with a high-risk profile for cardiovascular events. 18F-sodium fluoride PET/CT may become a unique tool for in vivo visualization and quantification of ongoing calcification in large arteries.