Erschienen in:
01.06.2019 | Molecular Imaging (J Wu and P Nguyen, Section Editors)
New Molecular Imaging Strategies to Detect Inflammation in the Vulnerable Plaque
verfasst von:
Paolo Raggi
Erschienen in:
Current Cardiovascular Imaging Reports
|
Ausgabe 6/2019
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Abstract
Purpose of review
Inflammation is an essential component of atherosclerosis and is intimately linked with plaque destabilization. Recent trials showed that therapies directed at inhibiting the systemic inflammatory cascade reduce atherosclerotic cardiovascular events. Hence, accurate molecular imaging of inflammation may help us identify patients for whom targeted therapies could be maximally effective.
Recent findings
Numerous probes have been developed to detect different inflammatory components of atherosclerosis. Although 18F-deoxyglucose has been in use for a long time, new tracers such as 18F-sodium and 67Ga-dotatate have shown greater specificity for coronary artery lesions and have preferentially localized in unstable plaques.
Summary
Despite recent progress, clear evidence that imaging of inflammation within atherosclerotic lesions translates into optimization of treatment and reduction of events is still missing. Imaging research will continue to attempt to deliver precision care to patients in greater need.