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Coronary Arterial 18F-Sodium Fluoride Uptake
Open accessAbstract
OBJECTIVES With combined positron emission tomography and computed tomography (CT), we investigated coronary arterial uptake of 18F-sodium fluoride (18F-NaF) and 18F-fluorodeoxyglucose (18F-FDG) as markers of active plaque calcification and inflammation, respectively. BACKGROUND The noninvasive assessment of coronary artery plaque biology would be a major advance particularly in the identification of vulnerable plaques, which are associated with specific pathological characteristics, including micro-calcification and inflammation. METHODS We prospectively recruited 119 volunteers (72 ± 8 years of age, 68% men) with and without aortic valve disease and measured their coronary calcium score and 18F-NaF and 18F-FDG uptake. Patients with a calcium score of 0 were used as control subjects and compared with those with calcific atherosclerosis (calcium score >0). RESULTS Inter-observer repeatability of coronary 18F-NaF uptake measurements (maximum tissue/background ratio) was excellent (intra-class coefficient 0.99). Activity was higher in patients with coronary atherosclerosis (n = 106) versus control subjects (1.64 ± 0.49 vs. 1.23 ± 0.24; p = 0.003) and correlated with the calcium score (r = 0.652, p < 0.001), although 40% of those with scores >1,000 displayed normal uptake. Patients with increased coronary 18F-NaF activity (n = 40) had higher rates of prior cardiovascular events (p = 0.016) and angina (p = 0.023) and higher Framingham risk scores (p = 0.011). Quantification of coronary 18F-FDG uptake was hampered by myocardial activity and was not increased in patients with atherosclerosis versus control subjects (p = 0.498). CONCLUSIONS 18F-NaF is a promising new approach for the assessment of coronary artery plaque biology. Prospective studies with clinical outcomes are now needed to assess whether coronary 18F-NaF uptake represents a novel marker of plaque vulnerability, recent plaque rupture, and future cardiovascular risk. (An Observational PET/CT Study Examining the Role of Active Valvular Calcification and Inflammation in Patients With Aortic Stenosis; NCT01358513).
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Madhavan, M. V., Tarigopula, M., Mintz, G. S., Maehara, A., Stone, G. W., & Généreux, P. (2014) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2014.01.017 · Cited by 579
Identifying active vascular microcalcification by 18F-sodium fluoride positron emission tomography
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Self-citationGating Approaches in Cardiac PET Imaging
Lassen, M. L., Kwiecinski, J., & Slomka, P. J. (2019) · PET Clinics · doi:10.1016/j.cpet.2018.12.008 · Cited by 38
Metadata
- Authors
- Dweck, M. R., Chow, M. W. L., Joshi, N. V., Williams, M. C., Jones, C., Fletcher, A. M., Richardson, H., White, A., McKillop, G., van Beek, E. J. R., Boon, N. A., Rudd, J. H. F., & Newby, D. E.
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2012-04
- Volume
- 59
- Issue
- 17
- Pages
- 1539-1548
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W121634664
- Cited by
- 488
- References
- 41
- FWCI
- 26.48
- Type
- journal article
- Language
- en
- Open access
- bronze
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