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Cited by 488

The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.

Coronary Arterial 18F-Sodium Fluoride Uptake

Open access
Dweck, Marc R., Chow, Marcus W.L., Joshi, Nikhil V., Williams, Michelle C., Jones, Charlotte, Fletcher, Alison M., Richardson, Hamish, White, Audrey, McKillop, Graham, van Beek, Edwin J.R., Boon, Nicholas A., Rudd, James H.F., Newby, David E.·2012·Journal of the American College of Cardiology

Abstract

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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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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CoChat. (2026). Citation check: Coronary Arterial 18F-Sodium Fluoride Uptake. https://app.cochat.ai/papers/10.1016/j.jacc.2011.12.037
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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. (2012). Coronary Arterial 18F-Sodium Fluoride Uptake. Journal of the American College of Cardiology. https://doi.org/10.1016/j.jacc.2011.12.037

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