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Identifying active vascular microcalcification by 18F-sodium fluoride positron emission tomography

Open access
Irkle, Agnese, Vesey, Alex T., Lewis, David Y., Skepper, Jeremy N., Bird, Joseph L. E., Dweck, Marc R., Joshi, Francis R., Gallagher, Ferdia A., Warburton, Elizabeth A., Bennett, Martin R., Brindle, Kevin M., Newby, David E., Rudd, James H., Davenport, Anthony P.·2015·Nature Communications

Abstract

Vascular calcification is a complex biological process that is a hallmark of atherosclerosis. While macrocalcification confers plaque stability, microcalcification is a key feature of high-risk atheroma and is associated with increased morbidity and mortality. Positron emission tomography and X-ray computed tomography (PET/CT) imaging of atherosclerosis using 18 F-sodium fluoride (18 F-NaF) has the potential to identify pathologically high-risk nascent microcalcification. However, the precise molecular mechanism of 18 F-NaF vascular uptake is still unknown. Here we use electron microscopy, autoradiography, histology and preclinical and clinical PET/CT to analyse 18 F-NaF binding. We show that 18 F-NaF adsorbs to calcified deposits within plaque with high affinity and is selective and specific. 18 F-NaF PET/CT imaging can distinguish between areas of macro- and microcalcification. This is the only currently available clinical imaging platform that can non-invasively detect microcalcification in active unstable atherosclerosis. The use of 18 F-NaF may foster new approaches to developing treatments for vascular calcification.

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Authors
Irkle, A., Vesey, A. T., Lewis, D. Y., Skepper, J. N., Bird, J. L. E., Dweck, M. R., Joshi, F. R., Gallagher, F. A., Warburton, E. A., Bennett, M. R., Brindle, K. M., Newby, D. E., Rudd, J. H., & Davenport, A. P.
Venue
Nature Communications
Published
2015-07-07
Volume
6
Issue
1
Pages
7495-7495
ISSN
2041-1723 (ISSN-L)
OpenAlex
W1596488107
Cited by
468
References
0
FWCI
31.78
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Identifying active vascular microcalcification by 18F-sodium fluoride positron emission tomography. https://app.cochat.ai/papers/10.1038/ncomms8495
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Irkle, A., Vesey, A. T., Lewis, D. Y., Skepper, J. N., Bird, J. L. E., Dweck, M. R., Joshi, F. R., Gallagher, F. A., Warburton, E. A., Bennett, M. R., Brindle, K. M., Newby, D. E., Rudd, J. H., & Davenport, A. P. (2015). Identifying active vascular microcalcification by 18F-sodium fluoride positron emission tomography. Nature Communications. https://doi.org/10.1038/ncomms8495

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.