Future non-invasive imaging to detect vascular plaque instability and subclinical non-obstructive atherosclerosis
نویسندگان
چکیده
Atherosclerosis underlies the major causes of death in the Western World. Our main goal is to detect early changes of atherosclerosis and to identify subjects at highest cardiovascular risk that may aid in the development of prevention approaches and better management that will decrease cardiovascular morbidity and mortality. The new methods that are of interest include the advanced vascular ultrasound methods, the infra red and near infra red imaging techniques, the EndoPat device that reflects peripheral arterial tone, the electron beam computed tomography, the magnetic resonance imaging, and the molecular imaging techniques. In this review we will focus on the future of advanced imaging techniques that are being developed to detect early (pre-clinical) development of atherosclerosis.
منابع مشابه
Editorial Who wants his plaque sealed ?
There are some lessons to be learned from 25 years of coronary interventional cardiology. One of the most fundamental and important lessons learnt has been the need for an extensive understanding and knowledge of a specific disease process prior to the successful design of a targeted interventional treatment. The rapid development of sophisticated imaging equipment in interventional cardiology ...
متن کاملUltrasound molecular imaging of atherosclerosis.
Recent advances in our understanding of the pathophysiological mechanisms of atherosclerosis have created the need for better non-invasive imaging of vascular phenotype. Ultrasound is widely available, inexpensive, and well suited for high-throughput screening in populations that are at risk for atherosclerosis. Novel ultrasonic approaches for the diagnosis of vascular changes in atherosclerosi...
متن کاملIntracoronary Imaging in the Detection of Vulnerable Plaques
Coronary artery disease is the result of atherosclerotic changes to the coronary arterial wall, comprising endothelial dysfunction, vascular inflammation and deposition of lipid-rich macrophage foam cells. Certain high-risk atherosclerotic plaques are vulnerable to disruption, leading to rupture, thrombosis and the clinical sequelae of acute coronary syndrome. Though recognised as the gold stan...
متن کاملAdvances in imaging vascular inflammation
Inflammation is central to the pathogenesis of many vascular diseases. Despite an understanding of the natural history, predicting progression and acute complications remains an important clinical challenge in both atherosclerosis and aortic aneurysms. Current means of monitoring rely mainly on structural information, such as the extent of luminal stenosis on coronary angiography or maximum ane...
متن کاملCathepsin Activity-Based Probes and Inhibitor for Preclinical Atherosclerosis Imaging and Macrophage Depletion
BACKGROUND AND PURPOSE Cardiovascular disease is the leading cause of death worldwide, mainly due to an increasing prevalence of atherosclerosis characterized by inflammatory plaques. Plaques with high levels of macrophage infiltration are considered "vulnerable" while those that do not have significant inflammation are considered stable; cathepsin protease activity is highly elevated in macrop...
متن کامل