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RESEARCH PRODUCT
Imaging techniques for the vulnerable coronary plaque
Alessandro PalumboGabriel P. KrestinAnnachiara AldrovandiMaria Assunta CovaManuel BelgranoErica MaffeiF. AlberghinaF. AlberghinaFrancesca PuglieseLudovico La GruttaLudovico La GruttaMassimo MidiriGiuseppe RunzaRoberto MalagoRoberto MalagoFilippo Cademartirisubject
Diagnostic Imagingmedicine.medical_specialtyAcute coronary syndromeContrast MediaLumen (anatomy)Coronary Artery Diseasemultislice computed tomographymedicine.disease_causeSensitivity and SpecificityVascular remodelling in the embryoDiagnosis DifferentialCoronary artery diseaseCoronary artery disease Imaging Vulnerable plaque Multislice computed tomography CTImaging Three-DimensionalPredictive Value of TestsRisk FactorsInternal medicinemedicineHumansRadiology Nuclear Medicine and imagingCoronary atherosclerosisNeuroradiologyRupture Spontaneousmedicine.diagnostic_testbusiness.industryimagingInterventional radiologyGeneral Medicinemedicine.diseaseVulnerable plaqueCardiologyvulnerable plaqueRadiologybusinessCTdescription
The goal of this article is to illustrate the main invasive and noninvasive diagnostic modalities to image the vulnerable coronary plaque, which is responsible for acute coronary syndrome. The main epidemiologic and histological issues are briefly discussed in order to provide an adequate background. Comprehensive coronary atherosclerosis imaging should involve visualization of the entire coronary artery tree and plaque characterization, including three-dimensional morphology, relationship with the lumen, composition, vascular remodelling and presence of inflammation. No single technique provides such a comprehensive description, and no available modality extensively identifies the vulnerable plaque. In particular, we describe multislice computed tomography, which at present seems to be the most promising noninvasive tool for an exhaustive image-based quantification of coronary atherosclerosis.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2007-01-01 | La radiologia medica |