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Vascular Imaging in Diabetes

  • Vascular Biology (RS Rosenson, Section Editor)
  • Published:
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Abstract

Diabetes is a global epidemic affecting individuals of all socioeconomic backgrounds. Despite intensive efforts, morbidity and mortality secondary to the micro- and macrovascular complications remain unacceptably high. As a result, the use of imaging modalities to determine the underlying pathophysiology, early onset of complications, and disease progression has become an integral component of the management of such individuals. Echocardiography, stress echocardiography, and nuclear imaging have been the mainstay of noninvasive cardiovascular imaging tools to detect myocardial ischemia, but newer modalities such as cardiac MRI, cardiac CT, and PET imaging provide incremental information not available with standard imaging. While vascular imaging to detect cerebrovascular and peripheral arterial disease non-invasively has traditionally used ultrasound, CT- and MRI-based techniques are increasingly being employed. In this review, we will provide an outline of recent studies utilizing non-invasive imaging techniques to assist in disease diagnosis as well as monitoring disease progression. In addition, we will review the evidence for newer modalities such as MR spectroscopy, 3D intravascular ultrasound, and optical coherence tomography that provide exquisite detail of metabolic function and coronary anatomy not available with standard imaging, but that have not yet become mainstream.

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Conflict of Interest

Kevin Levitt, Lucas Vivas, and Kim A. Connelly declare that they have no conflict of interest. Brian K. Courtney is a director, inventor, shareholder, and CEO of Colibri Technologies.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Keenan Research Centre for Biomedical Science, St Michael’s hospital, University of Toronto, 209 Victoria Street, Toronto, Ontario, Canada, M5B 1C6

    K. Levitt, L. Vivas & K. A. Connelly

  2. Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

    B. Courtney

  3. Schulich Heart Program, Sunnybrook Health Sciences Centre University of Toronto, Toronto, Ontario, Canada

    B. Courtney

  4. Colibri Technologies Inc, Toronto, Ontario, Canada

    B. Courtney

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  1. K. Levitt
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  2. L. Vivas
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Correspondence to K. A. Connelly.

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This article is part of the Topical Collection on Vascular Biology

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Levitt, K., Vivas, L., Courtney, B. et al. Vascular Imaging in Diabetes. Curr Atheroscler Rep 16, 399 (2014). https://doi.org/10.1007/s11883-014-0399-z

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