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Optical Molecular Imaging of Inflammation and Calcification in Atherosclerosis

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Cardiovascular Imaging

Abstract

Atherosclerotic plaque development is characterized by the presence of active inflammation, collagen remodeling, and the deposition of calcific mineral, and these processes have proven to be the main determinants of the biomechanical stability of the plaque. Collagen degradation due to proteases from inflammatory cells and/or the formation of spotty microcalcifications within the atherosclerotic fibrous cap can lead to plaque rupture and subsequent myocardial infarction or stroke. Therefore, the ability to monitor inflammation and calcification in situ could inform patient treatment options and prevent serious acute cardiovascular events. Commonly utilized imaging techniques lack the resolution to image these processes. In this chapter, we will discuss the promise of optical molecular imaging in imaging inflammation and calcification within atherosclerotic plaques. We will focus on data from preclinical studies performed in animal models of atherosclerosis, and we will extend our discussion into how these techniques may be fully realized in a clinical setting.

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Correspondence to Elena Aikawa MD, PhD .

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Dr. Aikawa is supported by grants from the National Institutes of Health (R01HL114805; R01HL109506) and Harvard Catalyst Reactor Program.

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Hutcheson, J.D., Aikawa, E. (2015). Optical Molecular Imaging of Inflammation and Calcification in Atherosclerosis. In: Aikawa, E. (eds) Cardiovascular Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-09268-3_5

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  • DOI: https://doi.org/10.1007/978-3-319-09268-3_5

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  • Publisher Name: Springer, Cham

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