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Vulnerable carotid plaque

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https://www.readbyqxmd.com/read/28160261/imaging-of-the-ulcerated-carotid-atherosclerotic-plaque-a-review-of-the-literature
#1
REVIEW
Vasileios Rafailidis, Ioannis Chryssogonidis, Thomas Tegos, Konstantinos Kouskouras, Afroditi Charitanti-Kouridou
: Carotid atherosclerotic disease constitutes a major modern health problem whose diagnosis primarily relies on imaging. Grading of stenosis has been long used as the main factor for risk stratification and guiding of management. Nevertheless, increasing evidence has shown that additional plaque characteristics such as plaque composition and surface morphology play an important role in the occurrence of symptoms, justifying the term "vulnerable plaque". Carotid plaque surface characteristics either in the form of surface irregularities or ulceration represent an important factor of vulnerability and are associated with the occurrence of neurologic symptoms...
February 3, 2017: Insights Into Imaging
https://www.readbyqxmd.com/read/28155719/contralateral-artery-enlargement-predicts-carotid-plaque-progression-based-on-machine-learning-algorithm-models-in-apoe-mice
#2
Bing Li, Yun Jiao, Cong Fu, Bo Xie, Genshan Ma, Gaojun Teng, Yuyu Yao
BACKGROUND: This study specifically focused on anatomical MRI characterization of the low shear stress-induced atherosclerotic plaque in mice. We used machine learning algorithms to analyze multiple correlation factors of plaque to generate predictive models and to find the predictive factor for vulnerable plaque. METHODS: Branches of the left carotid artery in apoE(-/-) and C57BL/6J mice were ligated to produce the partial left carotid artery model. Before surgery, and 7, 14, and 28 days after surgery, in vivo serial MRI measurements of carotid artery diameter were obtained...
December 28, 2016: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28154161/development-of-coronary-pulse-wave-velocity-new-pathophysiological-insight-into-coronary-artery-disease
#3
Brahim Harbaoui, Pierre-Yves Courand, Andrei Cividjian, Pierre Lantelme
BACKGROUND: Although aortic stiffness assessed by pulse wave velocity (PWV) is a strong predictor of coronary artery disease, the significance of local coronary stiffness has never been tackled. The first objective of this study was to describe a method of measuring coronary PWV (CoPWV) invasively and to describe its determinants. The second objective was to assess both CoPWV and aortic PWV in patients presenting with acute coronary syndromes or stable coronary artery disease. METHODS AND RESULTS: In 53 patients, CoPWV was measured from the delay in pressure wave and distance traveled as a pressure wire was withdrawn from the distal to the proximal coronary segment...
February 2, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28153351/non-invasive-identification-of-vulnerable-atherosclerotic-plaques-using-texture-analysis-in-ultrasound-carotid-elastography-an-in%C3%A2-vivo-feasibility-study-validated-by-magnetic-resonance-imaging
#4
Chengwu Huang, Qiong He, Manwei Huang, Lingyun Huang, Xihai Zhao, Chun Yuan, Jianwen Luo
The aims of this study were to quantify the textural information of strain rate images in ultrasound carotid elastography and evaluate the feasibility of using the textural features in discriminating stable and vulnerable plaques with magnetic resonance imaging as an in vivo reference. Ultrasound radiofrequency data were acquired in 80 carotid plaques from 52 patients, mainly in the longitudinal imaging view, and axial strain rate images were estimated with an ultrasound carotid elastography technique based on an optical flow algorithm...
January 30, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28121134/molecular-imaging-of-vulnerable-atherosclerotic-plaques-in-vivo-with-osteopontin-specific-upconversion-nanoprobes
#5
Ruirui Qiao, Hongyu Qiao, Yan Zhang, Yabin Wang, Chongwei Chi, Jie Tian, Lifang Zhang, Feng Cao, Mingyuan Gao
Owing to the high mortality rate of cardiovascular diseases, developing novel noninvasive diagnostic methods becomes urgent and mandatory. It is well-known that the rupture of vulnerable plaques directly leads to deadly consequences. However, differentiating vulnerable plaques from stable plaques remains challenging in the clinic. In the current study, osteopontin (OPN), a secreted biomarker associated with macrophages and foamy macrophages, was selected as a target for identifying the vulnerable plaques. A dual modality imaging probe was constructed by covalently attaching an OPN antibody to NaGdF4:Yb,Er@NaGdF4 upconversion nanoparticles...
January 31, 2017: ACS Nano
https://www.readbyqxmd.com/read/28120364/evaluation-of-carotid-plaque-vulnerability-in-vivo-correlation-between-dynamic-contrast-enhanced-mri-and-mri-modified-aha-classification
#6
Xiaoqian Ge, Zien Zhou, Huilin Zhao, Xiao Li, Beibei Sun, Shiteng Suo, Maree L Hackett, Jieqing Wan, Jianrong Xu, Xiaosheng Liu
PURPOSE: To noninvasively monitor carotid plaque vulnerability by exploring the relationship between pharmacokinetic parameters (PPs) of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) and plaque types based on MRI-modified American Heart Association (AHA) classification, as well as to assess the ability of PPs in discrimination between stable and vulnerable plaques suspected on MRI. MATERIALS AND METHODS: Of 70 consecutive patients with carotid plaques who volunteered for 3...
January 24, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/28113578/2d-versus-3d-cross-correlation-based-radial-and-circumferential-strain-estimation-using-multiplane-2d-ultrafast-ultrasound-in-a-3d-atherosclerotic-carotid-artery-model
#7
Stein Fekkes, Abigail E S Swillens, Hendrik H G Hansen, Anne E C M Saris, Maartje M Nillesen, Francesco Iannaccone, Patrick Segers, Chris L de Korte
Three-dimensional strain estimation might improve the detection and localization of high strain regions in the carotid artery for identification of vulnerable plaques. This study compares 2D vs. 3D displacement estimation in terms of radial and circumferential strain using simulated ultrasound images of a patient specific 3D atherosclerotic carotid artery model at the bifurcation embedded in surrounding tissue generated with ABAQUS software. Global longitudinal motion was superimposed to the model based on literature data...
August 25, 2016: IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control
https://www.readbyqxmd.com/read/28104528/cannabinoid-receptor-type-2-cb2-as-one-of-the-candidate-genes-in-human-carotid-plaque-imaging-evalu1ation-of-the-novel-radiotracer-11-c-rs-016-targeting-cb2-in-atherosclerosis
#8
Romana Meletta, Roger Slavik, Linjing Mu, Zoran Rancic, Nicole Borel, Roger Schibli, Simon M Ametamey, Stefanie D Krämer, Adrienne Müller Herde
INTRODUCTION: Endarterectomized human atherosclerotic plaques are a valuable basis for gene expression studies to disclose novel imaging biomarkers and therapeutic targets, such as the cannabinoid receptor type 2 (CB2). In this work, CB2 is expressed on activated immune cells, which are abundant in inflamed plaques. We evaluated the CB2-specific radiotracer [(11)C]RS-016 for imaging vascular inflammation in human and mouse atherosclerotic lesions. METHODS: The differential gene expression of microscopically classified human carotid plaques was evaluated using quantitative polymerase chain reaction...
January 8, 2017: Nuclear Medicine and Biology
https://www.readbyqxmd.com/read/28094067/differential-intensity-projection-for-visualisation-and-quantification-of-plaque-neovascularisation-in-contrast-enhanced-ultrasound-images-of-carotid-arteries
#9
Wing Keung Cheung, Benoy N Shah, Antonio Stanziola, Dorothy M Gujral, Navtej S Chahal, David O Cosgrove, Roxy Senior, Meng-Xing Tang
Studies have reported that intraplaque neovascularisation (IPN) is closely correlated with plaque vulnerability. In this study, a new image processing approach, differential intensity projection (DIP), was developed to visualise and quantify IPN in contrast-enhanced non-linear ultrasound image sequences of carotid arteries. DIP used the difference between the local temporal maximum and the local temporal average signals to identify bubbles against tissue non-linear artefact and noise. The total absolute and relative areas occupied by bubbles within each plaque were calculated to quantify IPN...
January 13, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28087279/alpha-2-macroglobulin-and-heparin-cofactor-ii-and-the-vulnerability-of-carotid-atherosclerotic-plaques-an-itraq-based-analysis
#10
Jinmao Li, Xi Liu, Ying Xiang, Xueying Ding, Teng Wang, Ying Liu, Maojia Yin, Changhong Tan, Fen Deng, Lifen Chen
Rupture of carotid atherosclerotic plaque may cause stroke, while few biomarker in clinic can evaluate carotid plaque vulnerability. In this study, we divided the recruited participants into no plaque, stable plaque, and vulnerable plaque group according to carotid ultrasonography, and screened the differentially expressed proteins in plasma of these participants using isobaric tags for relative and absolute quantitation labeling coupled with liquid chromatography-tandem mass spectrometry. 28 proteins were identified differentially expressed, among which alpha-2-macroglobulin (α2M) and heparin cofactor II (HCII) were found to be at hub position in the interactions of these proteins by STRING analysis and were selected for enzyme-linked immunosorbent assay measurement to assess their relevance with carotid plaques vulnerability and diagnostic efficiency...
January 10, 2017: Biochemical and Biophysical Research Communications
https://www.readbyqxmd.com/read/28071288/vulnerable-carotid-plaque-imaging-and-histopathology-without-a-dedicated-mri-receiver-coil
#11
Laura A Fitzpatrick, Nadav Berkovitz, Marlise P Dos Santos, Nevin Majeed, Rafael Glikstein, Santanu Chakraborty, John P Veinot, Grant Stotts, Alain Berthiaume, Robert Chatelain
Stroke is associated with vulnerable carotid artery plaques showing specific histopathologic features, namely a lipid-rich necrotic core, intraplaque hemorrhage, ulceration, and thin fibrous cap. While ultrasound and computed tomography (CT) can identify carotid plaques and determine the extent of stenosis, magnetic resonance imaging (MRI) provides further information regarding plaque composition and morphology. In this feasibility study, three patients with symptomatic, moderately stenosed plaques were imaged with CT angiography (CTA) and MRI (3T and 1...
January 1, 2017: Neuroradiology Journal
https://www.readbyqxmd.com/read/28051291/biobanking-in-carotid-artery-disease-translation-to-clinical-practice
#12
Ian D VAN Koeverden, Joyce E Vrijenhoek, Gert J DE Borst, Hester M DEN Ruijter, Gerard Pasterkamp
Biobanking of atherosclerotic tissue samples has contributed to our understanding of vascular occlusive disease. The careful examination of atherosclerotic plaques derived during vascular surgery or autopsies helped shape our minds in understanding the underlying substrate of arterial thrombosis. This review will outline concepts of progression of atherosclerotic disease that have been based on descriptions of human plaque pathology. In addition, we will discuss the current shift in clinical presentation and underlying pathology of acute cerebral and coronary events that asks for a careful consideration of the currently widely applied description of the "vulnerable plaque"...
January 4, 2017: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/28017911/apelin-concentrations-are-associated-with-altered-atherosclerotic-plaque-stability-mediator-levels-and-atherosclerosis-in-rheumatoid-arthritis
#13
Sule Gunter, Ahmed Solomon, Linda Tsang, Angela J Woodiwiss, Chanel Robinson, Aletta M E Millen, Gavin R Norton, Patrick H Dessein
BACKGROUND AND AIMS: Apelin-APJ signaling reduces cardiovascular disease (CVD) risk. In rheumatoid arthritis (RA), the atherosclerosis burden and plaque vulnerability to rupture are increased. We explored relationships between apelin concentrations and subclinical CVD in RA. METHODS: Apelin levels were measured in 235 (114 black, 121 white) RA patients. Associations between apelin concentrations and ultrasound determined carotid artery intima-media thickness (cIMT) and plaque, and levels of matrix metalloproteinase (MMP)-2 and -9 that mediate plaque stability and vulnerability respectively, were identified in confounder adjusted multivariate regression analysis...
January 2017: Atherosclerosis
https://www.readbyqxmd.com/read/28009484/hsp90-inhibition-suppresses-inflammatory-response-and-reduces-carotid-atherosclerotic-plaque-formation-in-apoe-mice
#14
Hongmei Mu, Liyong Wang, Lei Zhao
AIM: Emerging evidences indicate that heat shock protein 90 (HSP90) is associated with atherogenesis. However, the effect of HSP90 on plaque stability is largely unknown. In the present study, we explored the role of HSP90 in plaque development and its regulatory mechanisms on vasculature. METHODS: HSP90-overexpression lentivirus (Lenti-HSP90) was used to transfect apoE(-/-) mice after constrictive collars were planted at the right common carotid arteries. RESULTS: As a result, HSP90 gene overexpression led to reduction in en face plaque area, and increase in unstable plaque with heavier accumulation of lipids...
December 23, 2016: Cardiovascular Therapeutics
https://www.readbyqxmd.com/read/28007772/imaging-carotid-atherosclerosis-plaque-ulceration-comparison-of-advanced-imaging-modalities-and-recent-developments
#15
REVIEW
J Yuan, A Usman, T Das, A J Patterson, J H Gillard, M J Graves
Atherosclerosis remains the leading cause of long-term mortality and morbidity worldwide, despite remarkable advancement in its management. Vulnerable atherosclerotic plaques are principally responsible for thromboembolic events in various arterial territories such as carotid, coronary, and lower limb vessels. Carotid plaque ulceration is one of the key features associated with plaque vulnerability and is considered a notable indicator of previous plaque rupture and possible future cerebrovascular events. Multiple imaging modalities have been used to assess the degree of carotid plaque ulceration for diagnostic and research purposes...
December 22, 2016: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/27989914/a-fast-screening-protocol-for-carotid-plaques-imaging-using-3d-multi-contrast-mri-without-contrast-agent
#16
Na Zhang, Lei Zhang, Qi Yang, Anqi Pei, Xiaoxin Tong, Yiu-Cho Chung, Xin Liu
PURPOSE: To implement a fast (~15min) MRI protocol for carotid plaque screening using 3D multi-contrast MRI sequences without contrast agent on a 3Tesla MRI scanner. MATERIALS AND METHODS: 7 healthy volunteers and 25 patients with clinically confirmed transient ischemic attack or suspected cerebrovascular ischemia were included in this study. The proposed protocol, including 3D T1-weighted and T2-weighted SPACE (variable-flip-angle 3D turbo spin echo), and T1-weighted magnetization prepared rapid acquisition gradient echo (MPRAGE) was performed first and was followed by 2D T1-weighted and T2-weighted turbo spin echo, and post-contrast T1-weighted SPACE sequences...
October 28, 2016: Magnetic Resonance Imaging
https://www.readbyqxmd.com/read/27986358/novel-ultrasound-methods-to-investigate-carotid-artery-plaque-vulnerability
#17
REVIEW
Amer M Johri, Julia E Herr, Terry Y Li, Olivia Yau, Vijay Nambi
Features of vulnerable plaque include a high lipid content, an irregular shape, a thin fibrous cap, and neovascularization, but such lesions often fall into the category of nonstenotic, despite being at high risk for rupture, and therefore may be overlooked. In this review, the authors describe state-of-the-art investigative ultrasound methods to assess the activity, quality, and morphology of atherosclerotic plaque to determine vulnerability. Specifically, the authors focus on carotid artery plaque, describing the assessment of plaque activity through the detection of neovascularization using contrast-enhanced ultrasound, the characterization of plaque quality by advanced grayscale and integrated backscatter analysis methods, and the assessment of plaque morphology using three-dimensional ultrasound...
December 13, 2016: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/27973542/increased-vascularization-in-the-vulnerable-upstream-regions-of-both-early-and-advanced-human-carotid-atherosclerosis
#18
Ola Hjelmgren, Karl Gellerman, Josefin Kjelldahl, Per Lindahl, Göran M L Bergström
BACKGROUND: Vascularization of atherosclerotic plaques has been linked to plaque vulnerability. The aim of this study was to test if the vascularization was increased in upstream regions of early atherosclerotic carotid plaques and also to test if the same pattern of vascularization was seen in complicated, symptomatic plaques. METHODS: We enrolled 45 subjects with early atherosclerotic lesions for contrast enhanced ultrasound and evaluated the percentage of plaque area in a longitudinal ultrasound section which contained contrast agent...
2016: PloS One
https://www.readbyqxmd.com/read/27932558/petct-imaging-of-unstable-carotid-plaque-with-ga-68-labelled-somatostatin-receptor-ligand
#19
Ming Young Simon Wan, Raymond Endozo, Sofia Michopoulou, Robert Shortman, Manuel Rodriguez-Justo, Leon Menezes, Syed Yusuf, Toby Richards, Damian Wild, Beatrice Waser, Jean Claude Reubi, Ashley Groves
BACKGROUND: Ga68 labelled somatostatin receptor ligand PET imaging has recently been shown in preclinical and early human studies to have a potential role in the evaluation of vulnerable arterial plaques. We prospectively evaluated carotid plaque Ga68-DOTATATE uptake in patients with recent carotid events, assessed inter- and intra- observer variability of such measurements, and explored the mechanism of any plaque DOTATATE activity with immunohistochemistry in resected specimens. MATERIALS & METHODS: 20 consecutively consenting patients with recent symptomatic carotid events (transient ischaemic attack [TIA], stroke or amaurosis fugax), due for carotid endarterectomy were prospectively recruited...
December 8, 2016: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
https://www.readbyqxmd.com/read/27930810/alamandine-abrogates-neutrophil-degranulation-in-atherosclerotic-mice
#20
Analina R Da Silva, Sébastien Lenglet, Federico Carbone, Fabienne Burger, Aline Roth, Luca Liberale, Aldo Bonaventura, Franco Dallegri, Nikolaos Stergiopulos, Robson A S Santos, François Mach, Rodrigo A Fraga-Silva, Fabrizio Montecucco
BACKGROUND: Neutrophil-mediated inflammation was recently identified as an active contributor to athero-progression. Therapeutic strategies inhibiting neutrophil degranulation or recruitment were hypothesized to positively impact on plaque vulnerability. In this study, we investigated whether treatment with the recently discovered agonist of the Mas-related G-coupled receptor type D (MrgD) alamandine would impact on neutrophil degranulation in vivo and in vitro. MATERIALS AND METHODS: Fifteen-week-old ApoE(-/-) mice were fed with a Western-type diet for an additional 11 weeks...
December 8, 2016: European Journal of Clinical Investigation
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