Advances in Quantitative Analysis of 18F-Sodium Fluoride Coronary Imaging

18F-sodium fluoride (18F-NaF) positron emission tomography (PET) has emerged as a promising noninvasive imaging tool for the assessment of active calcification processes in coronary artery disease. 18F-NaF uptake colocalizes to high-risk and ruptured atherosclerotic plaques. Most recently, 18F-NaF c...

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Main Authors: Jacek Kwiecinski, Martin Lyngby Lassen, Piotr J. Slomka
Format: Article
Language:English
Published: SAGE Publishing 2021-01-01
Series:Molecular Imaging
Online Access:http://dx.doi.org/10.1155/2021/8849429
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author Jacek Kwiecinski
Martin Lyngby Lassen
Piotr J. Slomka
author_facet Jacek Kwiecinski
Martin Lyngby Lassen
Piotr J. Slomka
author_sort Jacek Kwiecinski
collection DOAJ
description 18F-sodium fluoride (18F-NaF) positron emission tomography (PET) has emerged as a promising noninvasive imaging tool for the assessment of active calcification processes in coronary artery disease. 18F-NaF uptake colocalizes to high-risk and ruptured atherosclerotic plaques. Most recently, 18F-NaF coronary uptake was shown to be a robust and independent predictor of myocardial infarction in patients with advanced coronary artery disease. In this review, we provide an overview of the advances in coronary 18F-NaF imaging. In particular, we discuss the recently developed and validated motion correction techniques which address heart contractions, tidal breathing, and patient repositioning during the prolonged PET acquisitions. Additionally, we discuss a novel quantification approach—the coronary microcalcification activity (which has been inspired by the widely employed method in oncology total active tumor volume measurement). This new method provides a single number encompassing 18F-NaF activity within the entire coronary vasculature rather than just information regarding a single area of most intense tracer uptake.
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spelling doaj-art-76a98a05adfa4c059dab90c59e9bda092025-01-02T02:58:06ZengSAGE PublishingMolecular Imaging1536-01212021-01-01202110.1155/2021/88494298849429Advances in Quantitative Analysis of 18F-Sodium Fluoride Coronary ImagingJacek Kwiecinski0Martin Lyngby Lassen1Piotr J. Slomka2Department of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USADepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USADepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA18F-sodium fluoride (18F-NaF) positron emission tomography (PET) has emerged as a promising noninvasive imaging tool for the assessment of active calcification processes in coronary artery disease. 18F-NaF uptake colocalizes to high-risk and ruptured atherosclerotic plaques. Most recently, 18F-NaF coronary uptake was shown to be a robust and independent predictor of myocardial infarction in patients with advanced coronary artery disease. In this review, we provide an overview of the advances in coronary 18F-NaF imaging. In particular, we discuss the recently developed and validated motion correction techniques which address heart contractions, tidal breathing, and patient repositioning during the prolonged PET acquisitions. Additionally, we discuss a novel quantification approach—the coronary microcalcification activity (which has been inspired by the widely employed method in oncology total active tumor volume measurement). This new method provides a single number encompassing 18F-NaF activity within the entire coronary vasculature rather than just information regarding a single area of most intense tracer uptake.http://dx.doi.org/10.1155/2021/8849429
spellingShingle Jacek Kwiecinski
Martin Lyngby Lassen
Piotr J. Slomka
Advances in Quantitative Analysis of 18F-Sodium Fluoride Coronary Imaging
Molecular Imaging
title Advances in Quantitative Analysis of 18F-Sodium Fluoride Coronary Imaging
title_full Advances in Quantitative Analysis of 18F-Sodium Fluoride Coronary Imaging
title_fullStr Advances in Quantitative Analysis of 18F-Sodium Fluoride Coronary Imaging
title_full_unstemmed Advances in Quantitative Analysis of 18F-Sodium Fluoride Coronary Imaging
title_short Advances in Quantitative Analysis of 18F-Sodium Fluoride Coronary Imaging
title_sort advances in quantitative analysis of 18f sodium fluoride coronary imaging
url http://dx.doi.org/10.1155/2021/8849429
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