Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Imaging Carotid Plaque Inflammation Using Positron Emission Tomography: Emerging Role in Clinical Stroke Care, Research Applications, and Future Directions

Version 1 : Received: 12 July 2023 / Approved: 12 July 2023 / Online: 13 July 2023 (10:11:53 CEST)

A peer-reviewed article of this Preprint also exists.

McCabe, J.J.; Evans, N.R.; Gorey, S.; Bhakta, S.; Rudd, J.H.F.; Kelly, P.J. Imaging Carotid Plaque Inflammation Using Positron Emission Tomography: Emerging Role in Clinical Stroke Care, Research Applications, and Future Directions. Cells 2023, 12, 2073. McCabe, J.J.; Evans, N.R.; Gorey, S.; Bhakta, S.; Rudd, J.H.F.; Kelly, P.J. Imaging Carotid Plaque Inflammation Using Positron Emission Tomography: Emerging Role in Clinical Stroke Care, Research Applications, and Future Directions. Cells 2023, 12, 2073.

Abstract

Atherosclerosis is a chronic systemic inflammatory condition of the vasculature and a leading cause of stroke. Luminal stenosis severity is an important factor in determining vascular risk. Conventional imaging modalities, such as angiography or duplex ultrasonography, are used to quantify stenosis severity and inform clinical care but provide limited information on plaque biology. Inflammatory processes are central to atherosclerotic plaque progression and destabilization. 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) is a validated technique for quantifying plaque inflammation. In this review, we discuss the evolution of FDG-PET as an imaging modality to quantify plaque vulnerability, challenges to standardization of image acquisition and analysis, its potential application to routine clinical care after stroke, and the possible role it will play in future drug discovery.

Keywords

inflammation; stroke; prognosis; positron emission tomography; recurrence; carotid

Subject

Medicine and Pharmacology, Neuroscience and Neurology

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