首页|18F-NaF正电子发射体层成像在动脉斑块显像中的临床应用进展

18F-NaF正电子发射体层成像在动脉斑块显像中的临床应用进展

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动脉粥样硬化斑块破裂是心源性猝死的主要原因,钙化的进展也是心血管病风险的一个重要预测因子,但斑块破裂的发生难以预测,钙化的进展也难以评估。近年来,快速发展的分子成像技术使得对高风险斑块的无创识别成为可能。18F标记氟化钠正电子发射体层成像是可用于无创性检测动脉高风险斑块的成像方法,不仅可识别钙化活跃的斑块,对患者进行危险分层,还可监测血管钙化的疾病进展、指导治疗干预,以及评估抗动脉粥样硬化药物的疗效,促进治疗方法的改进。现对18F标记氟化钠正电子发射体层成像的机制、识别易损斑块的能力、危险分层和预后判断的能力等方面进行综述。
Clinical Application Progress of 18F-NaF Positron Emission Tomography in Arterial Plaque Imaging
Atherosclerotic plaque rupture is the main cause of sudden cardiac death,and the progress of calcification is also an important predictor of cardiovascular risk,but it is difficult to predict the occurrence of plaque rupture and evaluate the progress of calcification.In recent years,the rapid development of molecular imaging technology makes it possible to identify high-risk plaques non-invasively.18F-sodium fluoride positron emission tomography(18F-NaF PET)is a noninvasive imaging method that can be used for detection of arterial high-risk plaques,which can not only identify plaques with active calcification,stratify patients at risk,but also monitor the progression of vascular calcification,guide treatment intervention,and evaluate the efficacy of anti-atherosclerosis drugs to promote the improvement of treatment.In this paper,the mechanism of 18F-NaF PET imaging,the ability to identify vulnerable plaques,risk stratification and prognosis judgment are reviewed.

Arterial plaque calcification18F-NaF positron emission tomographyCoronary artery heart disease

琚敏、汪蕾、方纬

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北京协和医学院中国医学科学院阜外医院核医学科,北京 100037

动脉斑块钙化 18F标记氟化钠正电子发射体层成像 冠心病

2024

心血管病学进展
成都市心血管病研究所,成都市第三人民医院

心血管病学进展

CSTPCD
影响因子:0.932
ISSN:1004-3934
年,卷(期):2024.45(2)
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