From incidental positron emission uptake to in-vivo phenotyping: a short history of positron emission tomography in the study of atherosclerosis and the vulnerable plaque - Summary - MDSpire

From incidental positron emission uptake to in-vivo phenotyping: a short history of positron emission tomography in the study of atherosclerosis and the vulnerable plaque

  • By

  • Retesh Bajaj

  • Ming Young Simon Wan

  • Kris Thielemans

  • Eren Ozan Bakır

  • Soe Maung

  • Akash Sivananthan

  • Tom Crake

  • Anthony Mathur

  • Ryo Torii

  • Andreas Baumbach

  • Ashley Groves

  • Christos V. Bourantas

  • July 8, 2026

  • 0 min

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Objective:

To provide an overview of the evolution of PET imaging in the study of atherosclerosis, summarizing existing and emerging tracers, biological processes targeted, and evidence for vulnerable-plaque detection.

Approach:
  • Technical Challenges: Details the need to address technical hurdles and limitations of PET imaging for broader clinical application.
Key Findings:
  • A new generation of tracers targeting macrophage receptors, chemokine signalling, angiogenesis, endothelial activation, and mitochondrial activity has been validated against histology.
Interpretation:

PET imaging has matured into a significant tool for assessing vascular biology and phenotyping atherosclerosis.

Limitations:
  • Current applications of PET in cardiovascular disease are predominantly investigational, and further studies are needed to enhance its clinical application.
Conclusion:

The review highlights advancements in PET imaging for atherosclerosis research and emphasizes the need for further studies to enhance its clinical utility.

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