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J Am Coll Cardiol, 2006; 47:1328-1338, doi:10.1016/j.jacc.2006.01.029 (Published online 14 March 2006).
© 2006 by the American College of Cardiology Foundation
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CARDIOVASCULAR GENOMIC MEDICINE

Molecular and Cellular Imaging of Atherosclerosis

Emerging Applications

Farouc A. Jaffer, MD, PhD*,{dagger},§,*, Peter Libby, MD, FACC*,{ddagger},§ and Ralph Weissleder, MD, PhD*,§,1

* Center for Molecular Imaging Research, Massachusetts General Hospital, Harvard Medical School, Charlestown, Massachusetts
{dagger} Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
{ddagger} Cardiovascular Division, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
§ Donald W. Reynolds Cardiovascular Clinical Research Center, Harvard Medical School, Boston, Massachusetts.

Manuscript received August 23, 2005; revised manuscript received November 9, 2005, accepted November 20, 2005.

* Reprint requests and correspondence: Dr. Farouc A. Jaffer, MGH-CMIR, 149 13th Street, Room 5406, Charlestown, Massachusetts 02129. (Email: fjaffer{at}partners.org).

Molecular imaging studies have shed light on important biological aspects of atherosclerosis, and are now entering the clinical arena for the detection of clinical atheroma. This review first discusses fundamental principles regarding the rationale for and development of molecular imaging technologies for investigating atherosclerosis. Next, we highlight clinically promising imaging strategies that illuminate key biological aspects of atherosclerosis, including macrophage activity, protease activity, lipoprotein presence, apoptosis, and angiogenesis. We envision that several molecular imaging approaches will become important adjuncts to the clinical management of high-risk atherosclerosis.

Abbreviations and Acronyms
  FDG = fluorodeoxyglucose
  LDL = low-density lipoprotein
  MMP = matrix metalloproteinase
  MNP = magnetic nanoparticles (dextran-coated)
  MPO = myeloperoxidase
  MRI = magnetic resonance imaging
  NIRF = near-infrared fluorescence or fluorochrome
  PET = positron emission tomography
  SPECT = single-photon emission computed tomography
  VCAM = vascular cell adhesion molecule




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