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Imaging Coronary Artery Histology A Virtual Pursuit?

Imaging Coronary Artery Histology A Virtual Pursuit? Editorial Imaging Coronary Artery Histology A Virtual Pursuit? E. Murat Tuzcu, MD; Neil J. Weissman, MD or years, patients have been under the misconception that an algorithm with known plaque types, unknown components Fa coronary intervention of a coronary stenosis was of a human atheroma can be identified. A similar method “preventing an impending heart attack.” As cardiologists, we that also uses the radiofrequency signal from known mor- know better. In stable coronary artery disease, when we phologies to classify new signals has recently been intro- perform a coronary intervention, we do not know if the target duced by Boston Scientific Corporation (Maple Grove, Minn) site is going to evolve into a ruptured plaque and result in and is called iMap technology. acute coronary syndrome. Prediction and prevention of an All 3 IVUS plaque characterization techniques (integrated acute coronary syndrome is what the patient wants and what backscatter–IVUS, VH-IVUS, and iMap) have undergone we have been striving for years but with much frustration. We pathological validation, and all have now been applied know the characteristics of a vulnerable plaque (a large clinically. Although all 3 are commercially available some- plaque burden with positive remodeling, a large lipid core where http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Circulation: Cardiovascular Imaging Wolters Kluwer Health

Imaging Coronary Artery Histology A Virtual Pursuit?

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References (6)

ISSN
1941-9651
eISSN
1942-0080
DOI
10.1161/CIRCIMAGING.110.957894
pmid
20647582
Publisher site
See Article on Publisher Site

Abstract

Editorial Imaging Coronary Artery Histology A Virtual Pursuit? E. Murat Tuzcu, MD; Neil J. Weissman, MD or years, patients have been under the misconception that an algorithm with known plaque types, unknown components Fa coronary intervention of a coronary stenosis was of a human atheroma can be identified. A similar method “preventing an impending heart attack.” As cardiologists, we that also uses the radiofrequency signal from known mor- know better. In stable coronary artery disease, when we phologies to classify new signals has recently been intro- perform a coronary intervention, we do not know if the target duced by Boston Scientific Corporation (Maple Grove, Minn) site is going to evolve into a ruptured plaque and result in and is called iMap technology. acute coronary syndrome. Prediction and prevention of an All 3 IVUS plaque characterization techniques (integrated acute coronary syndrome is what the patient wants and what backscatter–IVUS, VH-IVUS, and iMap) have undergone we have been striving for years but with much frustration. We pathological validation, and all have now been applied know the characteristics of a vulnerable plaque (a large clinically. Although all 3 are commercially available some- plaque burden with positive remodeling, a large lipid core where

Journal

Circulation: Cardiovascular Imaging – Wolters Kluwer Health

Published: Jul 1, 2010

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