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. 2016 Jun 20;12(4):483–496. doi: 10.2217/fca-2016-0017

Table 1. . Positron emission tomography radiotracers for coronary atherosclerosis.

Target Ligand Radiotracer Application to date Ongoing clinical trials Ref.
Macrophage activation GLUT (1 & 3) and conversion by hexokinase to 18F-FDG-6-phosphate 18F-FDG Prospective in vivo studies in extracardiac atherosclerosis   [14,16,22]
      Myocardial suppression required to evaluate coronary arteries    
  Somatostatin receptor subtype 2 68Ga-DOTATATE Retrospective in vivo studies in coronary artery disease VISION study (ClinicalTrials.gov: NCT02021188) [54,55]
  Translocator protein 18-kDa 11C-PK11195 Prospective in vivo study in carotid stenosis   [56]
  Translocator protein 18-kDa 11C-PBR28 Clinical studies in healthy controls and multiple sclerosis Cardiac Sarcoidosis (ClinicalTrials.gov: NCT02017522) [57,58]
  Mannose receptor 18F-FDM Preclinical cell culture model   [59]
 
Choline kinase phosphorylated to phosphatidylcholine
18F-choline
Preclinical murine model
PARISK study (ClinicalTrials.gov: NCT01899014)
[60]
Apoptosis
Phosphatidylserine
68Ga-annexin A5
Preclinical murine model
 
[61]
Hypoxia Reduction to amine derivative in low O2 environment 18F-FMISO Preclinical murine model   [62]
 
Reduction to amine derivative in low O2 environment
18F-HX4
Proof of concept in carotid atherosclerosis
 
[63]
Microcalcification Hydroxyapatite 18F-fluoride Prospective in vivo studies in coronary and extracardiac atherosclerosis DIAMOND study (ClinicalTrials.gov: NCT02110303) [23,24]
 
 
 
 
PRE 18FFIR study (ClinicalTrials.gov: NCT02278211)
 
Angiogenesis αVβ3 and αVβ5 integrin 18F-fluciclatide Proof of concept in aortic atherosclerosis Angiogenesis and Fibrosis in Myocardial Infarction (ClinicalTrials.gov: NCT01813045) and Aortic Stenosis (ClinicalTrials.gov: NCT01837160) [64]
  αVβ3 integrin 18F-RGD-K5 Ex vivo human carotid studies Carotid Plaque Imaging Study (ClinicalTrials.gov: NCT01968226) [65]

FDG: Fluorodeoxyglucose; FMISO: Fluoromisonadazole; RGD: Arginine–glycine–aspartate.

Data taken with permission from [66].