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].