Document Detail


Quantification of plaque neovascularization using contrast ultrasound: a histologic validation.
MedLine Citation:
PMID:  20581005     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: The density of vasa vasorum within atherosclerotic plaque correlates with histologic features of plaque vulnerability in post-mortem studies. Imaging methods to non-invasively detect vasa vasorum are limited. We hypothesized that contrast ultrasound (CUS) can quantify vasa vasorum during atherosclerosis progression.
METHODS AND RESULTS: New Zealand white rabbits received a high-fat diet for 3 weeks, and bilateral femoral artery stenosis was induced by balloon injury. Contrast ultrasound femoral imaging was performed at baseline and 2, 4, and 6 weeks post injury to quantify adventitial videointensity. At each imaging time point 10 vessels were sectioned and stained with haematoxylin and eosin and von-Willebrand factor. Adventitial vasa vasorum density was quantified by counting the number of stained microvessels and their total cross-sectional area. Plaque size (per cent lumen area) progressed over time (P < 0.001), as did adventitial vasa vasorum density (P < 0.001). Plateau peak videointensity also progressed, demonstrating a strong linear correlation with histologic vasa vasorum density (P < 0.001). Receiver operating characteristic analysis indicated that a three-fold increase in median adventitial videointensity had a sensitivity of 100% and specificity of 88% for predicting abnormal neovascularization.
CONCLUSION: We have histologically validated that CUS quantifies the development of adventitial vasa vasorum associated with atherosclerosis progression. This imaging technique has the potential for characterizing prognostically significant plaque features.
Authors:
Diego Moguillansky; Xiaoping Leng; Andrew Carson; Linda Lavery; Abigail Schwartz; Xucai Chen; Flordeliza S Villanueva
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Validation Studies     Date:  2010-06-24
Journal Detail:
Title:  European heart journal     Volume:  32     ISSN:  1522-9645     ISO Abbreviation:  Eur. Heart J.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-02     Completed Date:  2011-12-22     Revised Date:  2012-03-01    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  England    
Other Details:
Languages:  eng     Pagination:  646-53     Citation Subset:  IM    
Affiliation:
Center for Ultrasound Molecular Imaging and Therapeutics, University of Pittsburgh Cardiovascular Institute, Pittsburgh, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Atherosclerosis / pathology*,  ultrasonography
Cell Proliferation
Constriction, Pathologic / pathology,  ultrasonography
Diet, High-Fat
Disease Progression
Femoral Artery / pathology*,  ultrasonography
Neovascularization, Pathologic / pathology
Plaque, Atherosclerotic / pathology*,  ultrastructure
Rabbits
Ultrasonography, Interventional
Vasa Vasorum / pathology*,  ultrasonography
Grant Support
ID/Acronym/Agency:
R01HL077534/HL/NHLBI NIH HHS

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