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PET Radiotracer Identifies Atherosclerotic Inflammation

By MedImaging International staff writers
Posted on 17 Mar 2017

Image: Examples of Ga-68-pentixafor uptake in rabbits using a combined PET-MRI system (Photo courtesy of TUM).

A new study describes a novel positron emission tomography (PET) radiotracer that can quickly and non-invasively identify life-threatening atherosclerotic plaques.

Developed by researchers at the Munich Technical University and Klinikum rechts der Isar, gallium-68 (Ga-68)-pentixafor binds with nanomolar affinity to the CXC chemokine receptor type 4 (CXCR4, also known as fusin), which is present on the surface of inflammatory cells in atherosclerotic plaques. For the study, the researchers imaged seven atherosclerotic rabbits and five controls in vivo on a PET-MRI system after injection of 15 MBq/kg of 68Ga-pentixafor.

One hour later, strong signals were detected with PET-MRI in atherosclerotic plaques of the abdominal aorta and right carotid artery, as compared to normal control arteries. The uptake in the vessel wall on radiographies was located in the macrophage-rich regions of atherosclerotic plaques, and correlated with the intensity of CXCR4 expression. The researchers also confirmed (with a small number of human patients) that the radiotracer detected atherosclerotic plaques located in their carotid arteries. The study was published in the March 2017 issue of The Journal of Nuclear Medicine.

“Ga-68-pentixafor binds more specifically to inflammatory cells than F-18-fluorodeoxyglucose and does not require the patient to fast for six hours before imaging,” said lead author Fabien Hyafil, MD, PhD, of Klinikum Rechts der Isar. “This new radiotracer will strongly facilitate the imaging of inflammation in atherosclerotic plaques with PET, and hopefully support the early detection and treatment of atherosclerosis, thus preventing heart attack or stroke.”

Atherosclerotic plaques fall into two broad categories - stable and unstable. While stable atherosclerotic plaques, which tend to be asymptomatic, are rich in extracellular matrix (ECM) and smooth muscle cells, unstable plaques are rich in macrophages and foam cells, and the ECM separating the lesion from the arterial lumen is usually weak and prone to rupture, causing thromboembolism. In the extreme, the emboli can cause myocardial infarction (MI) when lodged in cardiac arteries, or a stroke when reaching the brain.

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68 (327.11029052734): SELECT fid FROM jos_deeppockets WHERE id=294768531 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294768531 AND published='1' LIMIT 1

69 (303.03001403809): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

70 (923.87199401855): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294768531 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (863.07525634766): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294768531 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1861.0954284668): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (744.10438537598): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (329.97131347656): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (222.92137145996): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (597.00012207031): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 6081.1042785645): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294768531 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (108.95729064941): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294768531 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (71.048736572266): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (618.93463134766): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (121.8318939209): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (617.98095703125): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (685.9302520752): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (169.99244689941): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 4148.006439209): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (133.99124145508): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 1527.0709991455): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 1307.0106506348): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (144.95849609375): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 4828.929901123): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (171.89979553223): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (824.92828369141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

105 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

106 (95.844268798828): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294768531 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (993.96705627441): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294768531 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1028.0609130859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

109 (190.97328186035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

110 (143.05114746094): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294768531 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (960.11161804199): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294768531 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1080.0361633301): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 4335.880279541): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (127.07710266113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

115 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

116 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

117 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

118 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

119 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

120 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

122 (349.99847412109): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 44906.139373779): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (544.78645324707): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294768531 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294768531 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 24594.068527222): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (83.92333984375): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (!!!!! 5479.097366333): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (93.936920166016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (459.90943908691): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (53.882598876953): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (372.17140197754): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (66.041946411133): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (232.93495178223): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (37.193298339844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (515.93780517578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (357.86628723145): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (205.99365234375): SELECT name FROM jos_deeppockets WHERE id=215

138 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=215

139 (556.23054504395): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (450.84953308105): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

142 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

143 (!!!!! 18993.139266968): TRUNCATE TABLE jos_trademed_module

144 (94.890594482422): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294768531 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (56.028366088867): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294768531 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1002.0732879639): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (568.15147399902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

149 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

150 (!!!!! 2117.1569824219): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (342.13066101074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

152 (226.97448730469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

153 (479.93659973145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294768531 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294768531 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (499.96376037598): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

155 (51.021575927734): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

156 (158.07151794434): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (581.97975158691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

158 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294768531 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294768531 AND published='1' LIMIT 1

159 (228.1665802002): select jos_twitters.link from jos_twitters where cat=10

160 (150.91896057129): select jos_facebook.link from jos_facebook where cat=10

161 (34.093856811523): select jos_google_plus.link from jos_google_plus where cat=10

162 (373.12507629395): select jos_linkedin.link from jos_linkedin where cat=10

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