title: Imaging of coronary atherosclerosis and identification of the vulnerable plaque.
abstract: Identification of the vulnerable plaque responsible for the occurrence of acute coronary syndromes and acute coronary death is a prerequisite for the stabilisation of this vulnerable plaque. Comprehensive coronary atherosclerosis imaging in clinical practice should involve visualisation of the entire coronary artery tree and characterisation of the plaque, including the three-dimensional morphology of the plaque, encroachment of the plaque on the vessel lumen, the major tissue components of the plaque, remodelling of the vessel and presence of inflammation. Obviously, no single diagnostic modality is available that provides such comprehensive imaging and unfortunately no diagnostic tool is available that unequivocally identifies the vulnerable plaque. The objective of this article is to discuss experience with currently available diagnostic modalities for coronary atherosclerosis imaging. In addition, a number of evolving techniques will be briefly discussed.
authors.forename: P J
authors.initials: PJ
authors.lastname: de Feyter
authors.forename: P W
authors.initials: PW
authors.lastname: Serruys
authors.forename: K
authors.initials: K
authors.lastname: Nieman
authors.forename: N
authors.initials: N
authors.lastname: Mollet
authors.forename: F
authors.initials: F
authors.lastname: Cademartiri
authors.forename: R J
authors.initials: RJ
authors.lastname: van Geuns
authors.forename: C
authors.initials: C
authors.lastname: Slager
authors.forename: A F W
authors.initials: AF
authors.lastname: van der Steen
authors.forename: R
authors.initials: R
authors.lastname: Krams
authors.forename: J A
authors.initials: JA
authors.lastname: Schaar
authors.forename: P
authors.initials: P
authors.lastname: Wielopolski
authors.forename: P M T
authors.initials: PM
authors.lastname: Pattynama
authors.forename: A
authors.initials: A
authors.lastname: Arampatzis
authors.forename: A
authors.initials: A
authors.lastname: van der Lugt
authors.forename: E
authors.initials: E
authors.lastname: Regar
authors.forename: J
authors.initials: J
authors.lastname: Ligthart
authors.forename: P
authors.initials: P
authors.lastname: Smits
keywords: coronary atherosclerosis; imaging; plaque vulnerability