Although catheter coronary angiography has been the standard imaging examination for
evaluating coronary artery disease for many years, it is an invasive and expensive
procedure. Due to its lower cost and noninvasive nature, coronary computed tomographic
angiography (CCTA) has become the primary diagnostic test for patients with chest
pain. Another advantage of CCTA is that adjacent fat is also imaged. Adipose tissue
serves not only to store excess calories, but fat also has an endocrine function,
secreting adipokines which participate in the regulation of metabolism. While insufficient
adipose tissue can be detrimental, excess adipose tissue contributes to the development
of type II diabetes mellitus, cardiovascular disease and several types of cancers
(
1
).To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Academic RadiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Quantitative imaging of body fat distribution in the era of deep learning.Acad Radiol. 2021; 28: 1488-1490
- State-of the art review article. atherosclerosis affecting fat: what can we learn by imaging perivascular adipose tissue? PMID: 30952610.J Cardiovasc Comput Tomogr. 2019; 13: 288-296
You H, Zhang R, Yang B, et al. Performance of radiomics models based on coronary computed tomography angiography in predicting the risk of major adverse cardiovascular events within 3 years: a comparison between the pericoronary adipose tissue model and the epicardial adipose tissue model. Acad Radiol
- Coronary atherosclerosis is associated with macrophage polarization in epicardial adipose tissue.J Am Coll Cardio. 2011; 58: 248-255
- Natural history of patients with ischemia and non-obstructive coronary artery disease: the CIAO-ISHEMIA study.Circulation. 2021; 144: 1008-1023
- Dynamic coronary CT angiography-estimated coronary flow in non-obstructive, plque-free coronary arteries: association with dyslipidemia and diabetes.Int J Cardiol Heart Vasc. 2022; 42101098
Article info
Publication history
Published online: December 28, 2022
Accepted:
December 13,
2022
Received in revised form:
December 12,
2022
Received:
December 6,
2022
Identification
Copyright
© 2022 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.