2015
DOI: 10.1016/j.jacc.2015.05.056
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Effect of Intensive Statin Therapy on Coronary High-Intensity Plaques Detected by Noncontrast T1-Weighted Imaging

Abstract: Statin treatment significantly reduced the PMR of high-intensity plaques. Noncontrast T1-weighted magnetic resonance imaging could become a useful technique for repeated quantitative assessment of plaque composition. (Attempts at Plaque Vulnerability Quantification with Magnetic Resonance Imaging Using Noncontrast T1-weighted Technique [AQUAMARINE]; UMIN000003567).

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Cited by 68 publications
(54 citation statements)
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“…In this context, a study in WHHL rabbits treated with statins over a 1-year period showed a 20% reduction in circulating cholesterol and stabilization of coronary plaques. This was the end product of a decrease in the ratio of foam cells to macrophages and extracellular lipid content as well as an increase in the stabilization components of collagen and smooth muscle cells(13).In the current study(6), the primary endpoint at12 months was a change in the PMR value of HIP, which was accompanied by a decrease in the total and percentage of atheroma volume, total low attenuated plaque (LAP) volume of <30 Hounsfield units, and percentage of LAP volume on CTA compared with a matched control group. On the contrary, propensitymatched controls showed the opposite trends.…”
mentioning
confidence: 49%
“…In this context, a study in WHHL rabbits treated with statins over a 1-year period showed a 20% reduction in circulating cholesterol and stabilization of coronary plaques. This was the end product of a decrease in the ratio of foam cells to macrophages and extracellular lipid content as well as an increase in the stabilization components of collagen and smooth muscle cells(13).In the current study(6), the primary endpoint at12 months was a change in the PMR value of HIP, which was accompanied by a decrease in the total and percentage of atheroma volume, total low attenuated plaque (LAP) volume of <30 Hounsfield units, and percentage of LAP volume on CTA compared with a matched control group. On the contrary, propensitymatched controls showed the opposite trends.…”
mentioning
confidence: 49%
“…Secondly, CTCA allows 3 dimensional volume acquisition rather than accumulating multiple 2 dimensional slices in CMR, which can be time (45). Although plaque characterization by T1W MRI is technically demanding and its use is currently limited to research centers, corroborating data has been published by this group, where they showed that statin therapy reduces the PMR by comparison between propensity-matched cohorts (46).…”
Section: Cardiac Magnetic Resonance Imaging (Cmr)mentioning
confidence: 89%
“…In another study by the same group, the ability of PMR to monitor therapy with statins was evaluated. In control subjects with CAD who were not treated with statin, PMR significantly increased after 12 months from baseline (from 1.22 to 1.49, a 19.2% increase; p<0.001) but was significantly reduced in patients treated with statin (1.38 to 1.11, an 18.9% reduction; p<0.001) [79]. A contrast-enhanced approach can also be used for plaque characterization with CMR.…”
Section: Coronary Artery Wall Imagingmentioning
confidence: 99%