Impact of Noninsulin-Dependent Type 2 Diabetes on Carotid Wall ¹⁸F-Fluorodeoxyglucose Positron Emission Tomography Uptake

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• 作者：Jan Bucerius ; MD^鈦?/sup> ; ^&dagger ; ; ^&Dagger ; ; ^§ ; ; Venkatesh Mani ; PhD^鈦?/sup> ; ^&dagger ; ; ^鈭?/sup> ; Colin Moncrieff^鈦?/sup> ; ^&dagger ; ; James H.F. Rudd ; MD ; PhD^¶ ; ; Josef Machac ; MD^# ; Valentin Fuster ; MD ; PhD^鈭?/sup> ; ^鈦庘亷 ; Michael E. Farkouh ; MD ; MSc^鈭?/sup> ; ^&dagger ; &dagger ; ; Zahi A. Fayad ; PhD^鈦?/sup> ; ^&dagger ; ; ^鈭?/sup> ; ^{zahi.fayad@mssm.edu}
• 关键词：atherosclerosis ; carotid arteries ; diabetes mellitus ; FDG-PET ; inflammation
• 刊名：Journal of the American College of Cardiology
• 出版年：2012
• 期刊代码：201_07351097
• 类别：med
• 出版时间：5 June, 2012
• 卷：59
• 期：23
• 页码：2080-2088
• 文件大小：576 K

摘要

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Objectives

In this study, the impact of noninsulin-dependent type 2 diabetes mellitus on carotid wall ¹⁸F-fluorodeoxyglucose (FDG) uptake in patients with documented or suspected cardiovascular disease was evaluated.

Background

Inflammation is a pivotal process in the progression of atherosclerosis, which can be noninvasively imaged by FDG positron emission tomography (FDG-PET).

Methods

Carotid artery wall FDG uptake was quantified in 134 patients (age 60.2 卤 9.7 years; diabetic subjects, n = 43). The pre-scan glucose (gluc) level corrected mean of the maximum standardized uptake value (SUV) values (_meanSUV_gluc), mean of the maximum target-to-background ratio (_meanTBR_gluc), and single hottest segment (SHS_gluc) of FDG uptake in the artery wall were calculated. Associations between FDG uptake, the presence of risk factors for atherosclerosis, and diabetes were then assessed by multiple regression analysis with backward elimination.

Results

The study demonstrated a significant association between diabetes and FDG uptake in the arterial wall (diabetes _meanSUV_gluc 尾 = 0.324, _meanTBR_gluc 尾 = 0.317, and SHS_gluc 尾 = 0.298; for all, p < 0.0001). In addition, in diabetic patients, both body mass index 鈮?0 kg/m² (_meanSUV_gluc 尾 = 0.4, _meanTBR_gluc 尾 = 0.357, and SHS_gluc 尾 = 0.388; for all, p < 0.015) and smoking (_meanTBR_gluc, 尾 = 0.312; SHS_gluc, 尾 = 0.324; for all, p < 0.04) were significantly associated with FDG uptake.

Conclusions

Type 2 diabetes was significantly associated with carotid wall FDG uptake in patients with known or suspected cardiovascular disease. In diabetic patients, obesity and smoking add to the risk of increased FDG uptake values.