Open AccessA review of serial coronary computed tomography angiography (CTA) to assess plaque progression and therapeutic effect of anti-atherosclerotic drugs
Author(s) -
Jana Taron,
Saeyun Lee,
John Sukumar Aluru,
Udo Hoffmann,
Michael T. Lu
Publication year - 2020
Publication title -
the international journal of cardiovascular imaging
Language(s) - English
Resource type - Journals
eISSN - 1875-8312
pISSN - 1569-5794
DOI - 10.1007/s10554-020-01793-w
Subject(s) - medicine , intravascular ultrasound , coronary atherosclerosis , radiology , coronary arteries , coronary angiography , clinical trial , cardiology , vulnerable plaque , computed tomography angiography , clinical endpoint , angiography , artery , coronary artery disease , myocardial infarction
Change in coronary artery plaque on serial catheter intravascular ultrasound (IVUS) is an established technique to monitor the therapeutic effect of drugs on coronary atherosclerosis. Recent advances in coronary computed tomography angiography (CTA) now allow for non-invasive assessment of change in coronary plaque. Because coronary CTA is noninvasive, it enables clinical trials with lower-risk populations, higher retention rates, and lower costs. This review presents an overview of serial coronary CTA as a noninvasive imaging technique to gauge the therapeutic effect of anti-atherosclerotic therapies. Furthermore, it reviews the increasing use of serial CTA as an imaging endpoint in completed and ongoing clinical trials.