Which is best for plaque morphology
a) CCTA
b) MRI
c) CMR
d) IVUS
Correct Answer - A
Ans. is ‘a’ i.e., CCTA
Coronary lesions prone to rupture have a distinct morphology
compared with stable plaques, and provide a unique opportunity for
noninvasive imaging to identify vulnerable plques before they lead to
clinical events. This can be achieved using a non-invasive cardiac
imaging using coronary CT angiography.
o Large plaque volume, low CT attenuation, napkin-ring sign,
positive re-moedlling, and spotty calcification are all associated with
a high risk of acute cardiovascular events in patients. Intravascular
USG can give comparable results but is an invasive test