Smart Microsystems for
Diagnostic Imaging in Medicine
It is believed that more than 80% of sudden
heart attacks are caused by rupture of vulnerable plaques
leading to the formation of blood clots and subsequent coronary
stenosis and infarction. As opposed to a stable calcified
plaque, the unstable plaque is atherosclerotic and consists of
fatty lipids covered by a thin fibrous cap. By standard
angiography it is possible to identify stenotic regions in the
coronaries. Based upon the severity of the stenosis, the
treatment is decided. This may be balloon angioplasty, stenting,
or by-pass shunting. Angiography does not distinguish
atherosclerotic vulnerable plaques from stable, and a decision
to intervene which is based upon the degree of stenosis is not
based upon a major issue, a vulnerable or a stable plaque. Many
mildly stenotic vulnerable plaques will therefore be left
untreated at a significant risk for the patient. Additional
techniques which could distinguish between plaques of different
kind is therefore of great interest. This is what is going to be
investigated in this project.
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