C-X-C motif chemokine receptor 4-directed PET signal in the arterial tree is not consistently linked to calcified plaque burden and cardiovascular risk
2025

PET Imaging of CXCR4 and Cardiovascular Risk

Sample size: 65 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kosmala Aleksander, Hasenauer Natalie, Serfling Sebastian E., Michalski Kerstin, Fröhlich Matthias, Dreher Niklas, Hartrampf Philipp E., Higuchi Takahiro, Buck Andreas K., Weich Alexander, Reiter Theresa, Werner Rudolf A.

Primary Institution: University Hospital Würzburg

Hypothesis

What is the relationship between CXCR4-directed PET signal and calcified plaque burden in the arterial tree?

Conclusion

High focal uptake of [68Ga]Ga-PentixaFor in the arterial tree was not consistently linked to vessel wall calcification or cardiovascular risk.

Supporting Evidence

  • 1292 sites of high focal [68Ga]Ga-PentixaFor uptake were identified in 100% of patients.
  • Only 29.8% of PentixaFor+ sites had concomitant calcification.
  • Significant correlations were found between the number of PentixaFor+ sites and cardiovascular risk factors.

Takeaway

Doctors used a special scan to see if a certain signal in blood vessels is related to heart problems, but they found it wasn't really connected.

Methodology

The study assessed 65 oncological patients undergoing [68Ga]Ga-PentixaFor PET/CT, measuring radiotracer uptake and calcified plaque burden.

Potential Biases

Potential biases in patient selection due to the retrospective nature and focus on oncological patients.

Limitations

The study's retrospective design and small sample size limit its ability to establish causation and generalizability.

Participant Demographics

Mean age 63 years, 33.8% female, with various cancer types and cardiovascular risk factors.

Statistical Information

P-Value

0.04

Confidence Interval

1.02-1.14

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7150/thno.102910

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