Chapter 9
Optical Coherence Tomography, Near-Infrared Spectroscopy, and Near-Infrared Fluorescence Molecular Imaging
Alessio Mattesini,
Pierluigi Demola,
Richard Shlofmitz,
Evan Shlofmitz,
Ron Waksman,
Farouc Amin Jaffer,
Carlo Di Mario,
Alessio Mattesini
Search for more papers by this authorPierluigi Demola
Search for more papers by this authorRichard Shlofmitz
Search for more papers by this authorEvan Shlofmitz
Search for more papers by this authorRon Waksman
Search for more papers by this authorFarouc Amin Jaffer
Search for more papers by this authorCarlo Di Mario
Search for more papers by this authorAlessio Mattesini,
Pierluigi Demola,
Richard Shlofmitz,
Evan Shlofmitz,
Ron Waksman,
Farouc Amin Jaffer,
Carlo Di Mario,
Alessio Mattesini
Search for more papers by this authorPierluigi Demola
Search for more papers by this authorRichard Shlofmitz
Search for more papers by this authorEvan Shlofmitz
Search for more papers by this authorRon Waksman
Search for more papers by this authorFarouc Amin Jaffer
Search for more papers by this authorCarlo Di Mario
Search for more papers by this authorBook Editor(s):George D. Dangas MD, MACC, MSCAI, FAHA, FESC,
Carlo Di Mario MD, PhD, FRCP, FACC, FSCAI, FESC,
Holger Thiele MD,
Peter Barlis MBBS, MPH, PHD, FACC, FESC, FRACP,
Tayo Addo MD, Bimmer Claessen MD, Christian Hengstenberg MD, Nicholas Kipshidze MD,
George D. Dangas MD, MACC, MSCAI, FAHA, FESC
Professor of Medicine (Cardiology) & Surgery (Vascular) Professor of Cardiology Adjunct Professor of Internal Medicine
Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, NY, USA
National Kapodistrian University of Athens, Greece
Medical University of Vienna, Austria
Search for more papers by this authorCarlo Di Mario MD, PhD, FRCP, FACC, FSCAI, FESC
Professor of Cardiology Director of the Structural Interventional Cardiology Division Honorary Consultant
University of Florence
University Hospital Careggi, Florence, Italy
Cardiologist Royal Brompton Hospital, London, UK
Search for more papers by this authorHolger Thiele MD
Professor of Cardiology at University of Leipzig
Heart Center Leipzig at University of Leipzig, Leipzig, Germany
Search for more papers by this authorPeter Barlis MBBS, MPH, PHD, FACC, FESC, FRACP
Professor of Cardiology Interventional Cardiologist
University of Melbourne, Melbourne, Victoria, Australia
St Vincent's & Northern Hospitals Victoria, Australia
Search for more papers by this authorFirst published: 06 May 2022
Summary
Intravascular optical coherence tomography (OCT) is a high-resolution imaging technology through fiber optics. OCT requires replacing blood with transparent crystalloids.
Various characteristics of coronary lesions can be classified by utilizing different tissues properties. The unique ability of OCT to identify plaque rupture erosion offers a major added value in the characterization of acute coronary syndromes. Thanks to the sharp delineation of lumen contours provided by OCT, this technology can provide automatic lumen measurements, suggest the best optimization in percutaneous coronary intervention, detect even subclinical dissections and fractures after lithotripsy or atherectomy procedures.
Near-infrared spectroscopy is a imaging technique that can distinguish plaque composition through its “chemogram” obtained by absorbance and reflectance of near-infrared light.
Near-infrared fluorescence molecular imaging is a promising coronary intravascular imaging that aims to molecules and cells involved in the pathogenesis of vascular disease.
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