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Diabetes and Vascular Disease Research
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Multi-modal magnetic resonance imaging quantifies atherosclerosis and vascular dysfunction in patients with type 2 diabetes mellitus

Justin MS Lee

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Cheerag Shirodaria

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Clare E Jackson

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Matthew D Robson

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Charalambos Antoniades

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Jane M Francis

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Frank Wiesmann

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Keith M Channon

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Stefan Neubauer

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Robin P Choudhury

Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Vascular magnetic resonance imaging (MRI) is emerging as a powerful research tool. We studied 18 patients with type 2 diabetes mellitus and 20 controls (all with coronary artery disease). MRI measured distensibility, pulse wave velocity (PWV) and atherosclerosis in the aorta, and brachial artery flow-mediated dilatation (FMD). Patients with diabetes showed lower aortic distensibility (2.1 x 10-3 vs. 3.5 x 10-3 mmHg-1, p<0.01), faster PWV (8.8 vs., 6.2 m/s, p<0.01) and impaired FMD (8.5% vs. 13.8%, p<0.05). Diabetes was an independent negative predictor of distensibility. Aortic atherosclerosis was similar in the two groups. There was a negative correlation between aortic distensibility and atherosclerosis in control subjects only, suggesting that other factors such as protein cross-linking may explain lower aortic distensibility in diabetes. MRI provides comprehensive vascular phenotyping in patients with type 2 diabetes and is likely to be useful in studies of disease progression and drug therapy.

Key Words: magnetic resonance imaging • coronary artery disease • diabetes • distensibility • endothelial function • atherosclerosis

Diabetes and Vascular Disease Research, Vol. 4, No. 1, 44-48 (2007)
DOI: 10.3132/dvdr.2007.005


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