Noninvasive diagnosis of vulnerable coronary plaque

Figure 3 Vulnerable coronary plaque features by coronary computed tomography. Patient with unstable angina who underwent CCT followed by ICA. A severe stenosis (arrows) in mid-LAD just before the origin of the second diagonal was detected in CCT (A) and subsequently confirmed by ICA (B); A detailed analysis of multiplanar reconstruction of CCT (C) revealed the presence of positive remodeling (red arrow) and low attenuation (arrow head) at the level of the culprit lesion, both signs associated with vulnerable coronary plaque. CCT: Coronary computed tomography; ICA: Invasive coronary angiography; LAD: Left anterior descending coronary artery.