Prevention & lipids

Periaortic Fat Attenuation on Nongated Noncontrast Chest CT Images to Assess Changes in Arterial Inflammation: Impact of Atorvastatin

Circ Cardiovasc ImagingPublished double-blind, randomized trial

Authors' conclusion

Periaortic FA is a marker of atherosclerotic inflammation that can be easily measured on nongated, nonenhanced chest computed tomography images and be used to provide insights into the impact of therapies on atherosclerotic inflammation.

Study context

Population
Subjects with risk factors or established atherosclerosissubjects studied
Participants
60 subjects
Comparison
High dose atorvastatin
  • Atorvastatin 80 mgn = 28
  • Atorvastatin 10 mgn = 32

Primary result

As reported in the abstract

Time to assess FA per subject

Time to assess fat attenuation (FA) per subject

88±17 seconds

Further findings

OutcomeStandardized βP value
Change in FA · 12 weeksReduction in FA with high dose−0.603P = 0.010
  • Change in FA: adjusted for baseline FA, kilovoltage peak, and prior statin use

Correlation of FA with leukopoietic activity · baseline

Bone marrow
r =0.412; P =0.021
Spleen
r =0.442; P =0.013

Correlation of FA with aortic inflammation (18 F-fluorodeoxyglucose positron emission tomography quintiles) · baseline

Aortic inflammation
r =0.274; P =0.043

Original publication

Periaortic Fat Attenuation on Nongated Noncontrast Chest CT Images to Assess Changes in Arterial Inflammation: Impact of Atorvastatin. Circ Cardiovasc Imaging. Published 14 May 2025. doi:10.1161/circimaging.124.017248

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