201. Association of Quantified Costal Cartilage Calcification and Long-Term Cumulative Blood Glucose Exposure: The Multi-Ethnic Study of Atherosclerosis
- Author
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Shabani, Mahsima, Pishgar, Farhad, Akhtarkhavari, Sepehr, Quinaglia, Thiago, Budoff, Matthew J, Bluemke, David A, Barr, Graham R, Post, Wendy S, Wu, Colin O, Arbab-Zadeh, Armin, Sidhaye, Aniket, Lima, João AC, and Demehri, Shadpour
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Atherosclerosis ,Heart Disease ,Cardiovascular ,Prevention ,Heart Disease - Coronary Heart Disease ,Aged ,Aged ,80 and over ,Blood Glucose ,Calcinosis ,Cohort Studies ,Costal Cartilage ,Cross-Sectional Studies ,Ethnicity ,Female ,Humans ,Male ,Middle Aged ,Retrospective Studies ,Tomography ,X-Ray Computed ,calcium score ,glucose ,cumulative ,diabetes mellitus ,marker ,cartilage ,soft tissue ,Nutrition and Dietetics ,Clinical sciences - Abstract
AimsAnecdotal reports have suggested increased soft tissue calcification in individuals with long-term exposures to high blood glucose. The association of costal cartilage calcification (CCC), a reliably quantifiable marker obtainable from non-contrast cardiac computed tomography (CT) with cumulative fasting blood glucose (FBG) exposure, is unknown. In this study, we aimed to determine the association between quantified CCC and cumulative glucose exposure using non-contrast coronary artery calcium (CAC) scoring computed tomography (CT) images in the Multi-Ethnic Study of Atherosclerosis (MESA).MethodsThe volume of bilateral CCC was quantified in high-density pixels (threshold of Hounsfield Unit>180) using the CAC scoring CT images acquired in the 5th MESA exam. Prior long-term cumulative exposure to FBG was calculated by area under the FBG-time curve over ten years before the time of the CT exam.ResultsA total of 2,305 participants (mean age: 69, female/male: 1.3) were included in this study. The median CCC volume was lower in females than males (1158 mm3 [IQR: 1751] vs. 3054 mm3 [3851], p
- Published
- 2021