Both M, Nölle B, von Forstner C, Moosig F, Gross W L, Heller M
Klinik für Diagnostische Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 9, 24105, Kiel, Deutschland.
Z Rheumatol. 2009 Dec;68(10):819-33. doi: 10.1007/s00393-009-0565-9.
This article focuses on the clinical application and technical aspects of imaging methods which are used alternatively or additionally to angiography or magnetic resonance imaging in patients with Takayasu's arteritis or giant cell arteritis. Providing a high spatial resolution, duplex ultrasound is particularly suitable for the evaluation of peripheral arteries. With the exception of cranial arteries, positron emission tomography as a whole body examination is the best imaging modality for the assessment of inflammatory activity. Computed tomography is used for angiographic examinations and enables evaluation of wall thickening in large arteries. It is the method of choice in the case of emergencies due to aortic aneurysm or dissection. In addition to angiographic and ultrasound techniques, ophthalmological methods comprise biomicroscopy, including funduscopy and optical coherence tomography.
本文重点关注在高安动脉炎或巨细胞动脉炎患者中,可替代血管造影或磁共振成像使用,或作为其补充的成像方法的临床应用和技术方面。双功超声具有高空间分辨率,特别适用于评估外周动脉。除颅动脉外,正电子发射断层扫描作为一种全身检查,是评估炎症活动的最佳成像方式。计算机断层扫描用于血管造影检查,能够评估大动脉壁增厚情况。在因主动脉瘤或主动脉夹层导致的紧急情况下,它是首选方法。除血管造影和超声技术外,眼科方法包括生物显微镜检查,其中有眼底镜检查和光学相干断层扫描。