Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia; Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
JACC Cardiovasc Imaging. 2014 Jun;7(6):605-19. doi: 10.1016/j.jcmg.2014.04.002.
Multimodality imaging of aortitis is useful for identification of acute and chronic mural changes due to inflammation, edema, and fibrosis, as well as characterization of structural luminal changes including aneurysm and stenosis or occlusion. Identification of related complications such as dissection, hematoma, ulceration, rupture, and thrombosis is also important. Imaging is often vital for obtaining specific diagnoses (i.e., Takayasu arteritis) or is used adjunctively in atypical cases (i.e., giant cell arteritis). The extent of disease is established at baseline, with associated therapeutic and prognostic implications. Imaging of aortitis may be useful for screening, routine follow up, and evaluation of treatment response in certain clinical settings. Localization of disease activity and structural abnormality is useful for guiding biopsy or surgical revascularization or repair. In this review, we discuss the available imaging modalities for diagnosis and management of the spectrum of aortitis disorders that cardiovascular physicians should be familiar with for facilitating optimal patient care.
多模态影像学检查对于识别炎症、水肿和纤维化导致的急性和慢性壁变化，以及特征性的结构管腔变化（包括动脉瘤和狭窄或闭塞）很有用。识别相关并发症，如夹层、血肿、溃疡、破裂和血栓形成也很重要。影像学检查对于获得特定诊断（如 Takayasu 动脉炎）往往至关重要，或者在非典型病例中辅助使用（如巨细胞动脉炎）。在基线时确定疾病的程度，这与相关的治疗和预后有关。在某些临床情况下，影像学检查对于筛查、常规随访和评估治疗反应可能有用。疾病活动和结构异常的定位有助于指导活检或血管重建或修复。在这篇综述中，我们讨论了用于诊断和治疗心血管医生应熟悉的各种主动脉炎疾病的影像学方法，以促进最佳的患者护理。
