Department of Diagnostic and Interventional Radiology, University Hospital of Würzburg, Faculty of Medicine, University of Würzburg, Germany.
Clin Exp Rheumatol. 2018 Sep-Oct;36 Suppl 114(5):103-107. Epub 2018 Oct 1.
The role of imaging in diagnosis and monitoring of vasculitides has steadily become more important during the last years. As a result of the technological progress, its low invasiveness and its relatively good diagnostic reliability, magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) are increasingly used in the assessment of vasculitic changes of extra- and intra-cranial arteries. The aim of this review is to outline the significance of different imaging modalities, particularly the significance of MRI/MRA, in the context of large-vessel vasculitides, especially in regard to the first EULAR (The European League Against Rheumatism)-recommendations on the role of imaging in the process of diagnosis and monitoring of patients with suspected large-vessel vasculitides. Furthermore, some typical imaging findings as well as the basics of MRI technique are to be presented.
在过去的几年中，影像学在血管炎的诊断和监测中的作用变得越来越重要。由于技术的进步、其低侵入性以及相对较高的诊断可靠性，磁共振成像（MRI）和磁共振血管造影（MRA）在评估颅内外血管炎变化方面的应用越来越多。本文的目的是概述不同成像方式的意义，特别是 MRI/MRA 的意义，特别是在 EULAR（欧洲抗风湿病联盟）关于影像学在疑似大血管血管炎患者诊断和监测过程中作用的建议方面。此外，还介绍了一些典型的影像学表现以及 MRI 技术的基础知识。
