Stavanger University Hospital, Stavanger, Norway.
Rigshospitalet Glostrup, Copenhagen, Denmark.
Arthritis Rheumatol. 2019 Nov;71(11):1780-1787. doi: 10.1002/art.41039. Epub 2019 Sep 25.
The systemic large vessel vasculitides consist mainly of giant cell arteritis and Takayasu arteritis. Both diseases affect the large blood vessels and can lead to ischemia and end-organ damage. Ultrasound is an imaging technique that can depict inflammation of the vessel wall in large and medium vessel vasculitis. In this article, we critically review the current evidence for the clinical use of ultrasound for systemic large vessel vasculitides, regarding the clinical applicability, technical requirements, challenges, and cost. A roadmap for the development of a fast-track ultrasound clinic for giant cell arteritis is also provided.
系统性大血管血管炎主要包括巨细胞动脉炎和 Takayasu 动脉炎。这两种疾病都会影响大血管，导致组织缺血和器官损伤。超声是一种影像学技术，可以显示大中血管血管炎的血管壁炎症。本文批判性地回顾了超声在系统性大血管血管炎中的临床应用的现有证据，包括临床适用性、技术要求、挑战和成本。还提供了巨细胞动脉炎快速通道超声诊所的发展路线图。
