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成人和儿童发病的 Takayasu 动脉炎的影像学概述。

Overview of Imaging in Adult- and Childhood-onset Takayasu Arteritis.

机构信息

F.A. Aeschlimann, MD, MPH, Pediatric Immunology, Hematology and Rheumatology Unit, Hôpital Necker - Enfants Malades, Paris, France and Division of Pediatrics, Kantonsspital Winterthur, Winterthur, Switzerland;

F. Raimondi, MD, Unité Médicochirurgicale de Cardiologie Congénitale et Pédiatrique, Centre de Référence des Maladies Cardiaques Congénitales Complexes (M3C), Hôpital Universitaire Necker - Enfants Malades, Paris, France.

出版信息

J Rheumatol. 2022 Apr;49(4):346-357. doi: 10.3899/jrheum.210368. Epub 2021 Dec 1.

Abstract

Takayasu arteritis is an idiopathic large-vessel vasculitis that affects young adults and children and can lead to ischemia and end-organ damage. Vascular imaging is crucial for diagnosis, assessment of disease extent, and management of the disease. Here we critically review evidence for the clinical use of the different imaging modalities: conventional angiography, magnetic resonance imaging, computed tomography, Doppler ultrasound, and fluorodeoxyglucose positron emission tomography. We thereby focus on their clinical applicability, challenges, and specific use in children.

摘要

Takayasu 动脉炎是一种特发性大血管炎,影响年轻人和儿童,可导致缺血和终末器官损伤。血管成像对于诊断、评估疾病范围和管理疾病至关重要。在这里,我们批判性地回顾了不同成像方式的临床应用证据:传统血管造影、磁共振成像、计算机断层扫描、多普勒超声和氟代脱氧葡萄糖正电子发射断层扫描。因此,我们重点介绍了它们在儿童中的临床适用性、挑战和特定用途。

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