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磁共振血管造影和计算机断层血管造影在血管炎诊断中的应用

MR and CT angiography in the diagnosis of vasculitides.

作者信息

Ghorishi Alex, Alayon Amaris, Ghaddar Tarek, Kandah Maya, Amundson Per K

机构信息

Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, United States.

School of Medicine, Indiana University, Indianapolis, United States.

出版信息

BJR Open. 2023 Sep 25;5(1):20220020. doi: 10.1259/bjro.20220020. eCollection 2023.

Abstract

Vasculitides represent the wide-ranging series of complex inflammatory diseases that involve inflammation of blood vessel walls. These conditions are characterized according to the caliber of the predominantly involved vessels. The work-up of vasculitides often includes imaging to narrow a differential diagnosis and guide management. Findings from CT and MR angiography in conjunction with a thorough history and physical exam are of utmost importance in making an accurate diagnosis. Further, imaging can be used for follow-up, in order to monitor disease progression and response to treatment. This wide-ranging literature review serves as the primary resource for clinicians looking to diagnose and monitor the progression of rare vascular inflammatory conditions. This article provides a comprehensive summary of the main findings on imaging related to each of these vasculitides. For each of the named vasculitis conditions, a thorough overview of the diagnostic modalities and their respective findings is described. Many specific hallmarks of pathology are included in this review article.

摘要

血管炎是一系列广泛的复杂炎症性疾病,涉及血管壁炎症。这些病症根据主要受累血管的管径进行分类。血管炎的检查通常包括影像学检查,以缩小鉴别诊断范围并指导治疗。CT血管造影和MR血管造影的结果结合详尽的病史和体格检查,对于做出准确诊断至关重要。此外,影像学可用于随访,以监测疾病进展和对治疗的反应。这篇广泛的文献综述是临床医生诊断和监测罕见血管炎性疾病进展的主要参考资料。本文全面总结了与每种血管炎相关的影像学主要发现。对于每种命名的血管炎病症,都描述了诊断方法及其各自的发现。这篇综述文章包含了许多病理学的特定特征。

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