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多模态成像用于评估大动脉炎的诊断及并发症。

Multimodality imaging to assess diagnosis and evaluate complications of large vesselarteritis.

作者信息

Aghayev Ayaz, Weber Brittany, Lins de Carvalho Tiago, Glaudemans Andor W J M, Nienhuis Pieter H, van der Geest Kornelis S M, Slart Riemer H J A

机构信息

Cardiovascular Imaging Program, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Cardiovascular Imaging Program, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

J Nucl Cardiol. 2024 Jul;37:101864. doi: 10.1016/j.nuclcard.2024.101864. Epub 2024 Apr 24.

Abstract

Different types of vasculitis can be distinguished according to the blood vessel's size that is preferentially affected: large-vessel, medium-vessel, and small-vessel vasculitides. Giant cell arteritis (GCA) and Takayasu's arteritis (TAK) are the main forms of large-vessel vasculitis, and may lead to lumen narrowing. Clinical manifestations of arterial narrowing on the short- and long term include vision loss, stroke, limb ischemia, and heart failure. Imaging tools are well established diagnostic tests for large-vessel vasculitis and may aid therapy monitoring in selected cases while providing important information regarding the occurrence of vascular damage, tissue and organ complications. This review aims to provide the current status of multimodality imaging for the diagnosis and identification of vascular complications in the field of large vessel vasculitis.

摘要

不同类型的血管炎可根据优先受累的血管大小进行区分

大血管、中血管和小血管血管炎。巨细胞动脉炎(GCA)和高安动脉炎(TAK)是大血管血管炎的主要形式,可导致管腔狭窄。动脉狭窄的短期和长期临床表现包括视力丧失、中风、肢体缺血和心力衰竭。成像工具是大血管血管炎的成熟诊断测试,在某些情况下可能有助于治疗监测,同时提供有关血管损伤、组织和器官并发症发生的重要信息。本综述旨在介绍大血管血管炎领域中用于诊断和识别血管并发症的多模态成像的现状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/134b/11257818/c25c4f86cae5/nihms-2000696-f0001.jpg

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