Diagnostic Approaches for Large Vessel Vasculitides.
PET-scan
Takayasu arteritis
giant cell arteritis
large vessel vasculitis
periaortitis
temporal artery biopsy
ultrasonography
Journal
Open access rheumatology : research and reviews
ISSN: 1179-156X
Titre abrégé: Open Access Rheumatol
Pays: New Zealand
ID NLM: 101688698
Informations de publication
Date de publication:
2021
2021
Historique:
received:
05
03
2021
accepted:
07
05
2021
entrez:
11
6
2021
pubmed:
12
6
2021
medline:
12
6
2021
Statut:
epublish
Résumé
The large vessel vasculitides comprise giant cell arteritis (GCA), Takayasu arteritis (TAK), and chronic periaortitis. The diagnostic approach to these conditions involves the correct use and interpretation of clinical criteria, imaging techniques, and, in case of GCA, temporal artery biopsy. Ultrasound, magnetic resonance imaging (MRI), and computed tomography (CT) reveal a homogeneous, concentric, thickening of the arterial wall. MRI and CT may also reveal aneurysms and stenoses. 18F-Fluorodeoxyglucose (FDG)-PET shows increased FDG uptake of inflamed artery walls delineating increased metabolic activity. Ultrasound, FDG-PET, and MRI are the recommended imaging techniques in GCA and TAK. In patients with a high suspicion of GCA who present with visual disturbances, initiation of high-dose intravenous corticosteroids should not be delayed by imaging. Extracranial large vessel vasculitis may be confirmed by all three modalities, particularly by FDG-PET in case of atypical clinical pictures. In this article, we review the role of the GCA and TAK ACR classification criteria, temporal artery biopsy, conventional angiography, ultrasound, MRI, magnetic resonance angiography (MRA), CT angiography (CTA), and FDG-PET in the diagnostic approach of large vessel vasculitis.
Identifiants
pubmed: 34113183
doi: 10.2147/OARRR.S282605
pii: 282605
pmc: PMC8183517
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
153-165Informations de copyright
© 2021 Betrains and Blockmans.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest in this work.
Références
Vasa. 2017 Jul;46(4):241-253
pubmed: 28332442
Eur J Nucl Med Mol Imaging. 2017 Dec;44(13):2274-2279
pubmed: 28736805
Diagn Interv Radiol. 2014 Nov;20(6):459-63
pubmed: 25297391
J Nucl Cardiol. 2014 Oct;21(5):993-1000
pubmed: 24875577
Rheum Dis Clin North Am. 2016 Nov;42(4):733-751
pubmed: 27742024
Heart. 2018 Apr;104(7):558-565
pubmed: 29175979
Semin Arthritis Rheum. 2020 Oct;50(5):1064-1072
pubmed: 32911285
Ann Rheum Dis. 2012 Jul;71(7):1170-6
pubmed: 22267328
Lancet. 2006 Jan 21;367(9506):241-51
pubmed: 16427494
Eur J Nucl Med Mol Imaging. 2017 Jul;44(7):1109-1118
pubmed: 28180963
RMD Open. 2018 Feb 2;4(1):e000612
pubmed: 29531788
Rheumatology (Oxford). 2020 May 1;59(5):1011-1020
pubmed: 31529073
Clin Exp Rheumatol. 2019 Mar-Apr;37 Suppl 117(2):57-60
pubmed: 31162029
Clin Rheumatol. 2000;19(2):161-4
pubmed: 10791632
Rheumatology (Oxford). 2017 Jul 1;56(7):1154-1161
pubmed: 28379475
J Vasc Interv Radiol. 1997 May-Jun;8(3):393-400
pubmed: 9152912
Eur J Nucl Med Mol Imaging. 2019 Jan;46(1):184-193
pubmed: 30066157
AJR Am J Roentgenol. 2012 Jul;199(1):118-26
pubmed: 22733902
Arthritis Rheum. 1994 Feb;37(2):187-92
pubmed: 8129773
Eur J Radiol. 2011 Feb;77(2):369-74
pubmed: 19720487
Rheumatology (Oxford). 2015 Mar;54(3):400-4
pubmed: 24939678
J Rheumatol. 2017 Dec;44(12):1859-1866
pubmed: 28916549
Circulation. 2012 Feb 14;125(6):813-9
pubmed: 22230484
Health Technol Assess. 2016 Nov;20(90):1-238
pubmed: 27925577
Ann Intern Med. 1994 Jun 1;120(11):919-29
pubmed: 7909656
Lancet. 1995 Apr 1;345(8953):866
pubmed: 7898257
Semin Arthritis Rheum. 2020 Aug;50(4):616-623
pubmed: 32502725
AJNR Am J Neuroradiol. 2015 Jan;36(1):91-7
pubmed: 25169925
J Nucl Med. 2018 May;59(5):774-779
pubmed: 29097410
Rheumatology (Oxford). 2015 Jul;54(7):1250-6
pubmed: 25587179
Rheumatology (Oxford). 2018 Feb 1;57(suppl_2):ii22-ii31
pubmed: 29982780
Autoimmun Rev. 2019 Jan;18(1):56-61
pubmed: 30408588
Autoimmun Rev. 2017 Nov;16(11):1131-1137
pubmed: 28911987
N Engl J Med. 2014 Jul 3;371(1):50-7
pubmed: 24988557
Eur J Nucl Med Mol Imaging. 2018 Jul;45(7):1119-1128
pubmed: 29671039
Clin Exp Rheumatol. 2007 Jan-Feb;25(1 Suppl 44):S52-6
pubmed: 17428368
Clin Exp Rheumatol. 2015 Mar-Apr;33(2 Suppl 89):S-103-6
pubmed: 26016758
Acta Cardiol. 2000 Jun;55(3):193-5
pubmed: 10902045
Arthritis Rheum. 2006 Feb 15;55(1):131-7
pubmed: 16463425
Best Pract Res Clin Rheumatol. 2018 Feb;32(1):63-82
pubmed: 30526899
Vasa. 2019 Mar;48(2):115-125
pubmed: 30324867
Neuroophthalmology. 2018 Jun 19;43(1):18-25
pubmed: 30723520
Rheumatol Int. 2012 Mar;32(3):675-8
pubmed: 21136259
Radiology. 2014 Aug;272(2):438-45
pubmed: 24702726
J Magn Reson Imaging. 2000 May;11(5):481-7
pubmed: 10813857
J Autoimmun. 2014 Feb-Mar;48-49:79-83
pubmed: 24461381
Ann Rheum Dis. 2015 Jan;74(1):129-35
pubmed: 24095936
Arthritis Rheum. 2005 Apr 15;53(2):298-303
pubmed: 15818649
Rheumatology (Oxford). 2008 Jan;47(1):96-101
pubmed: 18077499
Autoimmun Rev. 2018 Feb;17(2):175-187
pubmed: 29313811
Rheumatology (Oxford). 2020 Dec 23;:
pubmed: 33355340
J Rheumatol. 2005 Jul;32(7):1279-82
pubmed: 15996065
Ann Rheum Dis. 2006 Jun;65(6):826-8
pubmed: 16699053
Ann Intern Med. 2005 Mar 1;142(5):359-69
pubmed: 15738455
Medicine (Baltimore). 2016 Jun;95(26):e3851
pubmed: 27367985
Ann Rheum Dis. 2014 Oct;73(10):1826-32
pubmed: 23873881
Arthritis Rheum. 2012 Mar;64(3):866-75
pubmed: 21989701
Front Med (Lausanne). 2020 Dec 08;7:589794
pubmed: 33364248
Ultraschall Med. 2013 Feb;34(1):2-3
pubmed: 22872380
Autoimmun Rev. 2019 Dec;18(12):102405
pubmed: 31648043
RMD Open. 2018 May 17;4(1):e000598
pubmed: 29862043
Arthritis Rheum. 1990 Aug;33(8):1122-8
pubmed: 2202311
Clin Nucl Med. 2020 Nov;45(11):910-912
pubmed: 32701815
Eur J Nucl Med Mol Imaging. 2014 Aug;41(8):1624-34
pubmed: 24764034
Medicine (Baltimore). 2016 Jul;95(30):e4146
pubmed: 27472684
Presse Med. 2020 Apr;49(1):104018
pubmed: 32234379
Clin Radiol. 2012 Apr;67(4):297-305
pubmed: 22119099
Medicine (Baltimore). 2015 Feb;94(5):e486
pubmed: 25654393
Ann Rheum Dis. 2020 Mar;79(3):393-399
pubmed: 31900304
Int Angiol. 2016 Dec;35(6):586-592
pubmed: 26764900
Arthritis Rheum. 2013 Jan;65(1):1-11
pubmed: 23045170
Ann Vasc Surg. 2006 Jul;20(4):464-71
pubmed: 16779505
N Engl J Med. 2003 Jul 10;349(2):160-9
pubmed: 12853590
Clin Nucl Med. 2002 Jun;27(6):413-5
pubmed: 12045432
JAMA Intern Med. 2020 Oct 1;180(10):1295-1304
pubmed: 32804186
Rheumatology (Oxford). 2008 Aug;47(8):1179-84
pubmed: 18515868
AJR Am J Roentgenol. 2005 Jan;184(1):283-7
pubmed: 15615989
Lancet. 1983 Nov 26;2(8361):1217-20
pubmed: 6139569
Arthritis Rheum. 2005 Aug;52(8):2470-7
pubmed: 16052572
Mod Rheumatol. 2015 Sep;25(5):752-5
pubmed: 25671403
Semin Arthritis Rheum. 2019 Jun;48(6):1074-1082
pubmed: 30424972
Ann Rheum Dis. 2018 May;77(5):636-643
pubmed: 29358285
Arthritis Care Res (Hoboken). 2021 Mar;73(3):402-408
pubmed: 32741116
Br J Radiol. 2012 Dec;85(1020):e1282-92
pubmed: 23175494
Semin Arthritis Rheum. 2020 Aug;50(4):576-581
pubmed: 32460147
Best Pract Res Clin Rheumatol. 2016 Aug;30(4):688-706
pubmed: 27931962
Ther Adv Musculoskelet Dis. 2014 Apr;6(2):39-47
pubmed: 24688604