Imaging of peripheral vascular malformations - current concepts and future perspectives.
Duplex ultrasound
Magnetic resonance imaging
Molecular imaging
Multispectral optoacoustic tomography
Positron emission tomography
Thermography
Vascular malformations
Journal
Molecular and cellular pediatrics
ISSN: 2194-7791
Titre abrégé: Mol Cell Pediatr
Pays: Germany
ID NLM: 101660689
Informations de publication
Date de publication:
07 Dec 2021
07 Dec 2021
Historique:
received:
06
09
2021
accepted:
25
11
2021
entrez:
7
12
2021
pubmed:
8
12
2021
medline:
8
12
2021
Statut:
epublish
Résumé
Vascular Malformations belong to the spectrum of orphan diseases and can involve all segments of the vascular tree: arteries, capillaries, and veins, and similarly the lymphatic vasculature. The classification according to the International Society for the Study of Vascular Anomalies (ISSVA) is of major importance to guide proper treatment. Imaging plays a crucial role to classify vascular malformations according to their dominant vessel type, anatomical extension, and flow pattern. Several imaging concepts including color-coded Duplex ultrasound/contrast-enhanced ultrasound (CDUS/CEUS), 4D computed tomography angiography (CTA), magnetic resonance imaging (MRI) including dynamic contrast-enhanced MR-angiography (DCE-MRA), and conventional arterial and venous angiography are established in the current clinical routine. Besides the very heterogenous phenotypes of vascular malformations, molecular and genetic profiling has recently offered an advanced understanding of the pathogenesis and progression of these lesions. As distinct molecular subtypes may be suitable for targeted therapies, capturing certain patterns by means of molecular imaging could enhance non-invasive diagnostics of vascular malformations. This review provides an overview of subtype-specific imaging and established imaging modalities, as well as future perspectives of novel functional and molecular imaging approaches. We highlight recent pioneering imaging studies including thermography, positron emission tomography (PET), and multispectral optoacoustic tomography (MSOT), which have successfully targeted specific biomarkers of vascular malformations.
Identifiants
pubmed: 34874510
doi: 10.1186/s40348-021-00132-w
pii: 10.1186/s40348-021-00132-w
pmc: PMC8651875
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
19Informations de copyright
© 2021. The Author(s).
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