Abstract:
:Patients with clinical suspicion of large-vessel vasculitis (LVV) may present with nonspecific signs and symptoms and increased inflammatory parameters and may remain without diagnosis after routine diagnostic procedures. Both the nonspecificity of the radiopharmaceutical (18)F-FDG and the synergy of integrating functional and anatomical images with PET/CT offer substantial benefit in the diagnostic work-up of patients with clinical suspicion for LVV. A negative temporal artery biopsy, an ultrasonography without an arterial halo, or a MRI without aortic wall thickening or oedema do not exclude the presence of LVV and should therefore not exclude the use of (18)F-FDG PET/CT when LVV is clinically suspected. This overview further discusses the notion that there is substantial underdiagnosis of LVV. Late diagnosis of LVV may lead to surgery or angioplasty in occlusive forms and is often accompanied by serious aortic complications and a fatal outcome. In contrast to the American College of Rheumatology 1990 criteria for vasculitis, based on late LVV effects like arterial stenosis and/or occlusion, (18)F-FDG PET/CT sheds new light on the classification of giant cell arteritis (GCA) and Takayasu arteritis (TA). The combination of these observations makes the role of (18)F-FDG PET/CT in the assessment of patients suspected for having LVV promising.
journal_name
Biomed Res Intjournal_title
BioMed research internationalauthors
Balink H,Bennink RJ,van Eck-Smit BL,Verberne HJdoi
10.1155/2014/687608subject
Has Abstractpub_date
2014-01-01 00:00:00pages
687608eissn
2314-6133issn
2314-6141journal_volume
2014pub_type
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-03-14 00:00:00
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pub_type: 杂志文章,评审
doi:10.1155/2013/462179
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doi:10.1155/2016/5497402
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pub_type: 杂志文章,评审
doi:10.1155/2017/9620870
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journal_title:BioMed research international
pub_type: 杂志文章,meta分析
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更新日期:2020-04-05 00:00:00
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pub_type: 杂志文章,评审
doi:10.1155/2014/263604
更新日期:2014-01-01 00:00:00
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doi:10.1155/2014/569530
更新日期:2014-01-01 00:00:00
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pub_type: 临床试验,杂志文章
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