Document Detail


Gadolinium-enhanced three-dimensional MR angiography of Takayasu arteritis.
MedLine Citation:
PMID:  15143227     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Takayasu arteritis is a form of large vessel vasculitis with a possible autoimmune origin that may cause stenosis of the aorta and its major branches. Six types of Takayasu arteritis are recognized; the type depends on whether the ascending aorta, descending thoracic aorta, abdominal aorta, aortic cervicobrachial branches, or renal arteries are affected. The coronary and pulmonary arteries are also sometimes involved. Clinical features of the disease include diminished or absent pulses, claudication, hypertension, and mesenteric angina. Conventional angiography has been the standard imaging tool for diagnosis and evaluation of Takayasu arteritis, although it demonstrates only the lumen of the vessel. Less invasive cross-sectional methods such as computed tomographic angiography and, more recently, three-dimensional magnetic resonance (MR) angiography can effectively demonstrate thickening of the vessel wall, which may be the earliest manifestation of the disease, occurring before stenosis and dilatation. MR imaging in particular allows better soft-tissue differentiation and can show other signs of inflammation, including mural edema and increased mural vascularity. Other advantages of MR imaging are the lack of iodinated contrast material or ionizing radiation.
Authors:
Marcio V Nastri; Luciana P S Baptista; Ronaldo H Baroni; Roberto Blasbalg; Luis F de Avila; Claudia C Leite; Claudio C de Castro; Giovanni G Cerri
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  24     ISSN:  1527-1323     ISO Abbreviation:  Radiographics     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-05-14     Completed Date:  2004-08-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  773-86     Citation Subset:  IM    
Copyright Information:
Copyright RSNA, 2004
Affiliation:
Institute of Radiology, University of São Paulo Medical School, São Paulo, Brazil. marcionastri@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Angiography, Digital Subtraction
Child
Child, Preschool
Contrast Media*
Female
Gadolinium / diagnostic use*
Humans
Image Processing, Computer-Assisted
Imaging, Three-Dimensional*
Infant
Magnetic Resonance Angiography / methods*
Male
Middle Aged
Takayasu Arteritis / classification,  diagnosis*,  epidemiology
Tomography, X-Ray Computed
Ultrasonography, Doppler, Duplex
Chemical
Reg. No./Substance:
0/Contrast Media; 7440-54-2/Gadolinium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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