Document Detail


Use of imaging studies in the diagnosis of vasculitis.
MedLine Citation:
PMID:  15134599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Imaging studies are necessary to determine disease extension and disease activity in the small-vessel vasculitides. Computed tomography (CT) and magnetic resonance imaging (MRI) increase the number of pathologic findings compared with conventional radiography. MRI delineates mucosal inflammation and granulomas in the paranasal sinuses, whereas CT provides information about osseous lesions. CT is superior to MRI for the detection of pulmonary lesions. Radiograph angiography has been the gold standard for medium- and large-vessel vasculitides for decades. Echocardiography and MRI correspond well with conventional angiography to assess cardiac involvement in Kawasaki disease. MRI, CT, and CT angiography are alternative noninvasive techniques to delineate vasculitic lesions in polyarteritis nodosa, Takayasu's arteritis, and large-vessel giant cell arteritis. Duplex ultrasonography has the greatest resolution. It delineates typical artery wall swelling in temporal arteritis and Takayasu's arteritis. Positron emission tomography can assess inflammatory activity of large arteries.
Authors:
Wolfgang A Schmidt
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Current rheumatology reports     Volume:  6     ISSN:  1523-3774     ISO Abbreviation:  Curr Rheumatol Rep     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-05-11     Completed Date:  2004-10-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100888970     Medline TA:  Curr Rheumatol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  203-11     Citation Subset:  IM    
Affiliation:
Medical Center for Rheumatology Berlin-Buch, Karower Strasse 11, D-13125 Berlin, Germany. schmidt.wa@t-online.de
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MeSH Terms
Descriptor/Qualifier:
Angiography
Echocardiography
Giant Cell Arteritis / diagnosis
Humans
Magnetic Resonance Imaging
Mucocutaneous Lymph Node Syndrome / diagnosis
Takayasu Arteritis / diagnosis
Tomography, Emission-Computed
Tomography, X-Ray Computed
Vasculitis / diagnosis*,  pathology,  radiography,  radionuclide imaging,  ultrasonography
Wegener Granulomatosis / diagnosis

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