Journal
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY
Volume 30, Issue 4, Pages 688-706Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.berh.2016.09.010
Keywords
Vasculitis; Imaging; Computed tomography; Magnetic resonance imaging; Positron emission tomography; Ultrasound; Color duplex ultrasonography
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The increasing availability and improvement of imaging techniques are making a profound impact in the evaluation and management of patients with vasculitis, particularly for those with large vessel vasculitis, and will most likely play an ever more important role in the future. Deep, large vessels can be examined by CT or MRI, while ultrasound is the method of choice for the evaluation of superficial vessels (such as temporal, carotid, and axillary arteries). PET is very sensitive in detecting large vessel inflammation, but it does not delineate the vessel wall. Imaging studies can also be used to monitor the disease course and the development of late vascular complication. This review will focus on the role of imaging studies in diagnosing and monitoring LW, but will also mention their principal applications in medium and small-sized vessel vasculitis. Indications and limitations of the available imaging modalities will be discussed as well. (C) 2016 Elsevier Ltd. All rights reserved.
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