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Vol. 5. Issue 4.
Pages 178-182 (July - August 2009)
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Vol. 5. Issue 4.
Pages 178-182 (July - August 2009)
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Imaging techniques for the evaluation of systemic manifestations of vasculitis
Técnicas de imagen en la evaluación de las manifestaciones sistémicas de las vasculitis
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Antonio Luna Alcaláa,
Corresponding author
aluna70@sercosa.com

Corresponding author.
, Inmaculada Rodríguez Jiméneza, Enrique Ramón Botellab
a Servicio de Radiología, Computerizada, Clínica Las Nieves, Jaén, Spain
b Servicio de Radiología, Hospital Gregorio Marañón, Madrid, Spain
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Abstract

Vasculitis create a local inflammatory process in the vessel wall, which determines the different organic manifestations according to vessel size and location. Imaging techniques play a key role in the characterization and detection of large and medium size vessel vasculitis. Imaging is able to detect the vessel wall edema and to monitor the therapeutic response. In small vessel vasculitis, imaging can indirectly analyze the organic and/or systemic manifestations, because at present, none of the imaging techniques has the necessary spatial resolution to directly visualize small vessels.

Keywords:
Vasculitis
Radiological studies
Diagnostic procedures
Resumen

Las vasculitis provocan un proceso inflamatorio vascular que determina distintas manifestaciones orgánicas que dependen del calibre del vaso afectado y de su localización. Las técnicas de imagen desempeñan un papel importante en la caracterización y detección de las vasculitis de vasos grandes y medianos, pues son capaces de detectar el edema parietal y de monitorizar la respuesta para el tratamiento. En las vasculitis de vasos pequeños las técnicas de imagen son necesarias para estudiar las diferentes repercusiones orgánicas o sistémicas, ya que en el momento actual ninguna técnica de imagen tiene la resolución espacial suficiente para visualizarlos de forma directa

Palabras clave:
Vasculitis
Estudio radiológico
Técnicas diagnósticas
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References
[1.]
H.K. Ha, S.H. Lee, S.E. Rha, J.H. Kim, J.Y. Byun, H.K. Lim, et al.
Radiologic features of vasculitis involving the gastrointestinal tract.
[2.]
J.C. Jennette, R.J. Falk, K. Andrassy, P.A. Bacon, J. Churg, W.L. Gross, et al.
Nomenclature of systemic vasculitis.
Arthritis Rheum, 37 (1994), pp. 187-192
[3.]
W.A. Schmidt, A.D. Wagner.
Role of imaging in diagnosis of and differentiation between vasculitides.
Future Rheumatol, 1 (2006), pp. 627-634
[4.]
F.B. Karassa, M.I. Matsagas, W.A. Schmidt, J.P. Ioannidis.
Meta-analysis: Test performance of ultrasonography for giant-cell arteritis.
Ann Intern Med, 142 (2005), pp. 359-369
[5.]
S.Y. Kim, J.H. Park, J.W. Chung, H.C. Kim, W. Lee, Y.H. So, et al.
Follow-up CT evaluation of the mural changes in active Takayasu arteritis.
Korean J Radiol, 8 (2007), pp. 286-294
[6.]
M.B. Gotway, P.A. Araoz, T.A. Macedo, A.W. Stanson, C.B. Higgins, E.J. Ring, et al.
Imaging findings in Takayasu's arteritis.
Am J Roentgenol, 184 (2005), pp. 1945-1950
[7.]
E.A. Sadowski, L.K. Bennett, M.R. Chan, A.L. Wentland, A.L. Garrett, R.W. Garrett, et al.
Nephrogenic systemic fibrosis: Risk factors and incidence estimation.
Radiology, 243 (2007), pp. 148-157
[8.]
M.A. Walter.
Fluorodeoxyglucose PET in large vessel vasculitis.
Radiol Clin North Am, 45 (2007), pp. 735-744
[9.]
E. Sueyoshi, I. Sakamoto, M. Uetani.
MRI of Takayasu's arteritis: Typical appearances and complications.
Am J Roentgenol, 187 (2006), pp. 569-759
[10.]
J. Meller, E. Grabbe, W. Becker, R. Vosshenrich.
Value of F-18 FDG hybrid camera PET and MRI in early Takayasu aortitis.
Eur Radiol, 13 (2003), pp. 400-405
[11.]
T.A. Bley, M. Uhl, J. Carew, M. Markl, D. Schmidt, H.H. Peter, et al.
Diagnostic value of high-resolution MR imaging in giant cell arteritis.
Am J Neuroradiol, 28 (2007), pp. 1722-1727
[12.]
A.W. Stanson, J.L. Friese, C.M. Johnson, M.A. McKusick, J.F. Breen, E.A. Sabater, et al.
Polyarteritis nodosa: Spectrum of angiographic findings.
[13.]
D.C. Knockaert.
Cardiac involvement in systemic inflammatory diseases.
Eur Heart J, 28 (2007), pp. 1797-1804
[14.]
Y. Peng, J. Zeng, Z. Du, G. Sun, H. Guo.
Usefulness of 64-slice MDCT for follow-up of young children with coronary artery aneurysm due to Kawasaki disease: Initial experience.
Eur J Radiol, 26 (2007),
[15.]
K.N. Jee, H.K. Ha, I.J. Lee, J.K. Kim, K.B. Sung, K.S. Cho, et al.
Radiologic findings of abdominal polyarteritis nodosa.
Am J Roentgenol, 174 (2000), pp. 1675-1679
[16.]
G. Daskalopoulos, I. Karyotis, I. Heretis, P. Anezinis, E. Mavromanolakis, D. Delakas.
Spontaneous perirenal hemorrhage: A 10-year experience at our institution.
Int Urol Nephrol, 36 (2004), pp. 15-19
[17.]
S.K. Frankel, G.P. Cosgrove, A. Fischer, R.T. Meehan, K.K. Brown.
Update in the diagnosis and management of pulmonary vasculitis.
[18.]
K.S. Lee, T.S. Kim, K. Fujimoto, H. Moriya, H. Watanabe, U. Tateishi, et al.
Thoracic manifestation of Wegener's granulomatosis: CT findings in 30 patients.
Eur Radiol, 13 (2003), pp. 43-51
[19.]
C. Lohrmann, M. Uhl, O. Schaefer, N. Ghanem, E. Kotter, M. Langer.
Serial high-resolution computed tomography imaging in patients with Wegener granulomatosis: Differentiation between active inflammatory and chronic fibrotic lesions.
Acta Radiol, 46 (2005), pp. 484-491
[20.]
Y.K. Kim, K.S. Lee, M.P. Chung, J. Han, S. Chong, M.J. Chung, et al.
Pulmonary involvement in Churg-Strauss syndrome: An analysis of CT, clinical, and pathologic findings.
Eur Radiol, 17 (2007), pp. 3157-3165
[21.]
W. Küker.
Cerebral vasculitis: Imaging signs revisited.
Neuroradiology, 49 (2007), pp. 471-479
[22.]
R.I. Aviv, S.M. Benseler, E.D. Silverman, P.N. Tyrrell, G. Deveber, L.M. Tsang, et al.
MR imaging and angiography of primary CNS vasculitis of childhood.
Am J Neuroradiol, 27 (2006), pp. 192-199
[23.]
B.A. Wassrman, J.H. Stone, D.B. Hellmann, M.G. Pomper.
Realibity of normal findings on MR imaging for excluding the diagnosis of vasculitis of the CNS.
[24.]
K.G. Harris, D.D. Tran, W.J. Sickels, S.H. Cornell, W.T. Yuh.
Diagnosing intracranial vasculitis: The role of MR and angiography.
Am J Neuroradiol, 15 (1994), pp. 317-330
[25.]
T. Moritani, A. Hiwatashi, D.A. Shrier, H.Z. Wang, Y. Numaguchi, P.L.C.N.S. Westesson.
Vasculitis and vasculopathy: Efficacy and usefulness of diffusion-weighted echoplanar MR imaging.
Clin Imaging, 28 (2004), pp. 261-270
[26.]
P. Demaerel, N. de Ruyter, F. Maes, B. Velghe, G. Wilms.
Magnetic resonance angiography in suspected cerebral vasculitis.
Eur Radiol, 14 (2004), pp. 1005-1012

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