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Related Concept Videos

Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
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Imaging Studies for Cardiovascular System IV: CMRI01:21

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Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
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Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Imaging Studies for Cardiovascular System III: X-Ray01:20

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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
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Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

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Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
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Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

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Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
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Multimodality imaging of large-vessel vasculitis.

Jason M Tarkin1, Deepa Gopalan2,3

  • 1Section of Cardiorespiratory Medicine, University of Cambridge, Heart & Lung Research Institute, Cambridge, UK jt545@cam.ac.uk.

Heart (British Cardiac Society)
|November 29, 2022
PubMed
Summary

Multimodality cardiovascular imaging is crucial for diagnosing and monitoring large-vessel vasculitis (LVV). Advanced imaging techniques help track arterial inflammation, guiding treatment and preventing disease progression in LVV patients.

Keywords:
Magnetic Resonance Angiographyaortitisdiagnostic imaginginflammationpositron emission tomography computed tomography

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Area of Science:

  • Cardiovascular Medicine
  • Radiology
  • Immunology

Background:

  • Large-vessel vasculitis (LVV) is a chronic inflammatory condition affecting major arteries, often presenting with non-specific symptoms, making diagnosis challenging.
  • Accurate diagnosis and monitoring of LVV are essential for effective clinical management and preventing severe cardiovascular complications.
  • Conventional treatments aim to suppress inflammation, but identifying disease flares and residual arteritis requires precise monitoring.

Approach:

  • This review focuses on the critical role of multimodality cardiovascular imaging in the comprehensive assessment of LVV.
  • It examines how various non-invasive imaging modalities provide unique and complementary information for diagnosis, staging, and follow-up.
  • The article highlights imaging's utility in detecting arterial inflammation, injury, and disease activity.

Key Points:

  • Multimodality imaging is indispensable for confirming LVV diagnosis and assessing the extent and severity of arterial involvement.
  • Imaging aids in screening for and managing cardiovascular complications associated with LVV.
  • It plays a vital role in long-term disease monitoring, identifying flares, and assessing treatment response.

Conclusions:

  • Multimodality imaging is a cornerstone in managing patients with large-vessel vasculitis.
  • By visualizing arterial inflammation and injury, imaging guides therapeutic decisions and disease management strategies.
  • Effective use of imaging can help prevent or slow disease progression and improve patient outcomes in LVV.