Multimodality imaging to assess diagnosis and evaluate complications of large vesselarteritis

Ayaz Aghayev1, Brittany Weber2, Tiago Lins de Carvalho1

  • 1Cardiovascular Imaging Program, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Insights

Large-vessel vasculitis, including giant cell arteritis and Takayasu

Area of Science:

  • Rheumatology and Immunology
  • Cardiovascular Imaging

Background:

  • Vasculitis classification is based on affected blood vessel size: large, medium, and small.
  • Large-vessel vasculitis, such as giant cell arteritis (GCA) and Takayasu's arteritis (TAK), can cause lumen narrowing.
  • Complications of arterial narrowing include vision loss, stroke, limb ischemia, and heart failure.

Purpose of the Study:

  • To review the current status of multimodality imaging for diagnosing large-vessel vasculitis.
  • To identify vascular complications associated with large-vessel vasculitis using imaging.
  • To highlight the role of imaging in managing patients with large-vessel vasculitis.

Main Methods:

  • Review of current literature on multimodality imaging in large-vessel vasculitis.
  • Discussion of established and emerging imaging techniques.
  • Focus on diagnostic accuracy and therapeutic monitoring applications.

Main Results:

  • Imaging tools are crucial for diagnosing large-vessel vasculitis.
  • Imaging aids in monitoring disease activity and assessing vascular damage.
  • Multimodality imaging provides comprehensive information on complications.

Conclusions:

  • Multimodality imaging is essential for the diagnosis and management of large-vessel vasculitis.
  • Imaging plays a key role in detecting and characterizing vascular complications.
  • Advanced imaging techniques improve patient outcomes by guiding therapy.