关于在临床实践中使用成像用于大血管血管炎的EULAR建议:2023年更新
Christian Dejaco1,2, Sofia Ramiro3,4, Milena Bond2
1Department of Rheumatology and Immunology, Medical University of Graz, Graz, Austria christian.dejaco@gmx.net.
Annals of the rheumatic diseases
|August 7, 2023
概括
更新的EULAR指南建议超声波作为巨细胞动脉炎的第一线成像. 磁共振成像 (MRI) 首选用于Takayasu动脉炎,其他模式作为诊断大血管血管炎 (LVV) 的替代方案.
科学领域:
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
- 内部医学 内部医学
背景情况:
- 初级大血管血管炎 (LVV) 需要准确的诊断和监测.
- 之前的EULAR对LVV成像的建议于2018年发表.
- 影像技术的进步需要更新临床指导.
研究的目的:
- 为大血管血管炎 (LVV) 的成像提供更新的欧洲风湿病学协会联盟 (EULAR) 建议.
- 纳入关于LVV诊断和管理的各种成像模式的新证据.
- 指导临床医生选择可疑和已确定的LVV的适当成像技术.
主要方法:
- 系统性文献综述对LVV的超声波,MRI,CT和FDG-PET进行更新.
- 来自14个国家的24名专家和患者组成的特别工作组.
- 通过证据审查,专家意见和共识投票开发的建议.
主要成果:
- 八个更新的建议和三个总体原则达成一致.
- 超声波现在是疑似巨细胞动脉炎 (GCA) 的建议第一线成像.
- 对于高雅山动脉炎,MRI是首选的;FDG-PET,CT和超声波是替代方案.
- 图像可以用于复发评估和监测LVV中的结构损伤.
结论:
- 2023年EULAR建议为LVV的成像提供了当前的指导.
- 更新的建议反映了诊断和监测能力的进步.
- 这些指导方针旨在改善大血管血管炎患者的诊断和评估.
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