与药物相关的血管病变的成像
Paulo Puac-Polanco1, Àlex Rovira2, Lubdha M Shah3
1Department of Radiology, Radiation Oncology and Medical Physics, Box 232, General Campus Room 1466e, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada.
Neuroimaging clinics of North America
|November 11, 2023
概括
滥用药物和某些药物可以导致血管病变,导致严重的中枢神经系统并发症,如中风. 像MRI和CT这样的成像技术对于诊断药物诱导的血管炎和血管病变至关重要.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 毒理学 毒理学 毒理学
背景情况:
- 非法药物 (可卡因,海洛因,胺,大麻) 和治疗药物 (抗甲状腺药,瘤药,免疫抑制药) 可以诱导血管炎或血管病变.
- 这些血管疾病可以表现为严重的中枢神经系统并发症,包括内出血和中风.
- 可卡因滥用与破坏性鼻病变特别相关.
研究的目的:
- 审查药物诱导血管病变和血管炎的病理机制,临床表现和成像发现.
- 突出高级成像模式在诊断中的作用.
主要方法:
- 关于药物诱导的血管病变和血管炎的文献综述.
- 讨论磁共振 (MR) 成像,血管壁成像和计算机断层扫描血管学 (CTA) 的成像发现.
主要成果:
- 药物诱导的血管病变会影响中枢神经系统,导致中风和出血.
- 图像检测结果因病原体和受影响的血管而异.
- 核磁共振成像,血管壁成像和CT/CTA对诊断至关重要.
结论:
- 药物诱导的血管病变是一个重大的临床问题,有可能导致严重的神经后果.
- 准确的诊断依赖于了解病理机制和识别特征性成像发现.
- 多式成像在评估疑似与药物相关的血管损伤的患者中发挥着至关重要的作用.
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