在高山动脉炎中定期进行非侵入性成像随访的预后意义和合理性:一项大型多中心队列研究
在PubMed上查看摘要
概括
此摘要是机器生成的。当患者没有临床活性时,通常不需要定期对Takayasu动脉炎 (TAK) 进行成像后续检查. 基于临床发现的个性化成像计划对于管理TAK进展更为合理.
科学领域
- 血管炎症
- 关节病学
- 诊断成像
背景情况
- 塔卡亚苏动脉炎 (TAK) 是一种需要长期监测的大血管血管炎.
- 常规成像在评估TAK的疾病活动和进展中的作用仍在争论中.
研究的目的
- 评估Takayasu动脉炎的定期成像监测的预后价值.
- 确定目前对TAK患者的随访方案的合理性.
主要方法
- 在204名TAK成年患者中进行了回顾性多中心队列研究.
- 与临床和实验室发现相关的580个成像研究的分析.
主要成果
- 在不活跃医生总体评估 (PGA) 期间进行的成像检查中,放射性活性/进展不常见 (4%).
- 年轻的年龄和活跃的PGA是放射性活动的预测因素.
- 在常规和不规则的成像随访组之间没有观察到重大心血管不良事件,VDI得分或死亡率的显著差异.
结论
- 在临床不活跃的TAK患者中,在例行随访期间,放射性活性不常见.
- 以临床活动为指导的个性化成像策略比固定时间表更合适.
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