A rare case of aortic involvement in microscopic polyangiitis evaluated in contrast-enhanced ultrasound, superb microvascular imaging and magnetic resonance

Drelich-Zbroja, Anna; Kuczyńska, Maryla; Majdan, Andrzej; Majdan, Maria

doi:10.20452/pamw.16231

Cited by 1 publication

(1 citation statement)

References 3 publications

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“…This suggests that SMI may improve the diagnostic accuracy of detecting inflammatory vascular lesions in vasculitis. There are several case reports in the literature that have demonstrated the use of SMI in detecting aortitis caused by large-vessel vasculitis: microscopic polyangiitis [ 43 ], giant cell arteritis [ 44 ], and Takayasu arteritis [ 45 , 46 ]. The assessment to evaluate aortitis with SMI has been approved using CEUS and MRI or even positron emission tomography.…”

Section: Discussionmentioning

confidence: 99%

The Use of Superb Microvascular Imaging in Evaluating Rheumatic Diseases: A Systematic Review

Seskute,

Jasionyte,

Rugiene

et al. 2023

Medicina

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Background and Objectives: Superb microvascular imaging is an advanced Doppler algorithm that seems to be useful in detecting low-velocity blood flow without using a contrast agent. Increasing evidence suggests that SMI is a more sensitive tool than conventional Doppler techniques for evaluating rheumatic diseases, especially inflammatory arthritis. We aimed to assess the use of SMI in evaluating joints and extraarticular structures. Materials and Methods: Two reviewers independently reviewed the literature to provide a global overview of the possibilities of SMI in rheumatology. Original English-language articles published between February 2014 and November 2022 were identified through database (PubMed, Medline, Ebsco, the Cochrane Library, and ScienceDirect) searching, and analysed to summarise existing evidence according to PRISMA methodology. Inclusion criteria covered original research articles reporting applications of SMI on rheumatic diseases and musculoskeletal disorders secondary to rheumatic conditions. Qualitative data synthesis was performed. Results: A total of 18 articles were included. No systematic reviews fulfilled our inclusion criteria. Most studies focused on characterising the synovial vascularity of rheumatoid arthritis. There have been several attempts to demonstrate SMI’s value for evaluating extra-articular soft tissues (fat pads or salivary glands) and large-diameter vessels. The quantitative importance of SMI vascular indices could become a useful non-invasive diagnostic marker. Studies on therapeutic applications are still scarce, and the majority of studies have gaps in reporting the methodology (ultrasound performance technique and settings) of the research. Conclusions: SMI has proved to be useful in characterising low-flow vascularity, and growing evidence indicates that SMI is a non-invasive and lower-cost tool for prognostic assessment, especially in inflammatory arthritis. Preliminary findings also suggest potential interest in evaluating the effect of treatment.

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Section: Discussionmentioning

confidence: 99%

The Use of Superb Microvascular Imaging in Evaluating Rheumatic Diseases: A Systematic Review

Seskute,

Jasionyte,

Rugiene

et al. 2023

Medicina

View full text Add to dashboard Cite

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A rare case of aortic involvement in microscopic polyangiitis evaluated in contrast-enhanced ultrasound, superb microvascular imaging and magnetic resonance

Abstract: A rare case of aortic involvement in microscopic polyangiitis (MPA) evaluated in contrast-enhanced ultrasound, superb microvascular imaging and magnetic resonance

Cited by 1 publication

References 3 publications

The Use of Superb Microvascular Imaging in Evaluating Rheumatic Diseases: A Systematic Review

The Use of Superb Microvascular Imaging in Evaluating Rheumatic Diseases: A Systematic Review

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