Comparative study of 18F-FDG PET/CT and CT angiography in the detection of large vessel vasculitis

Solanes, M. Moragas; Magarolas, Marta Andreu; Miramon, J.C. Martín; Aróztegui, A.P. Caresia; Jiménez, M. Monteagudo; Morera, J.C. Oliva; Martin, Charles G.; Revuelto, A. Rodríguez; Ferrer, Z. Bravo; Roqueta, Ll. Bernà

doi:10.1016/j.remnie.2019.06.001

Cited by 4 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a report evaluating the diagnostic accuracy of contrast-enhanced CT for large-vessel vasculitis using three criteria (visualization of circumferential thickening of the aortic wall, contrast enhancement in the aortic wall, and inflammatory changes in the periaortic tissue), the diagnostic accuracy was reported to have 60.9% sensitivity and 97.2% specificity. 10 In our patient, a contrast-enhanced CT was performed after the diagnosis was confirmed, and only slight circumferential wall thickening of the aorta was observed with contrast enhancement ( Supplemental Figure S1 ). Therefore, primary care physicians should be cautious about ruling out TA on CT if vasculitis is suspected, especially in the early stages of the disease.…”

Section: Discussionmentioning

confidence: 68%

Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report

Maita

Kobayashi

Akimoto

et al. 2023

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

A 51-year-old otherwise healthy woman was referred to our hospital with a fever of unknown origin, liver dysfunction, and anemia. One month prior, she had persistent and spontaneous anterior neck pain, with no exacerbation during swallowing or neck movements. Physical examination revealed no pharyngeal or tonsillar abnormalities, heart murmur, arthritis, skin rash, or lymphadenopathy, except for mild bilateral common carotid artery tenderness at the level of the thyroid cartilage. Blood tests showed nonspecific chronic inflammatory findings, anemia, and liver damage, whereas blood cultures, viral antibodies, interferon-γ release assay, and antibodies specific for any collagen disease showed negative results. Echocardiography and computed tomography without contrast of the neck, chest, abdomen, and pelvis showed no apparent abnormalities. She was subsequently diagnosed with Takayasu arteritis using positron emission tomography. Identifying a characteristic history of bilateral carotid artery tenderness and subsequent positron emission tomography can be useful for diagnosing Takayasu arteritis.

show abstract

Section: Discussionmentioning

confidence: 68%

Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report

Maita

Kobayashi

Akimoto

et al. 2023

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…02 (a-c, d-f) using these two methods for quantitative assessment of the inflammatory region, it was found that PETVAS was superior to SUVmax in describing the overall inflammatory load parameters [70]. The second semiquantitative method calculates the ratio of SUVmax between arteries and the liver [74,76]. It had a sensitivity of 79.3% and a specificity of 100.0%, respectively, when the cut-off value equal to 1.27 [74].…”

Section: Assess Disease Activitymentioning

confidence: 96%

Application progress of multiple imaging modalities in Takayasu arteritis

Jia

Liu

et al. 2021

Int J Cardiovasc Imaging

View full text Add to dashboard Cite

Takayasu arteritis (TA) is a chronic, idiopathic, granulomatous large vessel vasculitis of unknown etiology. The clinical manifestations of TA are incredibly variable, mainly depending on the location of the lesions. In the light of its insidious progress and the diversity of clinical manifestations, a substantial proportion of patients might experience a considerable delay in diagnosis, which leads to irreversible malignant complications, highlighting the importance of early diagnosis. There has been accumulating evidence that early identification of disease is pivotal to initiate timely therapy and ameliorate the prognosis. Therefore, this review discusses and summarizes the latest evidence on the application progress of multiple imaging modalities.

show abstract

“…A small case-control study showed that CTA was able to resolve superficial temporal artery abnormalities such as perivascular contrast enhancement and blurring of vessel walls ( 79 ). Several studies ( 80 , 81 ) suggest that PET/CT provides superior sensitivity over CTA alone. This is reflected in the EULAR guidelines, which do not routinely recommend that the diagnosis of GCA or evaluation of LVV hinge on CTA ( 82 ).…”

Section: Diagnosticsmentioning

confidence: 99%

Current developments in the diagnosis and treatment of giant cell arteritis

Szekeres

Othman

2022

Front. Med.

View full text Add to dashboard Cite

Giant cell arteritis is the most common vasculitis in adults above 50 years old. The disease is characterized by granulomatous inflammation of medium and large arteries, particularly the temporal artery, and is associated acutely with headache, claudication, and visual disturbances. Diagnosis of the disease is often complicated by its protean presentation and lack of consistently reliable testing. The utility of color doppler ultrasound at the point-of-care and FDG-PET in longitudinal evaluation remain under continued investigation. Novel techniques for risk assessment with Halo scoring and stratification through axillary vessel ultrasound are becoming commonplace. Moreover, the recent introduction of the biologic tocilizumab marks a paradigm shift toward using glucocorticoid-sparing strategies as the primary treatment modality. Notwithstanding these developments, patients continue to have substantial rates of relapse and biologic agents have their own side effect profile. Trials are underway to answer questions about optimal diagnostic modality, regiment choice, and duration.

show abstract

Comparative study of 18F-FDG PET/CT and CT angiography in the detection of large vessel vasculitis

Cited by 4 publications

References 26 publications

Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report

Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report

Application progress of multiple imaging modalities in Takayasu arteritis

Current developments in the diagnosis and treatment of giant cell arteritis

Contact Info

Product

Resources

About