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Bildgebende Techniken zur Diagnostik primärer Großgefäßvaskulitiden

Teil 2: Duplexsonographie, Positronenemissionstomographie, Computertomographie und ophthalmologische Diagnostik

Imaging techniques in the evaluation of primary large vessel vasculitides

Part 2: duplex ultrasound, positron emission tomography, computed tomography, and ophthalmological methods

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Zeitschrift für Rheumatologie Aims and scope Submit manuscript

Zusammenfassung

Diese Übersichtsarbeit befasst sich mit der klinischen Anwendung und technischen Aspekten bildgebender Verfahren, die alternativ oder komplementär zur Angiographie und Magnetresonanztomographie bei Patienten mit Takayasu-Arteriitis oder Riesenzellarteriitis genutzt werden. Für die Beurteilung peripherer Arterien ist die Duplexsonographie aufgrund der hohen Ortsauflösung besonders geeignet. Mit der Positronenemissionstomographie als Methode zur Ganzkörperuntersuchung ist das Ausmaß der entzündlichen Aktivität abgesehen von kraniellen Arterien am besten zu erfassen. Die Computertomographie ermöglicht angiographische Untersuchungen und die Beurteilung von Wandverdickungen großer Arterien und ist Methode der Wahl bei Notfalluntersuchungen von Aneurysmen und Dissektionen der Aorta. Ophthalmologische Methoden beinhalten neben angiographischem und sonographischen Techniken die Biomikroskopie einschließlich Funduskopie sowie die optische Kohärenztomographie.

Abstract

This article focuses on the clinical application and technical aspects of imaging methods which are used alternatively or additionally to angiography or magnetic resonance imaging in patients with Takayasu’s arteritis or giant cell arteritis. Providing a high spatial resolution, duplex ultrasound is particularly suitable for the evaluation of peripheral arteries. With the exception of cranial arteries, positron emission tomography as a whole body examination is the best imaging modality for the assessment of inflammatory activity. Computed tomography is used for angiographic examinations and enables evaluation of wall thickening in large arteries. It is the method of choice in the case of emergencies due to aortic aneurysm or dissection. In addition to angiographic and ultrasound techniques, ophthalmological methods comprise biomicroscopy, including funduscopy and optical coherence tomography.

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Authors and Affiliations

  1. Klinik für Diagnostische Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 9, 24105, Kiel, Deutschland

    M. Both & M. Heller

  2. Klinik für Ophthalmologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland

    B. Nölle

  3. Klinik für Nuklearmedizin, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland

    C. von Forstner

  4. Klinikum Bad Bramstedt, Klinik für Rheumatologie und Immunologie und Poliklinik für Rheumatologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland

    F. Moosig & W.L. Gross

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  1. M. Both
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  3. C. von Forstner
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Correspondence to M. Both.

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Both, M., Nölle, B., von Forstner, C. et al. Bildgebende Techniken zur Diagnostik primärer Großgefäßvaskulitiden. Z. Rheumatol. 68, 819–833 (2009). https://doi.org/10.1007/s00393-009-0565-9

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  • DOI: https://doi.org/10.1007/s00393-009-0565-9

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