Radiodiagnosis of Takayasu arteriitis: Literature review

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Abstract

Takayasu arteritis (AT) is a rare disease, however, over the past two decades, there has been an increase in the tendency of AT incidence due to improved diagnosis and use of non-invasive imaging techniques into widespread practice. Ultrasound examination, angiography, CT, MRI are the most informative methods for AT diagnosing. Recently, PET CT – a kind of nuclear medicine methodics have appeared in the arsenal of specialists. When visualizing AT, it is necessary to pay attention to the primary lesion of large-caliber arteries, especially the aortic arch and its thoracic area. Thickening of the aortic wall can be extended, cover the entire circumference of the vessel and dominate in the area of adventitia. The article presents an analysis of modern Russian and foreign literature, in which the advantages and disadvantages of the above radiation methods for AT diagnosing are studied.

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About the authors

Grigory E. Roitberg

N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia; JSC «Meditsina» (Clinic of Academician Roitberg)

Author for correspondence.
Email: contact@medicina.com
ORCID iD: 0000-0003-0514-9114

MD, Professor, Academician of RAS, Head of the Department of Therapy, General Medical Practice and Nuclear Medicine of the Faculty of Additional Professional Education, N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia; Head of JSC «Meditsina» (Clinic of Academician Roitberg)

Russian Federation, Moscow; Moscow

Ivan V. Nizienko

N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia; JSC «Meditsina» (Clinic of Academician Roitberg)

Email: contact@medicina.com

Radiologist at JSC «Meditsina» (Clinic of Academician Roitberg)

Russian Federation, Moscow; Moscow

Oksana E. Platonova

N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia; JSC «Meditsina» (Clinic of Academician Roitberg)

Email: contact@medicina.com

PhD in Medical Sciences, Doctor of Ultrasound Diagnostics of the Highest Category, Chief Physician of the Department of Diagnostics of JSC «Meditsina» (Clinic of Academician Roitberg)

Russian Federation, Moscow; Moscow

References

  1. Saadoun D., Bura-Riviere A., Comarmond C. et al.; Collaborators. French recommendations for the management of Takayasu’s arteritis. Orphanet J Rare Dis. 2021; 16(Suppl 3): 311. https://dx.doi.org/10.1186/s13023-021-01922-1.
  2. Бородина И.Э., Попов А.А., Шардина Л.А. с соавт. Артериит Такаясу, диагностика и информированность врачей о заболевании. Медицинский алфавит. 2019; 2(37): 29–33. [Borodina I.E., Popov A.A., Shardina L.A. et al. Assessment of outpatient primary care physicians’ awareness of Takayasu arteritis. Meditsinskiy alfavit = Medical Alphabet. 2019; 2(37): 29–33 (In Russ.)]. https://dx.doi.org/10.33667/2078-5631-2019-2-37(412)-29-33. EDN: ZIEZRE.
  3. Brunner J., Feldman B.M., Tyrrell P.N. et al. Takayasu arteritis in children and adolescents. Rheumatology (Oxford). 2010; 49(10): 1806–14. https://dx.doi.org/10.1093/rheumatology/keq167.
  4. Грабовый Д.А., Джинибалаева Ж.В., Адонина Е.В., Дупляков Д.В. Артериит Такаясу у пациента с подозрением на острый коронарный синдром – обзор литературы и клинический случай. Российский кардиологический журнал. 2021; 26(S1): 74–80. [Grabovyi D.A., Dzhinibalaeva J.V., Adonina E.V., Duplyakov D.V. Takayasu’s arteritis in a patient with suspected acute coronary syndrome – a literature review and a case report. Rossiyskiy kardiologicheskiy zhurnal = Russian Journal of Cardiology. 2021; 26(S1): 74–80 (In Russ.)]. https://dx.doi.org/10.15829/1560-4071-2021-4345. EDN: YJDRCR.
  5. Alnabwani D., Patel P., Kata P. et al. The epidemiology and clinical manifestations of Takayasu arteritis: A descriptive study of case reports. Cureus. 2021; 13(9): e17998. https://dx.doi.org/10.7759/cureus.17998.
  6. Onen F., Akkoc N. Epidemiology of Takayasu arteritis. Presse Med. 2017; 46(7–8 Pt 2): e197–203. https://dx.doi.org/10.1016/j.lpm.2017.05.034.
  7. Kim E.S.H., Beckman J. Takayasu arteritis: Challenges in diagnosis and management. Heart. 2018; 104(7): 558–65. https://dx.doi.org/10.1136/heartjnl-2016-310848.
  8. Danda D., Manikuppam P., Tian X., Harigai M. Advances in Takayasu arteritis: An Asia Pacific perspective. Front Med (Lausanne). 2022; 9: 952972. https://dx.doi.org/10.3389/fmed.2022.952972.
  9. Mason J.C. Takayasu arteritis – advances in diagnosis and management. Nat Rev Rheumatol. 2010; 6(7): 406–15. https://dx.doi.org/10.1038/nrrheum.2010.82.
  10. Заднепровская В.В., Сушкова А.В. Вопросы диагностики неспецифического аортоартериита. Клиническая физиология кровообращения. 2019; 16(2): 140–147. [Zadneprovskaya V.V., Sushkova A.V. Questions of diagnosis of nonspecific aortoarteritis. Klinicheskaya fiziologiya krovoobrashcheniya = Clinical Physiology of Circulation. 2019; 16(2): 140–147 (In Russ.). https://dx.doi.org/10.24022/1814-6910-2019-16-2-140-147. EDN: RRSOIG.
  11. Tombetti E., Mason J.C. Application of imaging techniques for Takayasu arteritis. Presse Med. 2017; 46(7–8 Pt 2): e215–23. https://dx.doi.org/10.1016/j.lpm.2017.03.022.
  12. Barra L., Kanji T., Malette J., Pagnoux C. Imaging modalities for the diagnosis and disease activity assessment of Takayasu’s arteritis: A systematic review and meta-analysis. Autoimmun Rev. 2018; 17(2): 175–87. https://dx.doi.org/10.1016/j.autrev.2017.11.021.
  13. Betrains A., Blockmans D. Diagnostic approaches for large vessel vasculitides. Open Access Rheumatol. 2021; 13: 153–65. https://dx.doi.org/10.2147/OARRR.S282605.
  14. Slart R.H.J.A.; Writing group; Reviewer group; Members of EANM Cardiovascular; Members of EANM Infection & Inflammation; Members of Committees, SNMMI Cardiovascular; Members of Council, PET Interest Group; Members of ASNC; EANM Committee Coordinator. FDG-PET/CT(A) imaging in large vessel vasculitis and polymyalgia rheumatica: Joint procedural recommendation of the EANM, SNMMI, and the PET Interest Group (PIG), and endorsed by the ASNC. Eur J Nucl Med Mol Imaging. 2018; 45(7): 1250–69. https://dx.doi.org/10.1007/s00259-018-3973-8.
  15. Басек И.В., Березкина Н.Н. Роль МСКТ-ангиографии в диагностике артериита Такаясу. Клиническое наблюдение. Трансляционная медицина. 2018; 5(6): 51–57. [Basek I.V., Berezkina N.N. The role of MDCT angiography in the diagnosis of Takayasu arteritis. Case report. Translyatsionnaya meditsina = Translational Medicine. 2018; 5(6): 51–57 (In Russ.)]. EDN: YXHYTB.
  16. Khandelwal N., Kalra N., Garg M.K. et al. Multidetector CT angiography in Takayasu arteritis. Eur J Radiol. 2011; 77(2): 369–74. https://dx.doi.org/10.1016/j.ejrad.2009.08.001.
  17. Kim S.Y., Park J.H., Chung J.W. et al. Follow-up CT evaluation of the mural changes in active Takayasu arteritis. Korean J Radiol. 2007; 8(4): 286–94. https://dx.doi.org/10.3348/kjr.2007.8.4.286.
  18. Kissin E.Y., Merkel P.A. Diagnostic imaging in Takayasu arteritis. Curr Opin Rheumatol. 2004; 16(1): 31–37. https://dx.doi.org/10.1097/00002281-200401000-00007.
  19. Dammacco F., Cirulli A., Simeone A. et al. Takayasu arteritis: A cohort of Italian patients and recent pathogenetic and therapeutic advances. Clin Exp Med. 2021; 21(1): 49–62. https://dx.doi.org/10.1007/s10238-020-00668-7.
  20. Громов А.И., Буйлов В.М. Лучевая диагностика и терапия в урологии: национальное руководство. М.: ГОЭТАР-Медиа. 2011; 544 с. [Gromov A. I., Bujlov V. M. Radiation diagnostics and therapy in urology: National manual. Moscow: GEOTAR-Media. 2011; 544 pp. (In Russ.)]. ISBN: 978-5-9704-2018-8.
  21. Alibaz-Oner F., Aydın S.Z., Direskeneli H. Recent advances in Takayasu’s arteritis. Eur J Rheumatol. 2015; 2(1): 24–30. https://dx.doi.org/10.5152/eurjrheumatol.2015.0060.
  22. Fuchs M., Briel M., Daikeler T. et al. The impact of 18F-FDG PET on the management of patients with suspected large vessel vasculitis. Eur J Nucl Med Mol Imaging. 2012; 39(2): 344–53. https://dx.doi.org/10.1007/s00259-011-1967-x.
  23. Tso E., Flamm S.D., White R.D. et al. Takayasu arteritis: Utility and limitations of magnetic resonance imaging in diagnosis and treatment. Arthritis Rheum. 2002; 46(6): 1634–42. https://dx.doi.org/10.1002/art.10251.
  24. Yamada I., Nakagawa T., Himeno Y. et al. Takayasu arteritis: Diagnosis with breath-hold contrast-enhanced three-dimensional MR angiography. J Magn Reson Imaging. 2000; 11(5): 481–87. https://dx.doi.org/10.1002/(sici)1522-2586(200005)11:5<481::aid-jmri3>3.0.co;2-4.
  25. Смитиенко И.О., Атясова Е.В., Новиков П.И. Методы визуализации сосудистого воспаления при артериите Такаясу. РМЖ. 2017; 25(7): 442–445. [Smitienko I.O., Atyasova E.V., Novikov P.I. Imagining techniques for vascular inflammation in Takayasu’s arteritis. Russkiy meditsinskiy zhurnal = Russian Medical Journal. 2017; 25(7): 442–445 (In Russ.)]. EDN: ZJEBNH.
  26. Ройтберг Г.Е., Аникеева О.Ю. Роль ПЭТ-КТ в выборе тактики лечения при раке поджелудочной железы: клиническое наблюдение. Южно-Российский онкологический журнал. 2020; 1(4): 54–60. [Roitberg G.E., Anikeeva O.Yu. PET-CT monitoring in the treatment of pancreatic cancer. Yuzhno-Rossiyskiy onkologicheskiy zhurnal = South Russian Journal of Cancer. 2020; 1(4): 54–60 (In Russ.)]. https://dx.doi.org/10.37748/2687-0533-2020-1-4-7. EDN: LNIBJF.
  27. Асланиди И.П., Манукова В.А., Мухортова О.В. с соавт. Позитронно-эмиссионная томография с 18F-фтордезоксиглюкозой в оценке эффективности лечения гигантоклеточного артериита и артериита Такаясу. Бюллетень НЦССХ им. А.Н. Бакулева РАМН. 2017; 18(4): 380–90. [Aslanidi I.P., Manukova V.A., Mukhortova O.V. et al. 18F-fluorodeoxyglucose positron emission tomography in monitoring of therapy effectiveness in large vessel vasculitides. Byulleten’ Nauchnogo tsentra serdechno-sosudistoy khirurgii imeni A.N. Bakuleva RAMN = Bulletin of the Scientific Center for Cardiovascular Surgery named after A.N. Bakulev of RAMS. 2017; 18(4): 380–90 (In Russ.)]. https://dx.doi.org/10.24022/1810-0694-2017-18-4-380-390. EDN: YTVLWH.
  28. Quinn K.A., Rosenblum J.S., Rimland C.A. et al. Imaging acquisition technique influences interpretation of positron emission tomography vascular activity in large-vessel vasculitis. Semin Arthritis Rheum. 2020; 50(1): 71–76. https://dx.doi.org/10.1016/j.semarthrit.2019.07.008.
  29. Lensen K.D., Comans E.F., Voskuyl A.E. et al. Large-vessel vasculitis: Interobserver agreement and diagnostic accuracy of 18F-FDG-PET/CT. Biomed Res Int. 2015; 2015: 914692. https://dx.doi.org/10.1155/2015/914692.
  30. de Leeuw K., Bijl M., Jager P.L. Additional value of positron emission tomography in diagnosis and follow-up of patients with large vessel vasculitides. Clin Exp Rheumatol. 2004; 22(6 Suppl 36): S21–26.
  31. Galli E., Muratore F., Mancuso P. et al. The role of PET/CT in disease activity assessment in patients with large vessel vasculitis. Rheumatology (Oxford). 2022; 61(12): 4809–16. https://dx.doi.org/10.1093/rheumatology/keac125.
  32. Cheng Y., Lv N., Wang Z. et al. 18-FDG-PET in assessing disease activity in Takayasu arteritis: A meta-analysis. Clin Exp Rheumatol. 2013; 31(1 Suppl 75): S22–S27.
  33. Soussan M., Nicolas P., Schramm C. et al. Management of large-vessel vasculitis with FDG-PET: A systematic literature review and meta-analysis. Medicine (Baltimore) 2015; 94(14): e622. https://dx.doi.org/10.1097/MD.0000000000000622.
  34. Karapolat I., Kalfa M., Keser G. et al. Comparison of F18-FDG PET/CT findings with current clinical disease status in patients with Takayasu’s arteritis. Clin Exp Rheumatol. 2013; 31(1 Suppl 75): S15–21.
  35. Tezuka D., Haraguchi G., Ishihara T. et al. Role of FDG PET-CT in Takayasu arteritis: Sensitive detection of recurrences. JACC Cardiovasc Imaging. 2012; 5(4): 422–29. https://dx.doi.org/10.1016/j.jcmg.2012.01.013.

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