Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis

Hazırolan, Tuncay; Kalyoncu, Umut; erden, abdulsamet; Kılıç, Levent; KİRAZ, SEDAT; KARADAĞ, ÖMER; keleşoğlu dinçer, ayşe bahar

doi:10.3906/sag-2005-70

Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis

Ayşe Bahar KELEŞOĞLU DİNÇER, (Hacettepe Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Anabilim Dalı, Ankara, Türkiye)

Levent KILIÇ, (Hacettepe Üniversitesi, Tıp Fakültesi, Romatoloji Anabilim Dalı, Ankara, Türkiye)

Abdulsamet ERDEN, (Hacettepe Üniversitesi, Tıp Fakültesi, Romatoloji Anabilim Dalı, Ankara, Türkiye)

Umut KALYONCU, (Hacettepe Üniversitesi, Tıp Fakültesi, Romatoloji Anabilim Dalı, Ankara, Türkiye)

Tuncay HAZIROLAN, (Hacettepe Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Sedat KIRAZ, (Hacettepe Üniversitesi, Tıp Fakültesi, Romatoloji Anabilim Dalı, Ankara, Türkiye)

Ömer KARADAĞ (Hacettepe Üniversitesi, Tıp Fakültesi, Romatoloji Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Medical Sciences

1 0

Yıl: 2021 Cilt: 51 Sayı: 1 Sayfa Aralığı: 224 - 230 Metin Dili: İngilizce DOI: 10.3906/sag-2005-70 İndeks Tarihi: 26-01-2022

Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis

Öz:

Background/aim: Takayasu’s arteritis (TA) is a rare, large-vessel vasculitis of unknown etiology, affecting aortic arch, and its main branches. Noninvasive imaging methods are frequently used in diagnosis and follow-up in Takayasu’s arteritis. Studies investigating optimal timing of follow up imaging are rare. This study is aimed to investigate the radiologic changes in vascular involvements of Takayasu’s arteritis patients one year after diagnosis. Materials and methods: Database of our Vasculitis Center was analyzed retrospectively and 97 patients were included into the study. Demographic, clinical, radiological, and therapeutic findings of patients were recorded. Patients with follow-up imaging after approximately one year of diagnosis were recruited into further analysis. Radiological changes and the effect of different immunosuppressive agents on vascular involvements were investigated. Results: Mean age and disease duration of patients were 43.0 and 9.0 years. The most commonly used imaging methods/modalities for the diagnosis of TA were computer tomography-angiography (CT-Ang) (58.8%), magnetic resonance-angiography (MR-Ang) (29.9%), and doppler ultrasonography (11.3%). Subclavian and common carotid arteries were the most frequently involved vessels. Fifty-three patients underwent follow-up imaging after one year of diagnosis and, in 64% of patients, same imaging method had been used. MRAng (62.3%) and CT-Ang (35.9%) were the most preferred follow-up imaging studies. Sixty-eight percent of patients had stable vascular involvement, 28% had progression, and 4% had regression. No difference was found in radiological changes regarding patients with usage of different immunosuppressive agents (P = 0.634). There was no association between the change in serum acute phase reactants and radiological disease activity. Conclusion: The most commonly used imaging modality for the diagnosis of TA was CT-Ang, whereas MR-Ang was the most preferred for follow-up. Almost 30% of TA patients in our Vasculitis Center had progression at around one year concordant with previous literature. A follow-up imaging at around one year of treatment seems feasible in management of TA.Key words: Takayasu’s arteritis, computer tomography angiography, magnetic resonance angiography, doppler ultrasonography, conventional angiography, positron-emission tomography

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	keleşoğlu dinçer a, Kılıç L, erden a, Kalyoncu U, Hazırolan T, KİRAZ S, KARADAĞ Ö (2021). Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. , 224 - 230. 10.3906/sag-2005-70
Chicago	keleşoğlu dinçer ayşe bahar,Kılıç Levent,erden abdulsamet,Kalyoncu Umut,Hazırolan Tuncay,KİRAZ SEDAT,KARADAĞ ÖMER Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. (2021): 224 - 230. 10.3906/sag-2005-70
MLA	keleşoğlu dinçer ayşe bahar,Kılıç Levent,erden abdulsamet,Kalyoncu Umut,Hazırolan Tuncay,KİRAZ SEDAT,KARADAĞ ÖMER Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. , 2021, ss.224 - 230. 10.3906/sag-2005-70
AMA	keleşoğlu dinçer a,Kılıç L,erden a,Kalyoncu U,Hazırolan T,KİRAZ S,KARADAĞ Ö Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. . 2021; 224 - 230. 10.3906/sag-2005-70
Vancouver	keleşoğlu dinçer a,Kılıç L,erden a,Kalyoncu U,Hazırolan T,KİRAZ S,KARADAĞ Ö Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. . 2021; 224 - 230. 10.3906/sag-2005-70
IEEE	keleşoğlu dinçer a,Kılıç L,erden a,Kalyoncu U,Hazırolan T,KİRAZ S,KARADAĞ Ö "Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis." , ss.224 - 230, 2021. 10.3906/sag-2005-70
ISNAD	keleşoğlu dinçer, ayşe bahar vd. "Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis". (2021), 224-230. https://doi.org/10.3906/sag-2005-70

APA	keleşoğlu dinçer a, Kılıç L, erden a, Kalyoncu U, Hazırolan T, KİRAZ S, KARADAĞ Ö (2021). Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. Turkish Journal of Medical Sciences, 51(1), 224 - 230. 10.3906/sag-2005-70
Chicago	keleşoğlu dinçer ayşe bahar,Kılıç Levent,erden abdulsamet,Kalyoncu Umut,Hazırolan Tuncay,KİRAZ SEDAT,KARADAĞ ÖMER Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. Turkish Journal of Medical Sciences 51, no.1 (2021): 224 - 230. 10.3906/sag-2005-70
MLA	keleşoğlu dinçer ayşe bahar,Kılıç Levent,erden abdulsamet,Kalyoncu Umut,Hazırolan Tuncay,KİRAZ SEDAT,KARADAĞ ÖMER Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. Turkish Journal of Medical Sciences, vol.51, no.1, 2021, ss.224 - 230. 10.3906/sag-2005-70
AMA	keleşoğlu dinçer a,Kılıç L,erden a,Kalyoncu U,Hazırolan T,KİRAZ S,KARADAĞ Ö Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. Turkish Journal of Medical Sciences. 2021; 51(1): 224 - 230. 10.3906/sag-2005-70
Vancouver	keleşoğlu dinçer a,Kılıç L,erden a,Kalyoncu U,Hazırolan T,KİRAZ S,KARADAĞ Ö Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis. Turkish Journal of Medical Sciences. 2021; 51(1): 224 - 230. 10.3906/sag-2005-70
IEEE	keleşoğlu dinçer a,Kılıç L,erden a,Kalyoncu U,Hazırolan T,KİRAZ S,KARADAĞ Ö "Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis." Turkish Journal of Medical Sciences, 51, ss.224 - 230, 2021. 10.3906/sag-2005-70
ISNAD	keleşoğlu dinçer, ayşe bahar vd. "Imaging modalities used in diagnosis and follow-up of patients with Takayasu’s arteritis". Turkish Journal of Medical Sciences 51/1 (2021), 224-230. https://doi.org/10.3906/sag-2005-70