Vasculitis & polymyalgia rheumatica

Comprehensive magnetic resonance imaging evaluation in a cohort of 145 patients with Takayasu's arteritis. Proposal for a standardised and systematic reporting format

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Comprehensive assessment of patients with TAK by MRI with a standardised and systematic reporting format is a tool that may allow better interdisciplinary communication in the study of this vasculitis.

Study context

Population
Patients with ≥4 TAK criteria who underwent magnetic resonance imaging (MRI) between 2003–2024128 (88%) women
Participants
145 patients
Outcome
Vascular and organic lesions on MRI (presence and type of vascular lesion by segment, impact on target organ)
Methodological detailsstandardised and systematic MRI reporting format, whole-body angiography and target-organ assessment
  • Standardised and systematic MRI reporting format
  • Whole-body angiography and target-organ assessment

Main finding

As reported in the abstract

Vascular involvement on MRI angiography
Most frequent angiographic classification
Type V
Cerebral involvement
27 (18%)
Coronary involvement
12 (8.2%)
Pulmonary involvement
25 (17%)
Right renal involvement
50 (34%)
Left renal involvement
42 (39%)
Lower limb arteries involvement
48 (33%)
Stroke
27 (19%)

Observational data: associations, not effects.

Further findings

Cardiac MRI findings (108 patients)

Any cardiac abnormality
70 (65%)
MI
10 (9.3 %)
Aortic regurgitation
26 (17%)
Mitral regurgitation
14 (8.3%)
Complete AV-Block
1 (0.7%)

Original publication

Comprehensive magnetic resonance imaging evaluation in a cohort of 145 patients with Takayasu's arteritis. Proposal for a standardised and systematic reporting format. Clin Exp Rheumatol. Published 2 February 2025. doi:10.55563/clinexprheumatol/4bmcp0

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