Principles of Imaging in Vasculitides

for large- and certain medium-vessel vasculitides, various imaging techniques can be useful

  • magnetic resonance angiography (MRA) or computed tomography angiography (CTA) allow for the assessment of
    • extensive vascular territories
    • vessels not readily accessible for tissue biopsy
  • ultrasound, particularly color-coded duplex sonography, is often used as first-line imaging in patients with suspected giant cell arteritis (GCA)

small-vessel vasculitides

  • difficult to directly visualize with imaging
  • indirect signs can be detected;
  • this may play a role in evaluating disease activity and extent of involvement

Reference - Curr Rheumatol Rep 2020 Jun 19;22(8):34