rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.47360/1995-4484-2022-91-101rsp-3121Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESСовременные возможности визуализации сосудистого повреждения при системных васкулитах крупных сосудовCurrent imaging techniques in large vessel vasculitishttps://orcid.org/0000-0003-2641-9785БекетоваТ. В.BeketovaT. V.

Бекетова Татьяна Валентиновна

115522, Москва, Каширское шоссе, 34а

Tatiana Beketova

115522, Moscow, Kashirskoye Highway, 34A

tvbek22@rambler.ruhttps://orcid.org/0000-0002-7064-5301ЗеленовВ. А.ZelenovV. А.

115522, Москва, Каширское шоссе, 34а

Vasily A. Zelenov

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-1688-7756ЗотиковА. Е.ZotikovA. E.

117997, Москва, ул. Большая Серпуховская, 27

Andrey E. Zotikov

117997, Moscow, Bolshaya Serpukhovskaya str., 27

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian FederationФГБУ «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Минздрава РоссииРоссияA.V. Vishnevsky National Medical Research Center of SurgeryRussian Federation20220103202260191101Copyright © Бекетова Т.В., Зеленов В.А., Зотиков А.Е., 20222022Бекетова Т.В., Зеленов В.А., Зотиков А.Е.Beketova T.V., Zelenov V.А., Zotikov A.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/3121

Инструментальные методы визуализации сосудистого повреждения имеют ключевое значение для диагностики системных васкулитов (СВ) крупных сосудов, оценки эффективности лечения и раннего выявления рецидивов. Несмотря на стремительное развитие ревматологии с углублением представлений о патогенезе СВ, внедрением инновационных стратегий лечения и расширением методов диагностики, в настоящее время не существует универсального метода визуализации, который мог бы предоставить исчерпывающую информацию о состоянии крупных сосудов. Стандартизация инструментальных методов для оценки степени активности и диагностика рецидива относятся к ключевым нерешенным проблемам ведения пациентов с СВ крупных сосудов. В 2018 году были опубликованы рекомендации Европейской антиревматической лиги (EULAR, European League Against Rheumatism), осветившие широкий круг проблем визуализации поражения крупных сосудов при СВ, которые стали результатом систематизированного анализа современных научных достижений и клинического опыта. Целью данной публикации является обобщение современных возможностей инструментального обследования больных системными васкулитами крупных сосудов с общей характеристикой основных положений рекомендаций EULAR и обсуждением некоторых дискуссионных вопросов.

Instrumental imaging modalities play an important role in the diagnosis, evaluation of treatment efficacy and early detection of recurrences in patients with large vessel systemic vasculitis (SV). There’s no currently available universal imaging modality yielding comprehensive information about large vessels regardless all spectacular progress in rheumatology with associated significant insights into SV pathogenesis, innovative therapeutic strategies and broadened diagnostic approaches. Therefore, standardization of instrumental methods in order to accurately assess the disease activity and recognize timely its’ relapse remains a pending issue in management of patients with large vessel SV.Published in 2018 the EULAR (European League Against Rheumatism) guidelines highlighted a wide range of problems concerning visualization of large vessel lesions in SV, resultant from a systematic analysis of up-to-date scientific achievements and clinical experience. The intent of this publication is to summarize the potential of available imaging modalities for patients with large vessel SV in the context of main provisions in the EULAR guidelines and discuss some controversial issues

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The authors declare that there are no conflicts of interest present.