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논문 기본 정보

자료유형
학술저널
저자정보
권오찬 (연세대학교) 전태주 (연세대학교) 박민찬 (연세대학교)
저널정보
연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제62권 제9호
발행연도
2021.9
수록면
814 - 821 (8page)
DOI
10.3349/ymj.2021.62.9.814

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Purpose: To evaluate whether vascular uptake on 18F-fluorodeoxyglucose positron emission tomography/computed tomography(18F-FDG PET/CT) during the clinically inactive state of Takayasu arteritis (TAK) is associated with disease relapse. Materials and Methods: Patients with TAK who underwent 18F-FDG PET/CT during the clinically inactive state of the disease between2006 and 2019 were included. Clinically inactive disease was defined as a status not fulfilling the National Institutes of Health(NIH) criteria for active disease in TAK. Relapse was defined as recurrence of clinically active disease after a clinically inactive period,requiring change in the treatment regimen. Vascular uptake on 18F-FDG PET/CT was assessed using target/background ratio(TBR), calculated as arterial maximum standardized uptake value (SUV)/mean SUV in venous blood pool. Multivariable Coxregression analysis was performed to identify factors associated with relapse. Results: A total of 33 patients with clinically inactive TAK were included. During a median observation period of 4.5 (0.9?8.1)years, relapse occurred in 9 (27.3%) patients at median 1.3 (0.7?6.9) years. Notably, TBR [1.5 (1.3?1.8) vs. 1.3 (1.1?1.4), p=0.044]was significantly higher in patients who relapsed than in those who did not. On multivariable Cox regression analysis, the presenceof NIH criterion 2 [adjusted hazard ratio (HR): 7.044 (1.424?34.855), p=0.017] and TBR [adjusted HR: 11.533 (1.053?126.282),p=0.045] were significantly associated with an increased risk of relapse. Conclusion: Vascular uptake on 18F-FDG PET/CT and the presence of NIH criterion 2 are associated with future relapse in patientswith clinically inactive TAK.

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