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ArticleClinical rheumatology2025

Brain computed tomography perfusion alterations in patients with Takayasu arteritis with steno-occlusive carotid arteries: a retrospective study.

Jin Ding, Hongmei Zhang, Hongliang Zhao, Wenjuan Wang, Penghua Jiao, Junfeng Jia, Kui Zhang, Ping Zhu, Zhaohui Zheng

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Article in Clinical rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jin Ding *Department of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China.ORCID http://orcid.org/0000-0003-3585-6063
Hongmei Zhang *Department of Radiology, Pucheng County Hospital, Weinan, 715500, Shaanxi, China.
Hongliang ZhaoDepartment of Radiology, Xijing Hospital, Fourth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China.
Wenjuan WangDepartment of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China.
Penghua JiaoHenan Medical School of Zhengzhou University, Zhengzhou, 450001, Henan, China.
Junfeng JiaDepartment of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China.
Kui ZhangDepartment of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China.
Ping ZhuDepartment of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China. zhuping@fmmu.edu.cn.ORCID http://orcid.org/0000-0002-8391-4945
Zhaohui ZhengDepartment of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China. zhengzh@fmmu.edu.cn.ORCID http://orcid.org/0000-0003-4807-0406

Funding

Key Research and Development Projects of Shaanxi Province 2023-ZDLSF-41Xijing Zhutui Project XJZT24JC20
6 · The paper itself

Abstract

INTRODUCTION/

objectiveData on computed tomography perfusion (CTP) in Takayasu arteritis (TAK) patients are limited. Herein, we used CTP combined with computed tomography angiography (CTA) to investigate the brain hemodynamic status in TAK patients with stenosis/occlusive carotid arteries.

methodsWe retrospectively analyzed 49 TAK patients with carotid artery stenosis or occlusion who had ischemic manifestations and completed a one-stop aortic CTA and brain CTP at Xijing Hospital between 2021 and 2023. Hemodynamic parameters, including cerebral blood flow (CBF), cerebral blood volume (CBV), mean transit time (MTT), and time to maximum (Tmax), were compared between groups using independent samples t-test or the Mann-Whitney U test. Relationships among CTP parameters and disease activity were evaluated by correlation analyses.

resultsAmong 49 patients (43 females; age 38.7 ± 11.1 years), 15 had common carotid artery occlusion (four bilateral, six right, and five left). Compared with the non-occlusion group, the occlusion group had longer MTT and Tmax (p < 0.05) but showed no differences in CBV and CBF values. Patients with different degrees of lesions on two sides of the carotid artery (n = 31) had lower mean CBF on the severely affected side than on the contralateral side (p = 0.022). In contrast, mean MTT (p = 0.036) and Tmax (p = 0.024) were longer. Patients with more severe ischemic symptoms had longer Tmax than patients with mild symptoms (p < 0.05). Tmax was moderately correlated with disease activity indices (p < 0.05).

conclusionsAlterations in cerebral hemodynamic perfusion were observed in TAK patients. The implications of these findings in evaluating brain ischemia and dysfunction require further investigation. Key Points • Alterations in cerebral hemodynamic perfusion were observed in TAK patients. • Compared with patients without common carotid artery occlusion, patients with occlusion had longer MTT and Tmax values. • In patients with different degrees of lesions on the two sides of the carotid artery, the severely affected side had a lower CBF and prolonged MTT and Tmax than the contralateral side. • Patients with moderate-to-severe ischemic manifestations had a longer Tmax than patients with mild symptoms, and MTT and Tmax correlated with disease activity indices.

Indexed as

BrainCarotid StenosisCerebrovascular CirculationTakayasu ArteritisAdultComputed Tomography AngiographyFemaleHemodynamicsHumansMaleMiddle AgedRetrospective StudiesTomography, X-Ray ComputedBrain ischemiaComputed tomography perfusionRetrospective studyTakayasu arteritis

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.