Imaging of peripheral vascular malformations — current concepts and future perspectives

Vascular Malformations belong to the spectrum of orphan diseases and can involve all segments of the vascular tree: arteries, capillaries, and veins, and similarly the lymphatic vasculature. The classification according to the International Society for the Study of Vascular Anomalies (ISSVA) is of m...

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Published inMolecular and cellular pediatrics Vol. 8; no. 1; p. 19
Main Authors Schmidt, Vanessa F., Masthoff, Max, Czihal, Michael, Cucuruz, Beatrix, Häberle, Beate, Brill, Richard, Wohlgemuth, Walter A., Wildgruber, Moritz
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 07.12.2021
Springer Nature B.V
Subjects
Angiography
Arteries
Capillaries
Computed tomography
Diabetes
Endocrinology
Magnetic resonance imaging
Medical imaging
Medicine
Medicine & Public Health
Oncology
Pediatric Diagnostics: Novel Imaging and Biomarker Strategies
Pediatrics
Phenotypes
Positron emission tomography
Review
Reviews
Thermography
Tomography
Ultrasonic imaging
Ultrasound
Vascular malformations
Duplex ultrasound
Molecular imaging
Multispectral optoacoustic tomography
Magnetic resonance imaging
Positron emission tomography
Thermography
Online AccessGet full text
ISSN2194-7791
2194-7791
DOI10.1186/s40348-021-00132-w

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Abstract Vascular Malformations belong to the spectrum of orphan diseases and can involve all segments of the vascular tree: arteries, capillaries, and veins, and similarly the lymphatic vasculature. The classification according to the International Society for the Study of Vascular Anomalies (ISSVA) is of major importance to guide proper treatment. Imaging plays a crucial role to classify vascular malformations according to their dominant vessel type, anatomical extension, and flow pattern. Several imaging concepts including color-coded Duplex ultrasound/contrast-enhanced ultrasound (CDUS/CEUS), 4D computed tomography angiography (CTA), magnetic resonance imaging (MRI) including dynamic contrast-enhanced MR-angiography (DCE-MRA), and conventional arterial and venous angiography are established in the current clinical routine. Besides the very heterogenous phenotypes of vascular malformations, molecular and genetic profiling has recently offered an advanced understanding of the pathogenesis and progression of these lesions. As distinct molecular subtypes may be suitable for targeted therapies, capturing certain patterns by means of molecular imaging could enhance non-invasive diagnostics of vascular malformations. This review provides an overview of subtype-specific imaging and established imaging modalities, as well as future perspectives of novel functional and molecular imaging approaches. We highlight recent pioneering imaging studies including thermography, positron emission tomography (PET), and multispectral optoacoustic tomography (MSOT), which have successfully targeted specific biomarkers of vascular malformations.
AbstractList Vascular Malformations belong to the spectrum of orphan diseases and can involve all segments of the vascular tree: arteries, capillaries, and veins, and similarly the lymphatic vasculature. The classification according to the International Society for the Study of Vascular Anomalies (ISSVA) is of major importance to guide proper treatment. Imaging plays a crucial role to classify vascular malformations according to their dominant vessel type, anatomical extension, and flow pattern. Several imaging concepts including color-coded Duplex ultrasound/contrast-enhanced ultrasound (CDUS/CEUS), 4D computed tomography angiography (CTA), magnetic resonance imaging (MRI) including dynamic contrast-enhanced MR-angiography (DCE-MRA), and conventional arterial and venous angiography are established in the current clinical routine. Besides the very heterogenous phenotypes of vascular malformations, molecular and genetic profiling has recently offered an advanced understanding of the pathogenesis and progression of these lesions. As distinct molecular subtypes may be suitable for targeted therapies, capturing certain patterns by means of molecular imaging could enhance non-invasive diagnostics of vascular malformations. This review provides an overview of subtype-specific imaging and established imaging modalities, as well as future perspectives of novel functional and molecular imaging approaches. We highlight recent pioneering imaging studies including thermography, positron emission tomography (PET), and multispectral optoacoustic tomography (MSOT), which have successfully targeted specific biomarkers of vascular malformations.
Vascular Malformations belong to the spectrum of orphan diseases and can involve all segments of the vascular tree: arteries, capillaries, and veins, and similarly the lymphatic vasculature. The classification according to the International Society for the Study of Vascular Anomalies (ISSVA) is of major importance to guide proper treatment. Imaging plays a crucial role to classify vascular malformations according to their dominant vessel type, anatomical extension, and flow pattern. Several imaging concepts including color-coded Duplex ultrasound/contrast-enhanced ultrasound (CDUS/CEUS), 4D computed tomography angiography (CTA), magnetic resonance imaging (MRI) including dynamic contrast-enhanced MR-angiography (DCE-MRA), and conventional arterial and venous angiography are established in the current clinical routine. Besides the very heterogenous phenotypes of vascular malformations, molecular and genetic profiling has recently offered an advanced understanding of the pathogenesis and progression of these lesions. As distinct molecular subtypes may be suitable for targeted therapies, capturing certain patterns by means of molecular imaging could enhance non-invasive diagnostics of vascular malformations. This review provides an overview of subtype-specific imaging and established imaging modalities, as well as future perspectives of novel functional and molecular imaging approaches. We highlight recent pioneering imaging studies including thermography, positron emission tomography (PET), and multispectral optoacoustic tomography (MSOT), which have successfully targeted specific biomarkers of vascular malformations.Vascular Malformations belong to the spectrum of orphan diseases and can involve all segments of the vascular tree: arteries, capillaries, and veins, and similarly the lymphatic vasculature. The classification according to the International Society for the Study of Vascular Anomalies (ISSVA) is of major importance to guide proper treatment. Imaging plays a crucial role to classify vascular malformations according to their dominant vessel type, anatomical extension, and flow pattern. Several imaging concepts including color-coded Duplex ultrasound/contrast-enhanced ultrasound (CDUS/CEUS), 4D computed tomography angiography (CTA), magnetic resonance imaging (MRI) including dynamic contrast-enhanced MR-angiography (DCE-MRA), and conventional arterial and venous angiography are established in the current clinical routine. Besides the very heterogenous phenotypes of vascular malformations, molecular and genetic profiling has recently offered an advanced understanding of the pathogenesis and progression of these lesions. As distinct molecular subtypes may be suitable for targeted therapies, capturing certain patterns by means of molecular imaging could enhance non-invasive diagnostics of vascular malformations. This review provides an overview of subtype-specific imaging and established imaging modalities, as well as future perspectives of novel functional and molecular imaging approaches. We highlight recent pioneering imaging studies including thermography, positron emission tomography (PET), and multispectral optoacoustic tomography (MSOT), which have successfully targeted specific biomarkers of vascular malformations.
ArticleNumber 19
Author Cucuruz, Beatrix
Schmidt, Vanessa F.
Masthoff, Max
Czihal, Michael
Wildgruber, Moritz
Häberle, Beate
Brill, Richard
Wohlgemuth, Walter A.
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  surname: Schmidt
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  organization: Department of Radiology, University Hospital, LMU Munich
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  fullname: Masthoff, Max
  organization: Clinic for Radiology, University Hospital Muenster
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  fullname: Czihal, Michael
  organization: Angiology Division, Department for Medicine IV, University Hospital, LMU Munich
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  surname: Cucuruz
  fullname: Cucuruz, Beatrix
  organization: Clinic and Policlinic of Radiology, Martin-Luther University Halle-Wittenberg
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  surname: Häberle
  fullname: Häberle, Beate
  organization: Department for Pediatric Surgery, Dr. von Haunersches Kinderspital, University Hospital, LMU Munich
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  organization: Clinic and Policlinic of Radiology, Martin-Luther University Halle-Wittenberg
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  orcidid: 0000-0002-7228-6963
  surname: Wildgruber
  fullname: Wildgruber, Moritz
  email: moritz.wildgruber@med.uni-muenchen.de
  organization: Department of Radiology, University Hospital, LMU Munich, Clinic for Radiology, University Hospital Muenster
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34874510$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords Vascular malformations
Duplex ultrasound
Molecular imaging
Multispectral optoacoustic tomography
Magnetic resonance imaging
Positron emission tomography
Thermography
Language English
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Snippet Vascular Malformations belong to the spectrum of orphan diseases and can involve all segments of the vascular tree: arteries, capillaries, and veins, and...
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SubjectTerms Angiography
Arteries
Capillaries
Computed tomography
Diabetes
Endocrinology
Magnetic resonance imaging
Medical imaging
Medicine
Medicine & Public Health
Oncology
Pediatric Diagnostics: Novel Imaging and Biomarker Strategies
Pediatrics
Phenotypes
Positron emission tomography
Review
Reviews
Thermography
Tomography
Ultrasonic imaging
Ultrasound
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Title Imaging of peripheral vascular malformations — current concepts and future perspectives
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