Ultrasonographic measurement of the vascular wall thickness and intima-media thickness in patients with Behçet's disease with symptoms or signs of vascular involvement: A cross-sectional study
This study aims to measure and compare bilateral carotid intima-media thickness (CIMT), bilateral jugular, common femoral, and main portal vein wall thicknesses (VWTs) in Behçet's disease (BD) patients with and without vascular involvement to obtain a cut-off value for vascular complications an...
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| Veröffentlicht in: | Archives of rheumatology 2021-06, Vol.36 (2), p.258-266 |
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| creator | Kaymaz, Serdar Yilmaz, Halil Ufuk, Furkan Ütebey, Ayşe Rüksan Çobankara, Veli Karasu, Uğur Albayrak Yaşar, Canan Ulutaş, Firdevs |
| description | This study aims to measure and compare bilateral carotid intima-media thickness (CIMT), bilateral jugular, common femoral, and main portal vein wall thicknesses (VWTs) in Behçet's disease (BD) patients with and without vascular involvement to obtain a cut-off value for vascular complications and determine their relationship with disease activity.
Sixty-three BD patients (41 males, 22 females; median age: 38.0 years; min 20 - max 71 years) and 30 healthy control subjects (14 males, 16 females; median age: 40.3 years; min 21 - max 60 years) were included in this cross-sectional study between February and March 2020. According to imaging findings, BD patients were divided into two groups as those with and without vascular complications. Disease duration, medical treatment and BD manifestations of patients were questioned. Disease activity was evaluated using the Behçet's Disease Current Activity Form (BDCAF) and the Behçet's Syndrome Activity Scale (BSAS). Two radiologists blinded to the diagnosis of BD used ultrasound to measure VWT and CIMT. Receiver operating characteristics were assessed to obtain sensitivity and specificity values for each VWT and CIMT.
The groups were similar in terms of age, sex, and body mass index (p>0.05). There was a significant difference between the BD groups when the BDCAF and BSAS scores were compared, while there was no difference between them in terms of disease duration and medical treatment (p>0.05). All VWTs and CIMTs were significantly higher in patients with BD compared to healthy controls (p0.05). But portal VWT was significantly higher in patients with vascular involvement (p |
| doi_str_mv | 10.46497/ArchRheumatol.2021.8423 |
| format | Article |
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Sixty-three BD patients (41 males, 22 females; median age: 38.0 years; min 20 - max 71 years) and 30 healthy control subjects (14 males, 16 females; median age: 40.3 years; min 21 - max 60 years) were included in this cross-sectional study between February and March 2020. According to imaging findings, BD patients were divided into two groups as those with and without vascular complications. Disease duration, medical treatment and BD manifestations of patients were questioned. Disease activity was evaluated using the Behçet's Disease Current Activity Form (BDCAF) and the Behçet's Syndrome Activity Scale (BSAS). Two radiologists blinded to the diagnosis of BD used ultrasound to measure VWT and CIMT. Receiver operating characteristics were assessed to obtain sensitivity and specificity values for each VWT and CIMT.
The groups were similar in terms of age, sex, and body mass index (p>0.05). There was a significant difference between the BD groups when the BDCAF and BSAS scores were compared, while there was no difference between them in terms of disease duration and medical treatment (p>0.05). All VWTs and CIMTs were significantly higher in patients with BD compared to healthy controls (p<0.05). There was no significant difference between the BD groups in terms of CIMT, jugular and common femoral VWTs (p>0.05). But portal VWT was significantly higher in patients with vascular involvement (p<0.05). A cut-off value of ≥1.35 mm yielded a sensitivity of 79.2% and a specificity of 82.4% for the diagnosis of vascular involvement with the highest Youden's index (area under the curve, 0.869; 95% confidence interval, 0.783 to 0.956).
Portal VWT has high sensitivity and specificity for the screening of vascular involvement in patients with BD.</description><identifier>ISSN: 2148-5046</identifier><identifier>ISSN: 1309-0291</identifier><identifier>EISSN: 2618-6500</identifier><identifier>EISSN: 1309-0283</identifier><identifier>DOI: 10.46497/ArchRheumatol.2021.8423</identifier><identifier>PMID: 34527931</identifier><language>eng</language><publisher>Turkey: Turkish League Against Rheumatism</publisher><subject>Age ; Blood & organ donations ; Cross-sectional studies ; Disease ; Electrical equipment and supplies industry ; Inflammation ; Laboratories ; Liver cirrhosis ; Measurement ; Medical research ; Medicine, Experimental ; Original ; Pulmonary arteries ; Statistical analysis ; Thrombosis ; Ultrasonic imaging ; Variables ; Variance analysis ; Vein & artery diseases ; Veins & arteries</subject><ispartof>Archives of rheumatology, 2021-06, Vol.36 (2), p.258-266</ispartof><rights>Copyright © 2021, Turkish League Against Rheumatism.</rights><rights>COPYRIGHT 2021 Turkish League Against Rheumatism</rights><rights>Copyright Prof Sebnem Ataman, President Turkish League Against Rheumatism 2021</rights><rights>Copyright © 2021, Turkish League Against Rheumatism 2021 Turkish League Against Rheumatism</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c546t-48526515ec7114a06eeb2a7907089016ddade0b11eb1244506c034fa585c81843</citedby><orcidid>0000-0003-3885-2551 ; 0000-0002-3191-2171 ; 0000-0003-1264-7971 ; 0000-0001-5938-8044 ; 0000-0002-6958-5436 ; 0000-0002-8614-5387 ; 0000-0003-0090-0247 ; 0000-0001-8441-5219</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418758/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418758/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34527931$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaymaz, Serdar</creatorcontrib><creatorcontrib>Yilmaz, Halil</creatorcontrib><creatorcontrib>Ufuk, Furkan</creatorcontrib><creatorcontrib>Ütebey, Ayşe Rüksan</creatorcontrib><creatorcontrib>Çobankara, Veli</creatorcontrib><creatorcontrib>Karasu, Uğur</creatorcontrib><creatorcontrib>Albayrak Yaşar, Canan</creatorcontrib><creatorcontrib>Ulutaş, Firdevs</creatorcontrib><title>Ultrasonographic measurement of the vascular wall thickness and intima-media thickness in patients with Behçet's disease with symptoms or signs of vascular involvement: A cross-sectional study</title><title>Archives of rheumatology</title><addtitle>Arch Rheumatol</addtitle><description>This study aims to measure and compare bilateral carotid intima-media thickness (CIMT), bilateral jugular, common femoral, and main portal vein wall thicknesses (VWTs) in Behçet's disease (BD) patients with and without vascular involvement to obtain a cut-off value for vascular complications and determine their relationship with disease activity.
Sixty-three BD patients (41 males, 22 females; median age: 38.0 years; min 20 - max 71 years) and 30 healthy control subjects (14 males, 16 females; median age: 40.3 years; min 21 - max 60 years) were included in this cross-sectional study between February and March 2020. According to imaging findings, BD patients were divided into two groups as those with and without vascular complications. Disease duration, medical treatment and BD manifestations of patients were questioned. Disease activity was evaluated using the Behçet's Disease Current Activity Form (BDCAF) and the Behçet's Syndrome Activity Scale (BSAS). Two radiologists blinded to the diagnosis of BD used ultrasound to measure VWT and CIMT. Receiver operating characteristics were assessed to obtain sensitivity and specificity values for each VWT and CIMT.
The groups were similar in terms of age, sex, and body mass index (p>0.05). There was a significant difference between the BD groups when the BDCAF and BSAS scores were compared, while there was no difference between them in terms of disease duration and medical treatment (p>0.05). All VWTs and CIMTs were significantly higher in patients with BD compared to healthy controls (p<0.05). There was no significant difference between the BD groups in terms of CIMT, jugular and common femoral VWTs (p>0.05). But portal VWT was significantly higher in patients with vascular involvement (p<0.05). A cut-off value of ≥1.35 mm yielded a sensitivity of 79.2% and a specificity of 82.4% for the diagnosis of vascular involvement with the highest Youden's index (area under the curve, 0.869; 95% confidence interval, 0.783 to 0.956).
Portal VWT has high sensitivity and specificity for the screening of vascular involvement in patients with BD.</description><subject>Age</subject><subject>Blood & organ donations</subject><subject>Cross-sectional studies</subject><subject>Disease</subject><subject>Electrical equipment and supplies industry</subject><subject>Inflammation</subject><subject>Laboratories</subject><subject>Liver cirrhosis</subject><subject>Measurement</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Original</subject><subject>Pulmonary arteries</subject><subject>Statistical analysis</subject><subject>Thrombosis</subject><subject>Ultrasonic imaging</subject><subject>Variables</subject><subject>Variance analysis</subject><subject>Vein & artery diseases</subject><subject>Veins & arteries</subject><issn>2148-5046</issn><issn>1309-0291</issn><issn>2618-6500</issn><issn>1309-0283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptUt2KEzEYHURxl3VfQQKCXk1NMkkm9UKoi3-wIIh7HdJMppM1k9R8mS77RD6H-GKm7VpbMLlI-L5zzvfDqSpE8IwJNm9fL5IZvg52GnWOfkYxJTPJaPOoOqeCyFpwjB-XP2Gy5piJs-oS4BZjTFgrBG6eVmcN47SdN-S8-nXjc9IQQ1wlvR6cQaPVMCU72pBR7FEeLNpoMJPXCd1p70vEme_BAiAdOuRCdqOuR9s5fZRyAa11dkUE0J3LA3pnh98_bX4FqHNQSth9GO7HdY4joJgQuFWAbc1DPRc20W92vbxBC2RSBKjBmuxi0B5Bnrr7Z9WTXnuwlw_vRXXz4f23q0_19ZePn68W17XhTOSaSU4FJ9yalhCmsbB2SXU7xy2Wc0xE1-nO4iUhdkkoYxwLgxvWay65kUSy5qJ6u9ddT8syrSk9Je3VOpXx072K2qnTTHCDWsWNkozIlssi8OJBIMUfk4WsbuOUyhygKBeypULQ-T_USnurXOhjETOjA6MWopyWtA0vqNl_UOV2dnQmBtu7Ej8hvDwiDFb7PED003aTcAqUe-Bu2cn2hwkJVjv_qRP_qa3_1NZ_hfr8eEMH4l-3NX8A2sbe6Q</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Kaymaz, Serdar</creator><creator>Yilmaz, Halil</creator><creator>Ufuk, Furkan</creator><creator>Ütebey, Ayşe Rüksan</creator><creator>Çobankara, Veli</creator><creator>Karasu, Uğur</creator><creator>Albayrak Yaşar, Canan</creator><creator>Ulutaş, Firdevs</creator><general>Turkish League Against Rheumatism</general><general>Prof Sebnem Ataman, President Turkish League Against Rheumatism</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>EDSIH</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3885-2551</orcidid><orcidid>https://orcid.org/0000-0002-3191-2171</orcidid><orcidid>https://orcid.org/0000-0003-1264-7971</orcidid><orcidid>https://orcid.org/0000-0001-5938-8044</orcidid><orcidid>https://orcid.org/0000-0002-6958-5436</orcidid><orcidid>https://orcid.org/0000-0002-8614-5387</orcidid><orcidid>https://orcid.org/0000-0003-0090-0247</orcidid><orcidid>https://orcid.org/0000-0001-8441-5219</orcidid></search><sort><creationdate>20210601</creationdate><title>Ultrasonographic measurement of the vascular wall thickness and intima-media thickness in patients with Behçet's disease with symptoms or signs of vascular involvement: A cross-sectional study</title><author>Kaymaz, Serdar ; Yilmaz, Halil ; Ufuk, Furkan ; Ütebey, Ayşe Rüksan ; Çobankara, Veli ; Karasu, Uğur ; Albayrak Yaşar, Canan ; Ulutaş, Firdevs</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c546t-48526515ec7114a06eeb2a7907089016ddade0b11eb1244506c034fa585c81843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Blood & organ donations</topic><topic>Cross-sectional studies</topic><topic>Disease</topic><topic>Electrical equipment and supplies industry</topic><topic>Inflammation</topic><topic>Laboratories</topic><topic>Liver cirrhosis</topic><topic>Measurement</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Original</topic><topic>Pulmonary arteries</topic><topic>Statistical analysis</topic><topic>Thrombosis</topic><topic>Ultrasonic imaging</topic><topic>Variables</topic><topic>Variance analysis</topic><topic>Vein & artery diseases</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaymaz, Serdar</creatorcontrib><creatorcontrib>Yilmaz, Halil</creatorcontrib><creatorcontrib>Ufuk, Furkan</creatorcontrib><creatorcontrib>Ütebey, Ayşe Rüksan</creatorcontrib><creatorcontrib>Çobankara, Veli</creatorcontrib><creatorcontrib>Karasu, Uğur</creatorcontrib><creatorcontrib>Albayrak Yaşar, Canan</creatorcontrib><creatorcontrib>Ulutaş, Firdevs</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Turkey Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaymaz, Serdar</au><au>Yilmaz, Halil</au><au>Ufuk, Furkan</au><au>Ütebey, Ayşe Rüksan</au><au>Çobankara, Veli</au><au>Karasu, Uğur</au><au>Albayrak Yaşar, Canan</au><au>Ulutaş, Firdevs</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasonographic measurement of the vascular wall thickness and intima-media thickness in patients with Behçet's disease with symptoms or signs of vascular involvement: A cross-sectional study</atitle><jtitle>Archives of rheumatology</jtitle><addtitle>Arch Rheumatol</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>36</volume><issue>2</issue><spage>258</spage><epage>266</epage><pages>258-266</pages><issn>2148-5046</issn><issn>1309-0291</issn><eissn>2618-6500</eissn><eissn>1309-0283</eissn><abstract>This study aims to measure and compare bilateral carotid intima-media thickness (CIMT), bilateral jugular, common femoral, and main portal vein wall thicknesses (VWTs) in Behçet's disease (BD) patients with and without vascular involvement to obtain a cut-off value for vascular complications and determine their relationship with disease activity.
Sixty-three BD patients (41 males, 22 females; median age: 38.0 years; min 20 - max 71 years) and 30 healthy control subjects (14 males, 16 females; median age: 40.3 years; min 21 - max 60 years) were included in this cross-sectional study between February and March 2020. According to imaging findings, BD patients were divided into two groups as those with and without vascular complications. Disease duration, medical treatment and BD manifestations of patients were questioned. Disease activity was evaluated using the Behçet's Disease Current Activity Form (BDCAF) and the Behçet's Syndrome Activity Scale (BSAS). Two radiologists blinded to the diagnosis of BD used ultrasound to measure VWT and CIMT. Receiver operating characteristics were assessed to obtain sensitivity and specificity values for each VWT and CIMT.
The groups were similar in terms of age, sex, and body mass index (p>0.05). There was a significant difference between the BD groups when the BDCAF and BSAS scores were compared, while there was no difference between them in terms of disease duration and medical treatment (p>0.05). All VWTs and CIMTs were significantly higher in patients with BD compared to healthy controls (p<0.05). There was no significant difference between the BD groups in terms of CIMT, jugular and common femoral VWTs (p>0.05). But portal VWT was significantly higher in patients with vascular involvement (p<0.05). A cut-off value of ≥1.35 mm yielded a sensitivity of 79.2% and a specificity of 82.4% for the diagnosis of vascular involvement with the highest Youden's index (area under the curve, 0.869; 95% confidence interval, 0.783 to 0.956).
Portal VWT has high sensitivity and specificity for the screening of vascular involvement in patients with BD.</abstract><cop>Turkey</cop><pub>Turkish League Against Rheumatism</pub><pmid>34527931</pmid><doi>10.46497/ArchRheumatol.2021.8423</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3885-2551</orcidid><orcidid>https://orcid.org/0000-0002-3191-2171</orcidid><orcidid>https://orcid.org/0000-0003-1264-7971</orcidid><orcidid>https://orcid.org/0000-0001-5938-8044</orcidid><orcidid>https://orcid.org/0000-0002-6958-5436</orcidid><orcidid>https://orcid.org/0000-0002-8614-5387</orcidid><orcidid>https://orcid.org/0000-0003-0090-0247</orcidid><orcidid>https://orcid.org/0000-0001-8441-5219</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Archives of rheumatology, 2021-06, Vol.36 (2), p.258-266 |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Age Blood & organ donations Cross-sectional studies Disease Electrical equipment and supplies industry Inflammation Laboratories Liver cirrhosis Measurement Medical research Medicine, Experimental Original Pulmonary arteries Statistical analysis Thrombosis Ultrasonic imaging Variables Variance analysis Vein & artery diseases Veins & arteries |
| title | Ultrasonographic measurement of the vascular wall thickness and intima-media thickness in patients with Behçet's disease with symptoms or signs of vascular involvement: A cross-sectional study |
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