The role of ultrasound in the diagnosis and follow-up of large-vessel vasculitis: an update

G. Germano, S. Monti, C. Ponte, N. Possemato, R. Caporali, C. Salvarani, P. Macchioni, N. Pipitone

Research output: Contribution to journalArticlepeer-review

Abstract

Large-vessel vasculitides comprise giant cell arteritis and Takayasu's arteritis. In both conditions, early changes consist of transmural inflammation of the arterial wall, while later complications include lumen changes, such as stenoses or aneurysms. Colour Doppler sonography has the ability to depict the arterial wall as well as the lumen, and is therefore ideally suited both to diagnose early vasculitis and to monitor patients over time. In this review article, we addressed the following issues: 1) the role of colour Doppler sonography in the diagnosis of large-vessel vasculitis and its common pitfalls; 2) whether colour Doppler sonography can increase the yield of temporal artery biopsy in giant cell arteritis; 3) the role of colour Doppler sonography in monitoring patients with LVV over time; and 4) how colour Doppler sonography performs compared to other imaging techniques.
Original languageEnglish
Pages (from-to)194-198
Number of pages5
JournalClinical and Experimental Rheumatology
Volume35 Suppl 103
Issue number1
DOIs
Publication statusPublished - Mar 1 2017

Keywords

  • Biopsy
  • Giant Cell Arteritis/diagnostic imaging/pathology/therapy
  • Humans
  • Predictive Value of Tests
  • Prognosis
  • Reproducibility of Results
  • Severity of Illness Index
  • Takayasu Arteritis/diagnostic imaging/pathology/therapy
  • Temporal Arteries/diagnostic imaging/pathology
  • Ultrasonography, Doppler, Color/methods

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