Abstract
Colour duplex sonography (CDS) of temporal arteries and large vessels is an emerging diagnostic tool for GCA. CDS can detect wall oedema, known as a halo, throughout the length of the vessel and shows higher sensitivity compared with biopsy. Specificity reaches 100% in case of bilateral halos. A positive compression sign has been demonstrated to be a robust marker with excellent inter-observer agreement. The assessment of other large vessels, particularly the axillary arteries, is recognized to further increase the sensitivity and to reliably represent extra-cranial involvement in other areas. Nevertheless, CDS use is still not widespread in routine clinical practice and requires skilled sonographers. Moreover, its role in the follow-up of patients still needs to be defined. The aim of this review is to provide the current evidence and technical parameters to support the rheumatologist in the CDS evaluation of patients with suspected GCA.
| Original language | English |
|---|---|
| Article number | kex173 |
| Pages (from-to) | 227-235 |
| Number of pages | 9 |
| Journal | Rheumatology (United Kingdom) |
| Volume | 57 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 1 2018 |
| Externally published | Yes |
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Keywords
- Colour duplex sonography
- Giant cell arteritis
- Large vessel vasculitis
- Ultrasound
ASJC Scopus subject areas
- Rheumatology
- Pharmacology (medical)
Cite this
The use of ultrasound to assess giant cell arteritis : Review of the current evidence and practical guide for the rheumatologist. / Monti, Sara; Floris, Alberto; Ponte, Cristina; Schmidt, Wolfgang A.; Diamantopoulos, Andreas P.; Pereira, Claudio; Piper, Jennifer; Luqmani, Raashid.
In: Rheumatology (United Kingdom), Vol. 57, No. 2, kex173, 01.02.2018, p. 227-235.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - The use of ultrasound to assess giant cell arteritis
T2 - Review of the current evidence and practical guide for the rheumatologist
AU - Monti, Sara
AU - Floris, Alberto
AU - Ponte, Cristina
AU - Schmidt, Wolfgang A.
AU - Diamantopoulos, Andreas P.
AU - Pereira, Claudio
AU - Piper, Jennifer
AU - Luqmani, Raashid
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Colour duplex sonography (CDS) of temporal arteries and large vessels is an emerging diagnostic tool for GCA. CDS can detect wall oedema, known as a halo, throughout the length of the vessel and shows higher sensitivity compared with biopsy. Specificity reaches 100% in case of bilateral halos. A positive compression sign has been demonstrated to be a robust marker with excellent inter-observer agreement. The assessment of other large vessels, particularly the axillary arteries, is recognized to further increase the sensitivity and to reliably represent extra-cranial involvement in other areas. Nevertheless, CDS use is still not widespread in routine clinical practice and requires skilled sonographers. Moreover, its role in the follow-up of patients still needs to be defined. The aim of this review is to provide the current evidence and technical parameters to support the rheumatologist in the CDS evaluation of patients with suspected GCA.
AB - Colour duplex sonography (CDS) of temporal arteries and large vessels is an emerging diagnostic tool for GCA. CDS can detect wall oedema, known as a halo, throughout the length of the vessel and shows higher sensitivity compared with biopsy. Specificity reaches 100% in case of bilateral halos. A positive compression sign has been demonstrated to be a robust marker with excellent inter-observer agreement. The assessment of other large vessels, particularly the axillary arteries, is recognized to further increase the sensitivity and to reliably represent extra-cranial involvement in other areas. Nevertheless, CDS use is still not widespread in routine clinical practice and requires skilled sonographers. Moreover, its role in the follow-up of patients still needs to be defined. The aim of this review is to provide the current evidence and technical parameters to support the rheumatologist in the CDS evaluation of patients with suspected GCA.
KW - Colour duplex sonography
KW - Giant cell arteritis
KW - Large vessel vasculitis
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=85041528172&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85041528172&partnerID=8YFLogxK
U2 - 10.1093/rheu
DO - 10.1093/rheu
M3 - Review article
C2 - 28460064
AN - SCOPUS:85041528172
VL - 57
SP - 227
EP - 235
JO - Rheumatology
JF - Rheumatology
SN - 1462-0324
IS - 2
M1 - kex173
ER -