Ultrasound-Aided Diagnosis of Giant Cell Arteritis Proves Accurate, Avoids Biopsy

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Vasculitides,Angiitis,Ultrasonography

In a prospective study, all patients diagnosed with giant cell arteritis using ultrasound maintained their diagnosis for up to 2 years of follow-up.

Temporal artery ultrasound alone was sufficient to accurately diagnose giant cell arteritis in over half of patients in a new prospective study.

"Patients with halo signs detected around the lumen of both temporal arteries were considered as ultrasound-positive," Denis et al. explained."Patients with no halo sign, or bilateral halo signs in the axillary arteries, or a unilateral halo sign in the temporal artery were considered as ultrasound-negative."In total, 73 participants had positive ultrasounds and were diagnosed with GCA.

"In summary, our study showed that the use of temporal artery ultrasound may be an efficient way to make the diagnosis of GCA in patients with high clinical suspicion and to reduce imaging costs and the need for biopsy, thereby limiting complications and the need for a surgeon," the authors concluded.

However, about one in four patients with GCA were diagnosed after having both negative ultrasound and TAB results.

Vasculitides Angiitis Ultrasonography Ultrasound Sonogram Cardiovascular Imaging Cardiac Imaging CV Imaging Doppler Ultrasonography Arteries Biopsy Temporal Arteritis Giant Cell Arteritis Biologic Therapy Biologics Hospitals Ct Angiography Computed Tomography Angiography Cta - Computed Tomography Angiography Computed Tomography Angiograph

 

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