Diagnostic value of axillary artery ultrasound in patients with suspected giant cell arteritis
| العنوان: | Diagnostic value of axillary artery ultrasound in patients with suspected giant cell arteritis |
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| المؤلفون: | Maria Sandovici, Douwe J. Mulder, Andor W. J. M. Glaudemans, Elisabeth Brouwer, Arie M. van Roon, Riemer H. J. A. Slart, Hilde Hop |
| المساهمون: | Groningen Kidney Center (GKC), Translational Immunology Groningen (TRIGR), Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE), Cardiovascular Centre (CVC), Groningen Institute for Gastro Intestinal Genetics and Immunology (3GI) |
| المصدر: | Rheumatology (Oxford, England) Rheumatology, 59(12):keaa102, 3676-3684. Oxford University Press |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Duplex ultrasonography, diagnostic imaging, Vertebral artery, 03 medical and health sciences, 0302 clinical medicine, ULTRASONOGRAPHY, Rheumatology, Axillary artery, Fluorodeoxyglucose F18, medicine.artery, Positron Emission Tomography Computed Tomography, Occlusion, EANM, medicine, Humans, Pharmacology (medical), 030212 general & internal medicine, Ultrasonography, Doppler, Color, AcademicSubjects/MED00360, Aged, Retrospective Studies, 030203 arthritis & rheumatology, Aged, 80 and over, Aorta, business.industry, giant cell arteritis, ultrasound, Middle Aged, Clinical Science, medicine.disease, FDG-PET/CT, Temporal Arteries, Axilla, Giant cell arteritis, Editor's Choice, medicine.anatomical_structure, LARGE-VESSEL VASCULITIS, Axillary Artery, Female, Radiology, Radiopharmaceuticals, business, Artery |
| الوصف: | Objectives To compare colour duplex ultrasonography (CDU) findings with axillary 18F-fluorodeoxyglucose (FDG) PET/CT findings and to compare the diagnostic performance of temporal and axillary artery CDU with temporal artery CDU alone. Methods Patients suspected of GCA were retrospectively included. Presence of a halo or occlusion was considered a positive CDU finding. FDG-PET/CT-assessed axillary artery involvement was defined as axillary artery FDG uptake higher than liver uptake. The reference was the clinical diagnosis after 6 months, which was based on symptomatology and additional diagnostic tests, with the exception of CDU. Results Of the 113 included patients, GCA was diagnosed in 41. Twenty-eight out of 41 GCA patients underwent a FDG-PET/CT. FDG-PET-assessed extra-cranial GCA was present in 20/41 patients, of which 13 showed axillary involvement on FDG-PET/CT. An axillary halo was found in eight of these 13 patients. Six out of the 20 patients with FDG-PET-assessed GCA showed no axillary involvement on CDU or FDG-PET/CT. Five of them had single artery involvement on FDG-PET/CT (two aorta; three vertebral artery). One patient had an axillary occlusion on CDU, consistent with FDG-PET/CT results. Overall, sensitivity and specificity of temporal artery CDU was 52% (95% CI: 35, 67) and 93% (95% CI: 84, 97), respectively. Adding axillary artery results improved sensitivity to 71% (95% CI: 55, 84), while specificity did not change. Conclusion Presence of an axillary halo or occlusion on CDU is consistent with axillary artery FDG-PET/CT results, but a negative CDU does not rule out axillary involvement. Adding axillary artery assessment to temporal artery assessment may substantially increase the diagnostic performance of CDU. |
| وصف الملف: | application/pdf |
| تدمد: | 1462-0332 1462-0324 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1a063d9c39020be271afbaf5e4b82ea3 https://pubmed.ncbi.nlm.nih.gov/32240306 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1a063d9c39020be271afbaf5e4b82ea3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14620332 14620324 |
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