Document Detail


How to diagnose giant cell arteritis.
MedLine Citation:
PMID:  21248674     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIM: Current debate on how to diagnose giant cell arteritis (GCA) has strayed from the traditional approach of temporal artery biopsy and has instead explored the effectiveness of alternative imaging modalities.
METHODS: We have reviewed the literature and pooled published results for temporal artery imaging including magnetic resonance imaging (MRI), Duplex ultrasound, positron emission tomography-computed tomography (PET-CT) scan.
RESULTS: The results of this review show that ultrasound and MRI both represent viable options for evaluation of GCA; however utilizing ultrasound first may be the best first option in diagnostic tools. In 1990 the American College of Rheumatology offered criteria for positive pathology in GCA.
CONCLUSION: In this study, we propose a risk stratification criteria as well as an algorithm for the best diagnostic approach when GCA is suspected.
Authors:
R J Meisner; N Labropoulos; A P Gasparis; A K Tassiopoulos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  30     ISSN:  1827-1839     ISO Abbreviation:  Int Angiol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  58-63     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA - robert.meisner@stonybrook.edu.
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