Role of ultrasonography in the diagnosis of temporal arteritis

British Journal of Surgery - Tập 97 Số 12 - Trang 1765-1771 - 2010
Elizabeth Ball1, Stewart R. Walsh1, Tjun Yip Tang1, Rohit Gohil1, J Clarke1
1Department of Vascular Surgery, Norfolk and Norwich University Hospital, Norwich, UK.

Tóm tắt

Abstract Background Temporal artery (TA) biopsy is the current standard for diagnosing temporal arteritis, but has limited sensitivity. Colour duplex ultrasonography is a newer, non-invasive method of diagnosing temporal arteritis. Methods A systematic review was performed of trials comparing TA biopsy with duplex ultrasonography. Duplex results (halo sign, stenosis or vessel occlusion) were compared with either TA biospy findings or the American College of Rheumatology research criteria for diagnosing temporal arteritis. Trials were identified from MEDLINE, Embase and the Cochrane Library trials register. The performance of duplex ultrasonography was assessed with weighted independent sensitivity and specificity values, and summary receiver operating characteristic curve analysis. Results There were 17 eligible studies containing 998 patients. When the halo sign on duplex imaging was compared with TA biopsy, the sensitivity was 75 (95 per cent confidence interval 67 to 82) per cent and the specificity was 83 (78 to 88) per cent. There was no heterogeneity across the eligible studies. Conclusion Duplex ultrasonography was relatively accurate for diagnosing temporal arteritis. It should become the first-line investigation, with biopsy reserved for patients with a negative scan.

Từ khóa


Tài liệu tham khảo

Devauchelle-Pensec, 2008, Epidemiology, imaging, and treatment of giant cell arteritis, Joint Bone Spine, 75, 267, 10.1016/j.jbspin.2007.09.008

Warrington, 2007, Management guidelines and outcome measures in giant cell arteritis (GCA), Clin Exp Rheumatol, 25, 137

Weyand, 2003, Giant-cell arteritis and polymyalgia rheumatica, Ann Intern Med, 139, 505, 10.7326/0003-4819-139-6-200309160-00015

Smetana, 2002, Does this patient have temporal arteritis?, JAMA, 287, 92, 10.1001/jama.287.1.92

Liu, 2001, The epidemiology of giant cell arteritis : a 12-year retrospective study, Ophthalmology, 108, 1145, 10.1016/S0161-6420(01)00574-7

Salvarani, 2002, Is duplex ultrasonography useful for the diagnosis of giant-cell arteritis?, Ann Intern Med, 137, 232, 10.7326/0003-4819-137-4-200208200-00006

Hunder, 1990, The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis, Arthritis Rheum, 33, 1122, 10.1002/art.1780330810

Rao, 1998, Limitations of the 1990 American College of Rheumatology classification criteria in the diagnosis of vasculitis, Ann Intern Med, 129, 345, 10.7326/0003-4819-129-5-199809010-00001

Ikard, 1988, Clinical efficacy of temporal artery biopsy in Nashville, Tennessee, South Med J, 81, 1222, 10.1097/00007611-198810000-00005

Slavin, 1986, Brow droop after superficial temporal artery biopsy, Arch Ophthalmol, 104, 1127, 10.1001/archopht.1986.01050200033026

Siemssen, 1987, On the occurrence of necrotising lesions in arteritis temporalis: review of the literature with a note on the potential risk of a biopsy, Br J Plast Surg, 40, 73, 10.1016/0007-1226(87)90015-4

Bhatti, 2001, Facial nerve injury following superficial temporal artery biopsy, Dermatol Surg, 27, 15

Haist, 1985, Stroke after temporal artery biopsy, Mayo Clin Proc, 60, 538, 10.1016/S0025-6196(12)60572-2

Dasgupta, 2007, Giant cell arteritis: recent advances and guidelines for management, Clin Exp Rheumatol, 25, S62

Alberts, 2007, Diagnosing temporal arteritis: duplex vs. biopsy, QJM, 100, 785, 10.1093/qjmed/hcm103

Hall, 1983, The therapeutic impact of temporal artery biopsy, Lancet, 2, 1217, 10.1016/S0140-6736(83)91269-2

Schmidt, 2002, Incidence of temporal arteritis in patients with polymyalgia rheumatica: a prospective study using colour Doppler ultrasonography of the temporal arteries, Rheumatology (Oxford), 41, 46, 10.1093/rheumatology/41.1.46

Schmidt, 1995, Colour Doppler sonography to diagnose temporal arteritis, Lancet, 345, 866, 10.1016/S0140-6736(95)93005-1

Schmidt, 1997, Color duplex ultrasonography in the diagnosis of temporal arteritis, N Engl J Med, 337, 1336, 10.1056/NEJM199711063371902

Karassa, 2005, Meta-analysis: test performance of ultrasonography for giant-cell arteritis, Ann Intern Med, 142, 359, 10.7326/0003-4819-142-5-200503010-00011

Pipitone, 2008, Role of imaging studies in the diagnosis and follow-up of large-vessel vasculitis: an update, Rheumatology (Oxford), 47, 403, 10.1093/rheumatology/kem379

Whiting, 2003, The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews, BMC Med Res Methodol, 3, 25, 10.1186/1471-2288-3-25

Zamora, 2006, Meta-DiSc: a software for meta-analysis of test accuracy data, BMC Med Res Methodol, 6, 31, 10.1186/1471-2288-6-31

DerSimonian, 1986, Meta-analysis in clinical trials, Control Clin Trials, 7, 177, 10.1016/0197-2456(86)90046-2

Higgins, 2002, Quantifying heterogeneity in a meta-analysis, Stat Med, 21, 1539, 10.1002/sim.1186

Schmidt, 2003, Comparison between color duplex ultrasonography and histology of the temporal artery in cranial arteritis (giant cell arteritis), Eur J Med Res, 8, 1

Aburahma, 1996, Temporal arteritis: diagnostic and therapeutic considerations, Am Surg, 62, 449

Barrier, 1982, The use of Doppler flow studies in the diagnosis of giant cell arteritis. Selection of temporal artery biopsy site is facilitated, JAMA, 248, 2158, 10.1001/jama.1982.03330170062031

Puéchal, 1995, Temporal Doppler-flow studies for suspected giant-cell arteritis, Lancet, 345, 1437, 10.1016/S0140-6736(95)92626-7

Friedman, 1988, Role of Doppler ultrasound flow studies in the diagnosis of temporal arteritis, Isr J Med Sci, 24, 686

Bley, 2008, Comparison of duplex sonography and high-resolution magnetic resonance imaging in the diagnosis of giant cell (temporal) arteritis, Arthritis Rheum, 58, 2574, 10.1002/art.23699

Nesher, 2002, The predictive value of the halo sign in color Doppler ultrasonography of the temporal arteries for diagnosing giant cell arteritis, J Rheumatol, 29, 1224

Ghinoi, 2008, 1T magnetic resonance imaging in the diagnosis of giant cell arteritis: comparison with ultrasonography and physical examination of temporal arteries, Clin Exp Rheumatol, 26, S76

Pfadenhauer, 2003, Duplex sonography of the temporal and occipital artery in the diagnosis of temporal arteritis. A prospective study, J Rheumatol, 30, 2177

Romera-Villegas, 2004, The role of color duplex sonography in the diagnosis of giant cell arteritis, J Ultrasound Med, 23, 1493, 10.7863/jum.2004.23.11.1493

Reinhard, 2004, Color-coded sonography in suspected temporal arteritis—experiences after 83 cases, Rheumatol Int, 24, 340, 10.1007/s00296-003-0372-6

Murgatroyd, 2003, The use of ultrasound as an aid in the diagnosis of giant cell arteritis: a pilot study comparing histological features with ultrasound findings, Eye (Lond), 17, 415, 10.1038/sj.eye.6700350

Houtman, 2008, Doppler ultrasonography to diagnose temporal arteritis in the setting of a large community hospital, Scand J Rheumatol, 37, 316, 10.1080/03009740801998804

Karahaliou, 2006, Colour duplex sonography of temporal arteries before decision for biopsy: a prospective study in 55 patients with suspected giant cell arteritis, Arthritis Res Ther, 8, R116, 10.1186/ar2003

LeSar, 2002, The utility of color duplex ultrasonography in the diagnosis of temporal arteritis, J Vasc Surg, 36, 1154, 10.1067/mva.2002.129648

Schmidt, 2000, Doppler ultrasonography in the diagnosis of giant cell arteritis, Clin Exp Rheumatol, 18, S40

Niederkohr, 2007, A Bayesian analysis of the true sensitivity of a temporal artery biopsy, Invest Ophthalmol Vis Sci, 48, 675, 10.1167/iovs.06-1106

Ashton-Key, 1992, False-negative temporal artery biopsy, Am J Surg Pathol, 16, 634, 10.1097/00000478-199206000-00014

Varma, 2004, Quantification of the role of temporal artery biopsy in diagnosing clinically suspected giant cell arteritis, Eye (Lond), 18, 384, 10.1038/sj.eye.6700677

Pitkin, 1999, Accuracy of data in abstracts of published research articles, JAMA, 281, 1110, 10.1001/jama.281.12.1110

Thông tin
Thông tin xuất bản

British Journal of Surgery

Tập 97 Số 12

1765-1771

Thông tin tác giả