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. 2018 Feb 2;4(1):e000612. doi: 10.1136/rmdopen-2017-000612

Table 1.

Main characteristics of diagnostic studies on ultrasound in GCA

Study ID n n Female (%) Inclusion criteria Reference standard n Final diagn GCA (%) n TAB+ (%) n LV-GCA Investigated structures Elementary lesions RoB
Schmidt et al 17 112 NR Suspected GCA+PMR ACR criteria or
TAB
30 (27) 21 (78) NR TA halo,
stenosis/occlusion,
halo/stenosis/occlusion
High
LeSar et al 18 32 21 (66) Suspected GCA TAB 7 (22) 7 (100) NR TA halo
stenosis
halo/stenosis
High
Nesher et al 19 69 NR Suspected GCA Clinical diagn 6 m or
TAB
14 (20) 9 (64) NR TA halo High
Salvarani et al 20 86 55 (64) Suspected GCA+PMR ACR criteria or
TAB
20 (23) 15 (75) NR TA halo High
Murgatroyd et al 21 26 NR Suspected GCA TAB 7 (27) 7 (100) NR TA halo High
Pfadenhauer and Weber22 67 51 (76) Suspected GCA ACR criteria or
TAB
40 (60) 33 (83) NR TA, occipital halo/stenosis/occlusion High
Reinhard et al 23 83 49 (59) NR ACR crit or
TAB
43 (52) 33 (77) NR TA halo
occlusion
High
Romera-Villegas et al 24 68 48 (71) Suspected GCA TAB 22 (32) 22 (100) NR TA halo/stenosis/occlusion Low
Karahaliou et al 25 55 30 (55) ESR >50 mm/h, headache, jaw claudication, fever, PMR, TA tenderness, visual impairment Clinical diagn 3 m or
TAB
22 (40) 18 (82) NR TA halo
stenosis
Low
Pfadenhauer and Behr26 132 NR Suspected GCA+US* Clinical diagn
(retrospectively confirmed)
132 (73) 89 (75) NR TA, carotid, vertebral, periorbital halo/stenosis Mod
Zaragozá-Garciá et al 27 18 14 (61) Suspected GCA TAB 5 (28) 5 (100) NR TA halo
halo/stenosis
High
Aschwanden et al 29 72 45 (63) Suspected GCA suspected LV-GCA (PET+, ESR >50 mm/h, age >50 years) ACR criteria 38 (53) 35 (95) 12 TA, carotid, vertebral, subclavian, axillary, femoral, popliteal halo/stenosis Mod
Habib et al 28 32 19 (59) ESR >50 mm/h, headache, jaw claudication, fever, PMR, TA tenderness, visual impairment Clinical diagn 3 m or
TAB
16 (50) 15 (94) NR TA halo Mod
Aschwanden et al 30 80 55 (69) Suspected GCA ACR criteria 43 (54) 20 (53) NR TA halo
stenosis
occlussion
compression
Low
Diamantopoulos et al 31 88 54 (61) CRP >5 mg/dL, headache, jaw claudication, fever, PMR, TA tenderness, visual impairment Clinical diagn 6 m or
TAB
46 (52) 26 (67) 17 TA, carotids, axillary halo Low
Aschwanden et al 32 60 40 (67) Suspected GCA ACR criteria 24 (40) 13 (72) NR TA ompression Low
Luqmani et al 6 381 273 (72) Suspected GCA Clinical diagn 6 m or
TAB
257 (67) 101 (39) Yes
(n NR)
TA, axillary halo/stenosis/occlusion Mod

*Suspected GCA+US, only patients with suspected disease and an available ultrasound examination were included.

ACR, American College of Rheumatology; APR, acute phase reactants; CRP, C-reactive protein; diagn, diagnosis; ESR, erythrocyte sedimentation rate; GCA, giant cell arteritis; LV, large vessel; mod, moderate; m, months; n, number of finally included patients in analysis; n female, number of females; n final diagn GCA, number of patients finally diagnosed with GCA; NR, not reported; n LV-GCA, number of GCA patients with large vessel involvement; n TAB+, number of positive temporal artery biopsy results in finally diagnosed GCA patients; PMR, polymyalgia rheumatica; PET+, imaging signs suggestive for LV-GCA in positron emission tomography; RoB, overall appraisal of risk of bias and concerns about applicability (arbitrarily defined) (high, in the case of concern on ≥5/10 risk of bias items or concern on 3/3 applicability items out of the QUADAS-2 tool; moderate, in case of concern on 4/10 RoB items and/or concern on ≥1/3 applicability items out of the QUADAS-2 tool; low, in case of concern on ≤3/3 risk of bias items and no concern about applicability); TA, temporal artery/arteries; TAB+, patients with a positive histology suggesting vasculitis.