Table 2.
Diagnostic performance of temporal artery biopsy and ultrasound features for detecting giant cell arteritis.
| Clinical diagnosis | Performance [95% Confidence interval] | ||||
|---|---|---|---|---|---|
| GCA (n = 35) | Non-GCA (n = 43) | Total | |||
|
Temporal Artery Biopsy |
Positive | 24 | 0 | 24 |
Sn: 0.69 [0.51;0.83] Sp: 1.00 [0.92;1.00] PPV: 1.00a NPV: 0.80 [0.71;0.86] AUC: 0.84 [0.75;0.94] |
| Negative | 11 | 43 | 54 | ||
| Ultrasound Compression sign | Positive | 22 | 9 | 31 |
Sn: 0.63 [0.45;0.79] Sp: 0.79 [0.64;0.94] PPV: 0.71 [0.57;0.82] NPV: 0.72 [0.62;0.81] AUC: 0.71 [0.59;0.83]b |
| Negative | 13 | 34 | 47 | ||
| Ultrasound Halo-sign | Positive | 16 | 5 | 21 |
Sn: 0.47 [0.30;0.65] Sp: 0.77 [0.53;0.92] PPV: 0.76 [0.58;0.88] NPV: 0.47 [0.37;0.57] AUC: 0.67 [0.55;0.80] |
| Negative | 18 | 16 | 34 | ||
|
Ultrasound Reduced flow |
Positive | 2 | 3 | 5 |
Sn: 0.06 [0.01;0.20] Sp: 0.93 [0.80;0.98] PPV: 0.40 [0.11;0.79] NPV: 0.55 [0.52;0.58] AUC: 0.49 [0.36;0.63] |
| Negative | 31 | 38 | 69 | ||
AUC area under the curve, PPV positive predictive value, N number, NPV negative predictive value, Sp Specificity, Sn Sensitivity.
aNot possible to calculate due to division by zero.
bSignificant difference between temporal artery biopsy and ultrasound (p = 0.048).