Table 1.
Noninvasive vascular methods
Noninvasive vascular method | Vascular data provided | Principle strength | Main weakness |
---|---|---|---|
Nailfold capillaroscopy | Morphological | Standardized protocol | Trained operator |
Sublingual capillaroscopy | Functional | Automated | Availability |
Laser speckle contrast imaging (LSCI) | Functional | Noncontact | Inadequate in low perfusion |
Laser speckle contrast analysis (LASCA) | Functional | Intra-operator variability | Spatial resolution |
Infrared thermography | Functional | Specific for skin circulation | Detailed protocol |
Calcinosis assessment • Ultrasound (US) • CT • MRI • PET |
Morphological |
• US: cost • CT/MRI: preoperative anatomic information • PET: widespread evaluation |
• US: trained operator • CT: radiation • MRI: misses small foci • PET: cost |
Optical coherence tomography angiography (OCT-A) | Morphological | Quantitative in two layers of skin | Validation in SSc |
Peripheral arterial tonometry (PAT) | Functional | Automated | Fingertip occlusion |
Digital thermal monitoring (DTM) | Functional | Automated | Requires adequate baseline temperature |
Flow mediated dilatation (FMD) | Functional | Standardized protocol | Trained operator |
Quantitative sudomotor axon reflex test (QSART) | Functional | Captures neurologic skin symptoms | Trained operator |