Vasculitis & polymyalgia rheumatica

Added diagnostic yield of temporal artery magnetic resonance angiography in the evaluation of giant cell arteritis

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

TAMRA has proven utility in diagnosing GCA, and these data suggest that it also has utility in identifying alternative diagnoses to rule out the disease. Intracranial vasculitis was also seen in 14.3% of patients

Study context

Population
Patients who underwent temporal artery magnetic resonance angiography (TAMRA) for a possible diagnosis of GCA, St Joseph's Healthcare, Hamilton, Ontario, Canada, February 2007–April 2020126 (37.1%) GCA diagnoses
Participants
340 patients
Outcome
Other significant abnormalities on TAMRA, either associated with GCA or potentially mimicking GCA
Methodological detailssingle-centre, descriptive analysis
  • Single-centre
  • Descriptive analysis

Main finding

As reported in the abstract

Findings on TAMRA

Alternative diagnosis demonstrated on TAMRA (predominantly temporomandibular joint, orbit and meninges)

14

4.1%

Intracranial vascular changes demonstrative of intracranial vasculitis in patients with GCA

18

14.3%

Stroke attributed to intracranial GCA

1

Observational data: associations, not effects.

Original publication

Added diagnostic yield of temporal artery magnetic resonance angiography in the evaluation of giant cell arteritis. Rheumatology (Oxford). Published 7 October 2022. doi:10.1093/rheumatology/keac583

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