The Asia-Pacific Journal of Ophthalmology

Asia-Pacific Journal of Ophthalmology:

Issue 4, July/August 2018 Review Article

Use of Noninvasive Imaging in Giant Cell Arteritis

Halbach, Caroline; McClelland, Collin M.; Chen, John; Li, Suellen; Lee, Michael S.



Author Information


From the *Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN; †Departments of Ophthalmology and Neurology, Mayo Clinic, Rochester, MN; and ‡University of Chicago Pritzker School of Medicine, Chicago, IL.


Reprints: Michael S. Lee, MD, 420 Delaware St SE, MMC 493, Minneapolis, MN 55455.
E-mail: mikelee@umn.edu.



Abstract


Giant cell arteritis (GCA) requires a prompt diagnosis to avoid significant morbidity among the elderly. An accurate diagnosis is also paramount given the side effect profile of long-term corticosteroid treatment. Temporal artery biopsy (TAB) has long remained the gold standard for the diagnosis of GCA but requires an invasive procedure that is not without risk. This article discusses the argument for and against the use of noninvasive imaging including ultrasound, magnetic resonance imaging, and positron emission tomography scanning for the diagnosis of GCA. It also provides a suggested diagnostic algorithm for when to consider noninvasive imaging versus TAB.




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