Evidence map›Paper›PMID 37597848›Full record

Observational studyRMD open2023

Impact of ultrasound limitation to assess aortitis in patients with giant cell arteritis: comparative study with FDG-PET/CT.

Juan Molina-Collada, Isabel Castrejón, Irene Monjo-Henry, Elisa Fernández-Fernández, Gabriela Torres Ortiz, Julia Martínez-Barrio, José María Álvaro-Gracia, Eugenio de Miguel

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Diagnosing vasculitis with ultrasound: findings and pitfalls.Therapeutic advances in musculoskeletal disease · 2024
    Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Juan Molina-ColladaDepartment of Rheumatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain molinacolladajuan@gmail.com.ORCID 0000-0001-5191-7802
Isabel CastrejónDepartment of Rheumatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Irene Monjo-HenryDepartment of Rheumatology, Hospital Universitario La Paz, Madrid, Spain.ORCID 0000-0002-3252-8016
Elisa Fernández-FernándezDepartment of Rheumatology, Hospital Universitario La Paz, Madrid, Spain.ORCID 0000-0002-1628-5042
Gabriela Torres OrtizDepartment of Rheumatology, Hospital Universitario La Paz, Madrid, Spain.
Julia Martínez-BarrioDepartment of Rheumatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
José María Álvaro-GraciaDepartment of Rheumatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Eugenio de MiguelDepartment of Rheumatology, Hospital Universitario La Paz, Madrid, Spain.ORCID 0000-0001-5146-1964
Hospital Universitario La Paz · ESHospital General Universitario Gregorio Marañón · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the impact of ultrasound (US) intrinsic limitation to assess aortitis versus FDG-PET/CT in patients with US-proven giant cell arteritis (GCA) and to identify factors associated with aortic involvement.

methodsRetrospective observational study of patients referred to US fast-track clinics at two academic centres over a 4-year period. Only patients with GCA confirmed by US were included. Temporal arteries (TA) and extracranial arteries US were performed at baseline. FDG-PET/CT was performed according to clinician's criteria. An FDG artery uptake at the aorta higher than liver uptake was considered positive for aortitis.

resultsSeventy-two of 186 patients with US-proven GCA underwent an FDG-PET/CT; 29 (40.3%) had a positive FDG-PET/CT and 24 (33.3%) presented aortitis. Only 6 (20.7%) patients with positive FDG-PET/CT had negative US findings of large vessel (LV)-GCA. Among patients with aortitis in FDG-PET/CT, only two (8.3%) had negative US findings of LV-GCA. Patients with aortitis were younger (68.9 vs 81;p<0.001), more frequently females (79.2% vs 39.6%;p=0.002) and had higher platelets count (413.4 vs 311.1;p=0014). Patients with aortitis presented positive TA US less frequently (41.7% vs 83.3%;p<0.001), but more LV US involvement (91.7% vs 41.7%; p<0.001) versus patients without aortitis. None of the patients with aortitis exhibited visual symptoms (0% vs 31.2%;p=0.001).

conclusionsFDG-PET/CT can detect aortitis in one out of every three patients with US-proven GCA. However, a negative US examination for LV-GCA suggests a low risk of aortitis. Younger and female GCA patients with thrombocytosis, absence of visual manifestations and LV-GCA on US may more frequently present aortitis by FDG-PET/CT.

Indexed as

AortitisGiant Cell ArteritisFemaleFluorodeoxyglucose F18HumansPositron Emission Tomography Computed TomographyUltrasonographyFluorodeoxyglucose F18giant cell arteritissystemic vasculitisultrasonography

Identifiers

PMID37597848
PMCPMC10441063
OpenAlexW4386002987

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.