Evidence map›Paper›PMID 40441752›Full record

SynthesisRMD open2025

Definitions of elementary ultrasound lesions in Takayasu arteritis: a study from the OMERACT Ultrasound Working Group.

Alessandro Tomelleri, Christian Dejaco, Wolfgang A Schmidt, Louise Falzon, Milena Bond, Christina Duftner, Helen Keen, Gerhard Krönke, Carlos Pineda, Maria Antonietta D'Agostino and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in RMD open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Management of Takayasu Arteritis - A 2026 Update.Current rheumatology reports · 2026
    Review
  2. 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

13 authors.

Alessandro TomelleriUnit of Immunology, Rheumatology, Allergy and Rare diseases, San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0002-5440-2078
Christian DejacoRheumatology, Medical University Graz, Graz, Austria.ORCID 0000-0002-0173-0668
Wolfgang A SchmidtRheumatology, Hospital Waldfriede, Berlin, Germany.
Louise FalzonHealth Economics and Decision Science, The University of Sheffield, Sheffield, UK.ORCID 0000-0002-9449-6056
Milena BondDepartment of Rheumatology, Hospital of Bruneck, Brunico, Bozen, Italy.ORCID 0000-0002-5400-2955
Christina DuftnerDepartment of Internal Medicine, Clinical Division of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Tyrol, Austria.
Helen KeenThe University of Western Australia School of Medicine and Pharmacology, Perth, Western Australia, Australia.
Gerhard KrönkeRheumatology and Clinical Immunology, Friedrich-Alexander University Erlangen-Nuremberg, Berlin, Germany.ORCID 0000-0002-7566-4325
Carlos PinedaInstituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.
Maria Antonietta D'AgostinoFoundation Policlinico Universitario Agostino gemelli IRCSS, Rome, Italy.
L TerslevCenter for Rheumatology and Spine Diseases, Rigshospitalet Glostrup, Glostrup, Denmark.ORCID 0000-0001-8193-9471
Peter MandlInternal Medicine 3; Division of Rheumatology, Medical University Vienna, Vienna, Austria.ORCID 0000-0003-1526-4052
Vincent CasteleynRheumatology, Charité Universitätsmedizin Berlin, Berlin, Germany vincent.casteleyn@charite.de.ORCID 0000-0003-3177-7835

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically assess the evidence on the use of ultrasonography (US) for the detection of vascular inflammation in Takayasu arteritis (TAK), with a focus on evaluating existing scoring systems and identifying elementary sonographic lesions for diagnosis, disease monitoring and outcome prediction.

methodsA systematic literature review (SLR) was conducted using PubMed, EMBASE, the Cochrane Library and Epistemonikos from their inception until 15 March 2024. Only original research articles evaluating the diagnostic accuracy, outcome prediction or monitoring ability of US in TAK, with a minimum sample size of 15 patients, were included. Data extraction was performed independently by two reviewers. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool for diagnostic studies and the Quality In Prognosis Studies tool for prognostic studies.

results21 studies met the inclusion criteria. Three of them proposed a US scoring system for TAK, while the remainder focused on reporting elementary lesions. The common findings included increased intima-media thickness (IMT), stenosis, occlusion, aneurysm and increased contrast enhancement. All studies evaluated the common carotid arteries, with less frequent assessment of other vascular territories such as the subclavian and common femoral arteries and the abdominal aorta. Although increased IMT and contrast enhancement of the arterial wall correlated with clinical measures of disease activity, heterogeneity of lesion definitions and measurement thresholds, along with small sample sizes and moderate-to-high risk of bias, limits the generalisability of the findings.

conclusionsThis SLR highlights the current lack of a fully validated US scoring system for TAK and underscores the need for standardised definitions of elementary sonographic lesions.

Indexed as

Takayasu ArteritisCarotid Intima-Media ThicknessHumansPrognosisUltrasonographyInflammationUltrasonographyVasculitis

Identifiers

PMID40441752
PMCPMC12121570

What OpenQuestion holds

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LicenceCC BY-NC
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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.