The ultrasound compression sign to diagnose temporal giant cell arteritis shows an excellent interobserver agreement.

Abstract:

OBJECTIVES:To compare the diagnostic performance between a vascular specialist and a rheumatologist not familiar with vascular ultrasound when applying the compression sign for the diagnosis of temporal arteritis. METHODS:Sixty consecutive patients with suspicion of giant cell arteritis were examined by both examiners. Compression of the temporal artery on both sides (stem and both branches) was performed to define whether signs of vasculitis, no vasculitis or an indefinite result were present. Each examiner was blinded to the result of the other. RESULTS:In 59/60 patients, the examiners found an identical result. The interobserver agreement (Krippendorf alpha) was 0.92. CONCLUSIONS:The new compression sign for the diagnosis of temporal arteritis is a simple and robust sonographic marker with an excellent interobserver agreement.

journal_name

Clin Exp Rheumatol

authors

Aschwanden M,Imfeld S,Staub D,Baldi T,Walker UA,Berger CT,Hess C,Daikeler T

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

S-113-5

issue

2 Suppl 89

eissn

0392-856X

issn

1593-098X

pii

9106

journal_volume

33

pub_type

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