Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN.
Departments of Ophthalmology and Neurology, Mayo Clinic, Rochester, MN.
Asia Pac J Ophthalmol (Phila). 2018 Jul-Aug;7(4):260-264. doi: 10.22608/APO.2018133. Epub 2018 Jul 13.
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.
巨细胞动脉炎（GCA）需要及时诊断，以避免老年人出现严重的发病率。鉴于长期皮质类固醇治疗的副作用，准确的诊断也至关重要。颞动脉活检（TAB）长期以来一直是 GCA 诊断的金标准，但需要进行有创操作，并非没有风险。本文讨论了使用非侵入性成像（包括超声、磁共振成像和正电子发射断层扫描）诊断 GCA 的利弊。它还提供了一个建议的诊断算法，用于何时考虑使用非侵入性成像而不是 TAB。
