{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T09:25:36Z","timestamp":1790414736230,"version":"4.1.0"},"reference-count":45,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2010,8,26]],"date-time":"2010-08-26T00:00:00Z","timestamp":1282780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,11,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Temporal artery (TA) biopsy is the current standard for diagnosing temporal arteritis, but has limited sensitivity. Colour duplex ultrasonography is a newer, non-invasive method of diagnosing temporal arteritis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A systematic review was performed of trials comparing TA biopsy with duplex ultrasonography. Duplex results (halo sign, stenosis or vessel occlusion) were compared with either TA biospy findings or the American College of Rheumatology research criteria for diagnosing temporal arteritis. Trials were identified from MEDLINE, Embase and the Cochrane Library trials register. The performance of duplex ultrasonography was assessed with weighted independent sensitivity and specificity values, and summary receiver operating characteristic curve analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 17 eligible studies containing 998 patients. When the halo sign on duplex imaging was compared with TA biopsy, the sensitivity was 75 (95 per cent confidence interval 67 to 82) per cent and the specificity was 83 (78 to 88) per cent. There was no heterogeneity across the eligible studies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Duplex ultrasonography was relatively accurate for diagnosing temporal arteritis. It should become the first-line investigation, with biopsy reserved for patients with a negative scan.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.7252","type":"journal-article","created":{"date-parts":[[2010,8,30]],"date-time":"2010-08-30T07:27:13Z","timestamp":1283153233000},"page":"1765-1771","source":"Crossref","is-referenced-by-count":154,"title":["Role of ultrasonography in the diagnosis of temporal arteritis"],"prefix":"10.1093","volume":"97","author":[{"given":"E L","family":"Ball","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S R","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T Y","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Gohil","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J M F","family":"Clarke","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2010,8,26]]},"reference":[{"key":"2021070906480672600_bib1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.jbspin.2007.09.008","article-title":"Epidemiology, imaging, and treatment of giant cell arteritis","volume":"75","author":"Devauchelle-Pensec","year":"2008","journal-title":"Joint Bone Spine"},{"key":"2021070906480672600_bib2","first-page":"137","article-title":"Management guidelines and outcome measures in giant cell arteritis (GCA)","volume":"25","author":"Warrington","year":"2007","journal-title":"Clin Exp Rheumatol"},{"key":"2021070906480672600_bib3","doi-asserted-by":"crossref","first-page":"505","DOI":"10.7326\/0003-4819-139-6-200309160-00015","article-title":"Giant-cell arteritis and polymyalgia rheumatica","volume":"139","author":"Weyand","year":"2003","journal-title":"Ann Intern Med"},{"key":"2021070906480672600_bib4","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1001\/jama.287.1.92","article-title":"Does this patient have temporal arteritis?","volume":"287","author":"Smetana","year":"2002","journal-title":"JAMA"},{"key":"2021070906480672600_bib5","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1016\/S0161-6420(01)00574-7","article-title":"The epidemiology of giant cell arteritis : a 12-year retrospective study","volume":"108","author":"Liu","year":"2001","journal-title":"Ophthalmology"},{"key":"2021070906480672600_bib6","doi-asserted-by":"crossref","first-page":"232","DOI":"10.7326\/0003-4819-137-4-200208200-00006","article-title":"Is duplex ultrasonography useful for the diagnosis of giant-cell arteritis?","volume":"137","author":"Salvarani","year":"2002","journal-title":"Ann Intern Med"},{"key":"2021070906480672600_bib7","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1002\/art.1780330810","article-title":"The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis","volume":"33","author":"Hunder","year":"1990","journal-title":"Arthritis Rheum"},{"key":"2021070906480672600_bib8","doi-asserted-by":"crossref","first-page":"345","DOI":"10.7326\/0003-4819-129-5-199809010-00001","article-title":"Limitations of the 1990 American College of Rheumatology classification criteria in the diagnosis of vasculitis","volume":"129","author":"Rao","year":"1998","journal-title":"Ann Intern Med"},{"key":"2021070906480672600_bib9","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1097\/00007611-198810000-00005","article-title":"Clinical efficacy of temporal artery biopsy in Nashville, Tennessee","volume":"81","author":"Ikard","year":"1988","journal-title":"South Med J"},{"key":"2021070906480672600_bib10","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1001\/archopht.1986.01050200033026","article-title":"Brow droop after superficial temporal artery biopsy","volume":"104","author":"Slavin","year":"1986","journal-title":"Arch Ophthalmol"},{"key":"2021070906480672600_bib11","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/0007-1226(87)90015-4","article-title":"On the occurrence of necrotising lesions in arteritis temporalis: review of the literature with a note on the potential risk of a biopsy","volume":"40","author":"Siemssen","year":"1987","journal-title":"Br J Plast Surg"},{"key":"2021070906480672600_bib12","first-page":"15","article-title":"Facial nerve injury following superficial temporal artery biopsy","volume":"27","author":"Bhatti","year":"2001","journal-title":"Dermatol Surg"},{"key":"2021070906480672600_bib13","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1016\/S0025-6196(12)60572-2","article-title":"Stroke after temporal artery biopsy","volume":"60","author":"Haist","year":"1985","journal-title":"Mayo Clin Proc"},{"key":"2021070906480672600_bib14","first-page":"S62","article-title":"Giant cell arteritis: recent advances and guidelines for management","volume":"25","author":"Dasgupta","year":"2007","journal-title":"Clin Exp Rheumatol"},{"key":"2021070906480672600_bib15","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1093\/qjmed\/hcm103","article-title":"Diagnosing temporal arteritis: duplex vs. biopsy","volume":"100","author":"Alberts","year":"2007","journal-title":"QJM"},{"key":"2021070906480672600_bib16","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/S0140-6736(83)91269-2","article-title":"The therapeutic impact of temporal artery biopsy","volume":"2","author":"Hall","year":"1983","journal-title":"Lancet"},{"key":"2021070906480672600_bib17","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1093\/rheumatology\/41.1.46","article-title":"Incidence of temporal arteritis in patients with polymyalgia rheumatica: a prospective study using colour Doppler ultrasonography of the temporal arteries","volume":"41","author":"Schmidt","year":"2002","journal-title":"Rheumatology (Oxford)"},{"key":"2021070906480672600_bib18","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1016\/S0140-6736(95)93005-1","article-title":"Colour Doppler sonography to diagnose temporal arteritis","volume":"345","author":"Schmidt","year":"1995","journal-title":"Lancet"},{"key":"2021070906480672600_bib19","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1056\/NEJM199711063371902","article-title":"Color duplex ultrasonography in the diagnosis of temporal arteritis","volume":"337","author":"Schmidt","year":"1997","journal-title":"N Engl J Med"},{"key":"2021070906480672600_bib20","doi-asserted-by":"crossref","first-page":"359","DOI":"10.7326\/0003-4819-142-5-200503010-00011","article-title":"Meta-analysis: test performance of ultrasonography for giant-cell arteritis","volume":"142","author":"Karassa","year":"2005","journal-title":"Ann Intern Med"},{"key":"2021070906480672600_bib21","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1093\/rheumatology\/kem379","article-title":"Role of imaging studies in the diagnosis and follow-up of large-vessel vasculitis: an update","volume":"47","author":"Pipitone","year":"2008","journal-title":"Rheumatology (Oxford)"},{"key":"2021070906480672600_bib22","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/1471-2288-3-25","article-title":"The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews","volume":"3","author":"Whiting","year":"2003","journal-title":"BMC Med Res Methodol"},{"key":"2021070906480672600_bib23","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/1471-2288-6-31","article-title":"Meta-DiSc: a software for meta-analysis of test accuracy data","volume":"6","author":"Zamora","year":"2006","journal-title":"BMC Med Res Methodol"},{"key":"2021070906480672600_bib24","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/0197-2456(86)90046-2","article-title":"Meta-analysis in clinical trials","volume":"7","author":"DerSimonian","year":"1986","journal-title":"Control Clin Trials"},{"key":"2021070906480672600_bib25","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1002\/sim.1186","article-title":"Quantifying heterogeneity in a meta-analysis","volume":"21","author":"Higgins","year":"2002","journal-title":"Stat Med"},{"key":"2021070906480672600_bib26","first-page":"1","article-title":"Comparison between color duplex ultrasonography and histology of the temporal artery in cranial arteritis (giant cell arteritis)","volume":"8","author":"Schmidt","year":"2003","journal-title":"Eur J Med Res"},{"key":"2021070906480672600_bib27","first-page":"449","article-title":"Temporal arteritis: diagnostic and therapeutic considerations","volume":"62","author":"Aburahma","year":"1996","journal-title":"Am Surg"},{"key":"2021070906480672600_bib28","doi-asserted-by":"crossref","first-page":"2158","DOI":"10.1001\/jama.1982.03330170062031","article-title":"The use of Doppler flow studies in the diagnosis of giant cell arteritis. Selection of temporal artery biopsy site is facilitated","volume":"248","author":"Barrier","year":"1982","journal-title":"JAMA"},{"key":"2021070906480672600_bib29","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1016\/S0140-6736(95)92626-7","article-title":"Temporal Doppler-flow studies for suspected giant-cell arteritis","volume":"345","author":"Pu\u00e9chal","year":"1995","journal-title":"Lancet"},{"key":"2021070906480672600_bib30","first-page":"686","article-title":"Role of Doppler ultrasound flow studies in the diagnosis of temporal arteritis","volume":"24","author":"Friedman","year":"1988","journal-title":"Isr J Med Sci"},{"key":"2021070906480672600_bib31","doi-asserted-by":"crossref","first-page":"2574","DOI":"10.1002\/art.23699","article-title":"Comparison of duplex sonography and high-resolution magnetic resonance imaging in the diagnosis of giant cell (temporal) arteritis","volume":"58","author":"Bley","year":"2008","journal-title":"Arthritis Rheum"},{"key":"2021070906480672600_bib32","first-page":"1224","article-title":"The predictive value of the halo sign in color Doppler ultrasonography of the temporal arteries for diagnosing giant cell arteritis","volume":"29","author":"Nesher","year":"2002","journal-title":"J Rheumatol"},{"key":"2021070906480672600_bib33","first-page":"S76","article-title":"1T magnetic resonance imaging in the diagnosis of giant cell arteritis: comparison with ultrasonography and physical examination of temporal arteries","volume":"26","author":"Ghinoi","year":"2008","journal-title":"Clin Exp Rheumatol"},{"key":"2021070906480672600_bib34","first-page":"2177","article-title":"Duplex sonography of the temporal and occipital artery in the diagnosis of temporal arteritis. A prospective study","volume":"30","author":"Pfadenhauer","year":"2003","journal-title":"J Rheumatol"},{"key":"2021070906480672600_bib35","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.7863\/jum.2004.23.11.1493","article-title":"The role of color duplex sonography in the diagnosis of giant cell arteritis","volume":"23","author":"Romera-Villegas","year":"2004","journal-title":"J Ultrasound Med"},{"key":"2021070906480672600_bib36","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1007\/s00296-003-0372-6","article-title":"Color-coded sonography in suspected temporal arteritis\u2014experiences after 83 cases","volume":"24","author":"Reinhard","year":"2004","journal-title":"Rheumatol Int"},{"key":"2021070906480672600_bib37","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1038\/sj.eye.6700350","article-title":"The use of ultrasound as an aid in the diagnosis of giant cell arteritis: a pilot study comparing histological features with ultrasound findings","volume":"17","author":"Murgatroyd","year":"2003","journal-title":"Eye (Lond)"},{"key":"2021070906480672600_bib38","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1080\/03009740801998804","article-title":"Doppler ultrasonography to diagnose temporal arteritis in the setting of a large community hospital","volume":"37","author":"Houtman","year":"2008","journal-title":"Scand J Rheumatol"},{"key":"2021070906480672600_bib39","doi-asserted-by":"crossref","first-page":"R116","DOI":"10.1186\/ar2003","article-title":"Colour duplex sonography of temporal arteries before decision for biopsy: a prospective study in 55 patients with suspected giant cell arteritis","volume":"8","author":"Karahaliou","year":"2006","journal-title":"Arthritis Res Ther"},{"key":"2021070906480672600_bib40","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1067\/mva.2002.129648","article-title":"The utility of color duplex ultrasonography in the diagnosis of temporal arteritis","volume":"36","author":"LeSar","year":"2002","journal-title":"J Vasc Surg"},{"key":"2021070906480672600_bib41","first-page":"S40","article-title":"Doppler ultrasonography in the diagnosis of giant cell arteritis","volume":"18","author":"Schmidt","year":"2000","journal-title":"Clin Exp Rheumatol"},{"key":"2021070906480672600_bib42","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1167\/iovs.06-1106","article-title":"A Bayesian analysis of the true sensitivity of a temporal artery biopsy","volume":"48","author":"Niederkohr","year":"2007","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"2021070906480672600_bib43","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1097\/00000478-199206000-00014","article-title":"False-negative temporal artery biopsy","volume":"16","author":"Ashton-Key","year":"1992","journal-title":"Am J Surg Pathol"},{"key":"2021070906480672600_bib44","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1038\/sj.eye.6700677","article-title":"Quantification of the role of temporal artery biopsy in diagnosing clinically suspected giant cell arteritis","volume":"18","author":"Varma","year":"2004","journal-title":"Eye (Lond)"},{"key":"2021070906480672600_bib45","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1001\/jama.281.12.1110","article-title":"Accuracy of data in abstracts of published research articles","volume":"281","author":"Pitkin","year":"1999","journal-title":"JAMA"}],"container-title":["British Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.7252","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/97\/12\/1765\/36654075\/bjs7252.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/97\/12\/1765\/36654075\/bjs7252.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T15:40:10Z","timestamp":1625845210000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/97\/12\/1765\/6150221"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,8,26]]},"references-count":45,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2010,8,26]]},"published-print":{"date-parts":[[2010,11,4]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.7252","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2010,12]]},"published":{"date-parts":[[2010,8,26]]}}}