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Should all patients with suspected giant cell arteritis get a PET scan to look for large vessel disease?

3 Answers
Mednet Member
Mednet Member
Rheumatology · Medical College of Wisconsin Affiliated Hospitals

PET-CT and PET-MRI can be very useful diagnostic modalities in GCA, but I do not recommend universal screening with PET scanning.

The upcoming ACR/VF sponsored vasculitis guidelines will likely recommend obtaining non-invasive vascular imaging to evaluate for large vessel involvement, but the recom...

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Mednet Member
Mednet Member
Rheumatology · Director, Vasculitis Clinical Research Consortium

Several different groups, including our own, have reported on the substantial prevalence of “large-vessel involvement” in giant cell arteritis. Specifically, involvement of the aorta and its primary branches. The data indicate that at least 20-30% of patients with giant cell arteritis have large-ves...

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Mednet Member
Mednet Member
Rheumatology · Mobile Medical Care Inc

Dr. @Dr. First Last’s write up is well-crafted and very thoughtful - bravo to you!!

I think the person who postulated this question is asking about screening for large vessel involvement in GCA; this is a fascinating question that has been running in the literature since Gary Hoffman showed aortic i...

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