Review Article

The Role of 18F-FDG PET/CT in Large-Vessel Vasculitis: Appropriateness of Current Classification Criteria?

Table 2

Sensitivity and specificity of different imaging modalities for LVV with their pathognomonic/typical imaging findings. (data on US and MRI from [111]).

ā€‰Pathognomonic/typical findingsSensitivity/specificity

(Color-doppler)
ultrasonography
(i) Edema, halo around the
(temporal) artery
(ii) Stenosis, increased blood flow velocities
(iii) Occlusion, absent colour signal
Sens. 87%, Spec. 96%
(for late effects of arteritis temporalis)

MRI(i) Wall thickening
(ii) Increased mural gadolinium
contrast enhancement
Sens. 81%, Spec. 97%
(for late effects of LVV)

18F-FDG PET/CTIncreased 18F-FDG uptake in walls of aorta and main cervical and thoracic branches(i) Able to detect early inflammation without (late) effects like oedema, wall thickening, or arterial stenosis or aortic dilatation
(ii) How to calculate sensitivity and specificity in lack of a gold standard?