International task force issues first imaging guidance for PMR diagnosis
An international, multidisciplinary task force developed consensus recommendations on the role of ultrasound, MRI, and FDG-PET in polymyalgia rheumatica (PMR). The group states PMR remains primarily a clinical diagnosis, with imaging neither required to confirm nor exclude PMR at high or low clinical probability, but potentially useful in patients with intermediate pretest probability or atypical presentations. The recommendations also note no single imaging modality is sufficiently accurate as a first-line test, vascular imaging is noted when giant cell arteritis overlap is suspected, and imaging is not currently recommended for disease monitoring or outcome prediction.
Most relevant for: Clinicians evaluating patients with suspected or atypical polymyalgia rheumatica, including cases with possible overlap with giant cell arteritis.
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