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Optic Nerve Sheath Ultrasound in Giant Cell Arteritis
Sponsor: Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
Summary
The Sonographic Assessment of the Optic Nerve Sheath in Giant Cell Arteritis (SONIC-GCA) study will evaluate the performance of the optic nerve sheath diameter (ONSD), measured via ultrasound, to diagnose and monitor GCA. SONIC-GCA builds upon our previous pilot studies and will answer the following questions: 1. What is the performance of ONSD to identify patients with new-onset, active GCA? 2. Is ONSD useful for monitoring GCA relapses during follow-up? 3. What is the intra- and interobserver reliability of ONSD measurements? 4. Does ONSD differ between patients with and without GCA-related retinal findings?
Official title: The Sonographic Assessment of the Optic Nerve Sheath in Giant Cell Arteritis
Key Details
Gender
All
Age Range
50 Years - 99 Years
Study Type
OBSERVATIONAL
Enrollment
285
Start Date
2025-08
Completion Date
2029-03
Last Updated
2025-08-07
Healthy Volunteers
No
Interventions
Optic nerve sheath ultrasound
The patients are examined in a supine relaxed position. The probe is gently placed on the closed eyelid with a standard ultrasound gel and adjusted to a suitable angle to display the optic nerve entry into the eyeball. Measurements are done 3mm distal to the posterior aspect of the ocular globe. Ultrasosonographic 14L5 probe is used with a safe thermal index, mechanical index and intensity limit. All patients will also undergo a bedside fundoscopic examination. Official ophthalmology consultation will be requested in patients with visual symptoms or abnormal fundoscopy.
Standardized GCA assessment
Clinical assesment, blood test review, temporal/axillary artery ultrasound
Locations (6)
St-Joseph's Health Care London
London, Ontario, Canada
Sinai Health - Toronto
Toronto, Ontario, Canada
MUHC - McGill University
Montreal, Quebec, Canada
Vasculitis Clinic, Hopital du Sacre-Coeur de Montreal
Montreal, Quebec, Canada
CIUSSS de l'Est-de-l'ile de Montreal
Montreal, Quebec, Canada
CIUSSS de l'Estrie - CHUS
Sherbrooke, Quebec, Canada