Ontology type: schema:ScholarlyArticle Open Access: True
2020-07-17
AUTHORSVasco V. Mascarenhas, Miguel O. Castro, Paulo A. Rego, Reto Sutter, Luca Maria Sconfienza, Ara Kassarjian, Florian Schmaranzer, Olufemi R. Ayeni, Tobias Johannes Dietrich, Philip Robinson, Marc-André Weber, Paul E. Beaulé, Michael Dienst, Lennart Jans, Radhesh Lalam, Apostolos H. Karantanas, Iwona Sudoł-Szopińska, Suzanne Anderson, Iris Noebauer-Huhmann, Filip M. Vanhoenacker, Pedro Dantas, Oliver Marin-Peña, Diego Collado, Marc Tey-Pons, Ehrenfried Schmaranzer, Eva Llopis, Mario Padron, Josef Kramer, Patrick O. Zingg, Michel De Maeseneer, P. Diana Afonso
ABSTRACTObjectivesImaging assessment for the clinical management of femoroacetabular impingement (FAI) syndrome remains controversial because of a paucity of evidence-based guidance and notable variability in clinical practice, ultimately requiring expert consensus. The purpose of this agreement is to establish expert-based statements on FAI imaging, using formal techniques of consensus building.MethodsA validated Delphi method and peer-reviewed literature were used to formally derive consensus among 30 panel members (21 musculoskeletal radiologists and 9 orthopaedic surgeons) from 13 countries. Forty-four questions were agreed on, and recent relevant seminal literature was circulated and classified in five major topics (‘General issues’, ‘Parameters and reporting’, ‘Radiographic assessment’, ‘MRI’ and ‘Ultrasound’) in order to produce answering statements. The level of evidence was noted for all statements, and panel members were asked to score their level of agreement with each statement (0 to 10) during iterative rounds. Either ‘consensus’, ‘agreement’ or ‘no agreement’ was achieved.ResultsForty-seven statements were generated, and group consensus was reached for 45 (95.7%). Seventeen of these statements were selected as most important for dissemination in advance. There was no agreement for the two statements pertaining to ‘Ultrasound’.ConclusionRadiographic evaluation is the cornerstone of hip evaluation. An anteroposterior pelvis radiograph and a Dunn 45° view are recommended for the initial assessment of FAI although MRI with a dedicated protocol is the gold standard imaging technique in this setting. The resulting consensus can serve as a tool to reduce variability in clinical practices and guide further research for the clinical management of FAI.Key Points• FAI imaging literature is extensive although often of low level of evidence.• Radiographic evaluation with a reproducible technique is the cornerstone of hip imaging assessment.• MRI with a dedicated protocol is the gold standard imaging technique for FAI assessment. More... »
PAGES5281-5297
http://scigraph.springernature.com/pub.10.1007/s00330-020-06822-9
DOIhttp://dx.doi.org/10.1007/s00330-020-06822-9
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1127573484
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/32405754
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"description": "ObjectivesImaging assessment for the clinical management of femoroacetabular impingement (FAI) syndrome remains controversial because of a paucity of evidence-based guidance and notable variability in clinical practice, ultimately requiring expert consensus. The purpose of this agreement is to establish expert-based statements on FAI imaging, using formal techniques of consensus building.MethodsA validated Delphi method and peer-reviewed literature were used to formally derive consensus among 30 panel members (21 musculoskeletal radiologists and 9 orthopaedic surgeons) from 13 countries. Forty-four questions were agreed on, and recent relevant seminal literature was circulated and classified in five major topics (\u2018General issues\u2019, \u2018Parameters and reporting\u2019, \u2018Radiographic assessment\u2019, \u2018MRI\u2019 and \u2018Ultrasound\u2019) in order to produce answering statements. The level of evidence was noted for all statements, and panel members were asked to score their level of agreement with each statement (0 to 10) during iterative rounds. Either \u2018consensus\u2019, \u2018agreement\u2019 or \u2018no agreement\u2019 was achieved.ResultsForty-seven statements were generated, and group consensus was reached for 45 (95.7%). Seventeen of these statements were selected as most important for dissemination in advance. There was no agreement for the two statements pertaining to \u2018Ultrasound\u2019.ConclusionRadiographic evaluation is the cornerstone of hip evaluation. An anteroposterior pelvis radiograph and a Dunn 45\u00b0 view are recommended for the initial assessment of FAI although MRI with a dedicated protocol is the gold standard imaging technique in this setting. The resulting consensus can serve as a tool to reduce variability in clinical practices and guide further research for the clinical management of FAI.Key Points\u2022 FAI imaging literature is extensive although often of low level of evidence.\u2022 Radiographic evaluation with a reproducible technique is the cornerstone of hip imaging assessment.\u2022 MRI with a dedicated protocol is the gold standard imaging technique for FAI assessment.",
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