The Lisbon Agreement on femoroacetabular impingement imaging—part 2: general issues, parameters, and reporting View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-01-07

AUTHORS

Vasco V. Mascarenhas, Miguel O. Castro, P. Diana Afonso, Paulo Rego, Michael Dienst, Reto Sutter, Florian Schmaranzer, Luca Sconfienza, Ara Kassarjian, Olufemi R. Ayeni, Paul E. Beaulé, Pedro Dantas, Radhesh Lalam, Marc-André Weber, Filip M. Vanhoenacker, Tobias Johannes Dietrich, Lennart Jans, Philip Robinson, Apostolos H. Karantanas, Iwona Sudoł-Szopińska, Suzanne Anderson, Iris Noebauer-Huhmann, Oliver Marin-Peña, Diego Collado, Marc Tey-Pons, Ehrenfried Schmaranzer, Mario Padron, Josef Kramer, Patrick O. Zingg, Michel De Maeseneer, Eva Llopis

ABSTRACT

ObjectivesImaging assessment for the clinical management of femoroacetabular impingement (FAI) is controversial because of a paucity of evidence-based guidance and notable variability among practitioners. Hence, expert consensus is needed because standardised imaging assessment is critical for clinical practice and research. We aimed to establish expert-based statements on FAI imaging by using formal methods of consensus building.MethodsThe Delphi method was used to formally derive consensus among 30 panel members from 13 countries. Forty-four questions were agreed upon, and relevant seminal literature was circulated and classified in major topics to produce answering statements. The level of evidence was noted for all statements, and panel members were asked to score their level of agreement (0–10). This is the second part of a three-part consensus series and focuses on ‘General issues’ and ‘Parameters and reporting’.ResultsForty-seven statements were generated and group consensus was reached for 45. Twenty-five statements pertaining to ‘General issues’ (9 addressing diagnosis, differential diagnosis, and postoperative imaging) and ‘Parameters and reporting’ (16 addressing femoral/acetabular parameters) were produced.ConclusionsThe available evidence was reviewed critically, recommended criteria for diagnostic imaging highlighted, and the roles/values of different imaging parameters assessed. Radiographic evaluation (AP pelvis and a Dunn 45° view) is the cornerstone of hip-imaging assessment and the minimum imaging study that should be performed when evaluating adult patients for FAI. In most cases, cross-sectional imaging is warranted because MRI is the ‘gold standard’ imaging modality for the comprehensive evaluation, differential diagnosis assessment, and FAI surgical planning.Key Points• Diagnostic imaging for FAI is not standardised due to scarce evidence-based guidance on which imaging modalities and diagnostic criteria/parameters should be used.• Radiographic evaluation is the cornerstone of hip assessment and the minimum study that should be performed when assessing suspected FAI. Cross-sectional imaging is justified in most cases because MRI is the ‘gold standard’ modality for comprehensive FAI evaluation.• For acetabular morphology, coverage (Wiberg’s angle and acetabular index) and version (crossover, posterior wall, and ischial spine signs) should be assessed routinely. On the femoral side, the head–neck junction morphology (α° and offset), neck morphology (NSA), and torsion should be assessed. More... »

PAGES

4634-4651

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  • Journal

    TITLE

    European Radiology

    ISSUE

    7

    VOLUME

    31

    Author Affiliations

  • Musculoskeletal Imaging Unit, Radiology Department, Imaging Center, Hospital da Luz, Grupo Luz Saúde, Av Lusiada 100, 1500-650, Lisbon, Portugal
  • Department of Radiology, Centro Hospitalar Universitário do Algarve, Portimão, Portugal
  • Department of Orthopaedic Surgery, Hospital da Luz, Lisbon, Portugal
  • Orthopädische Chirurgie München, Munich, Germany
  • Balgrist University Hospital, University of Zurich, Zurich, Switzerland
  • Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern, University of Bern, Bern, Switzerland
  • Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy
  • Elite Sports Imaging, SL, Madrid, Spain
  • Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada
  • Division of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada
  • Hospital CUF Descobertas, Lisbon, Portugal
  • The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Gobowen, Oswestry, UK
  • Institute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, University Medical Center, Rostock, Germany
  • Department of Radiology, Ghent University Hospital, Ghent, Belgium
  • Radiology and Nuclear Medicine, Kantonsspital St. Gallen, Gallen, Switzerland
  • University of Leeds and NHIR Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK
  • Medical School-University of Crete and Computational BioMedicine Laboratory-ICS/FORTH, Heraklion, Greece
  • Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation (NIGRiR), Warsaw, Poland
  • The University of Notre Dame Australia, Sydney School of Medicine, Sydney, Australia
  • Department of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Vienna, Austria
  • Orthopedic and Traumatology Department, Hip Unit, University Hospital Infanta Leonor, Madrid, Spain
  • Cirugía Ortopédica y Traumatología, Centro Médico Teknon, Barcelona, Spain
  • Orthopedic Surgery and Traumatology, University Hospital del Mar, Barcelona, Spain
  • Department of Radiology, District Hospital St. Johann, Tyrol, Austria
  • Department of Radiology, Clínica Cemtro, Madrid, Spain
  • Röntgeninstitut am Schillerpark, Rainerstrasse, Linz, Austria
  • Department of Orthopaedics, Balgrist University Hospital, Zurich, Switzerland
  • Universitair Ziekenhuis Brussel, Brussels, Belgium
  • Department of Radiology, Hospital de la Ribera, Valencia, Spain
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00330-020-07432-1

    DOI

    http://dx.doi.org/10.1007/s00330-020-07432-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1134400465

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/33411052


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