Ontology type: schema:ScholarlyArticle Open Access: True
2021-01-07
AUTHORSMiguel O. Castro, Vasco V. Mascarenhas, P. Diana Afonso, Paulo Rego, Florian Schmaranzer, Reto Sutter, Ara Kassarjian, Luca Sconfienza, Michael Dienst, 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
ABSTRACTObjectivesImaging diagnosis of femoroacetabular impingement (FAI) remains controversial due to a lack of high-level evidence, leading to significant variability in patient management. Optimizing protocols and technical details is essential in FAI imaging, although challenging in clinical practice. The purpose of this agreement is to establish expert-based statements on FAI imaging, using formal consensus techniques driven by relevant literature review. Recommendations on the selection and use of imaging techniques for FAI assessment, as well as guidance on relevant radiographic and MRI classifications, are provided.MethodsThe Delphi method was used to assess agreement and derive consensus among 30 panel members (musculoskeletal radiologists and orthopedic surgeons). Forty-four questions were agreed on and classified into five major topics and recent relevant literature was circulated, in order to produce answering statements. The level of evidence was assessed for all statements and panel members scored their level of agreement with each statement during 4 Delphi rounds. Either “group consensus,” “group agreement,” or “no agreement” was achieved.ResultsForty-seven statements were generated and group consensus was reached for 45. Twenty-two statements pertaining to “Imaging techniques” were generated. Eight statements on “Radiographic assessment” and 12 statements on “MRI evaluation” gained consensus. No agreement was reached for the 2 “Ultrasound” related statements.ConclusionThe first international consensus on FAI imaging was developed. Researchers and clinicians working with FAI and hip-related pain may use these recommendations to guide, develop, and implement comprehensive, evidence-based imaging protocols and classifications.Key Points• Radiographic evaluation is recommended for the initial assessment of FAI, while MRI with a dedicated protocol is the gold standard imaging technique for the comprehensive evaluation of this condition.• The MRI protocol for FAI evaluation should include unilateral small FOV with radial imaging, femoral torsion assessment, and a fluid sensitive sequence covering the whole pelvis.• The definite role of other imaging methods in FAI, such as ultrasound or CT, is still not well defined. More... »
PAGES4652-4668
http://scigraph.springernature.com/pub.10.1007/s00330-020-07501-5
DOIhttp://dx.doi.org/10.1007/s00330-020-07501-5
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1134400466
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/33411053
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"description": "ObjectivesImaging diagnosis of femoroacetabular impingement (FAI) remains controversial due to a lack of high-level evidence, leading to significant variability in patient management. Optimizing protocols and technical details is essential in FAI imaging, although challenging in clinical practice. The purpose of this agreement is to establish expert-based statements on FAI imaging, using formal consensus techniques driven by relevant literature review. Recommendations on the selection and use of imaging techniques for FAI assessment, as well as guidance on relevant radiographic and MRI classifications, are provided.MethodsThe Delphi method was used to assess agreement and derive consensus among 30 panel members (musculoskeletal radiologists and orthopedic surgeons). Forty-four questions were agreed on and classified into five major topics and recent relevant literature was circulated, in order to produce answering statements. The level of evidence was assessed for all statements and panel members scored their level of agreement with each statement during 4 Delphi rounds. Either \u201cgroup consensus,\u201d \u201cgroup agreement,\u201d or \u201cno agreement\u201d was achieved.ResultsForty-seven statements were generated and group consensus was reached for 45. Twenty-two statements pertaining to \u201cImaging techniques\u201d were generated. Eight statements on \u201cRadiographic assessment\u201d and 12 statements on \u201cMRI evaluation\u201d gained consensus. No agreement was reached for the 2 \u201cUltrasound\u201d related statements.ConclusionThe first international consensus on FAI imaging was developed. Researchers and clinicians working with FAI and hip-related pain may use these recommendations to guide, develop, and implement comprehensive, evidence-based imaging protocols and classifications.Key Points\u2022 Radiographic evaluation is recommended for the initial assessment of FAI, while MRI with a dedicated protocol is the gold standard imaging technique for the comprehensive evaluation of this condition.\u2022 The MRI protocol for FAI evaluation should include unilateral small FOV with radial imaging, femoral torsion assessment, and a fluid sensitive sequence covering the whole pelvis.\u2022 The definite role of other imaging methods in FAI, such as ultrasound or CT, is still not well defined.",
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