Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-09-14

AUTHORS

Luca Maria Sconfienza, Miraude Adriaensen, Domenico Albano, Andrea Alcala-Galiano, Georgina Allen, Maria Pilar Aparisi Gómez, Giacomo Aringhieri, Alberto Bazzocchi, Ian Beggs, Vito Chianca, Angelo Corazza, Danoob Dalili, Miriam De Dea, Jose Luis del Cura, Francesco Di Pietto, Elena Drakonaki, Fernando Facal de Castro, Dimitrios Filippiadis, Salvatore Gitto, Andrew J. Grainger, Simon Greenwood, Harun Gupta, Amanda Isaac, Slavcho Ivanoski, Monica Khanna, Andrea Klauser, Ramy Mansour, Silvia Martin, Vasco Mascarenhas, Giovanni Mauri, Catherine McCarthy, David McKean, Eugene McNally, Kalliopi Melaki, Rebeca Mirón Mombiela, Ricardo Moutinho, Marina Obradov, Cyprian Olchowy, Davide Orlandi, Raquel Prada González, Mahesh Prakash, Magdalena Posadzy, Saulius Rutkauskas, Žiga Snoj, Alberto Stefano Tagliafico, Alexander Talaska, Xavier Tomas, Violeta Vasilevska-Nikodinovska, Jelena Vucetic, David Wilson, Federico Zaottini, Marcello Zappia, Carmelo Messina

ABSTRACT

ObjectivesInterventional procedures around the knee are widely adopted for treating different musculoskeletal conditions. A panel of experts from the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR) reviewed the existing literature to assess the evidence on image-guided musculoskeletal interventional procedures around the knee, with the goal of highlighting some controversies associated with these procedures, specifically the role of imaging guidance, as well as the efficacy of the medications routinely injected.MethodsWe report the results of a Delphi-based consensus of 53 experts in musculoskeletal radiology, who reviewed the published literature for evidence on image-guided interventional procedures around the knee to derive a list of pertinent clinical indications.ResultsA list of 10 statements about clinical indications of image-guided procedures around the knee was created by a Delphi-based consensus. Only two of them had the highest level of evidence; all of them received 100% consensus.ConclusionsUltrasonography guidance is strongly recommended for intra-articular and patellar tendinopathy procedures to ensure the precision and efficacy of these treatments. Prospective randomized studies remain warranted to better understand the role of imaging guidance and assess some of the medications used for interventional procedures around the knee.Key Points• A list of 10 evidence-based statements on clinical indications of image-guided interventional procedures around the knee was produced by an expert panel of the ESSR.• Strong consensus with 100% agreement was obtained for all statements.• Two statements reached the highest level of evidence, allowing us to strongly recommend the use of ultrasonography to guide intra-articular and patellar tendon procedures to ensure higher accuracy and efficacy of these treatments. More... »

PAGES

1-10

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  • Journal

    TITLE

    European Radiology

    ISSUE

    N/A

    VOLUME

    N/A

    Author Affiliations

  • Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Milan, Italy
  • Department of Medical Imaging, Zuyderland Medical Center, Sittard-Geleen, Heerlen, Brunssum, Kerkrade, the Netherlands
  • Sezione Di Scienze Radiologiche, Dipartimento Di Biomedicina, Neuroscienze E Diagnostica Avanzata, Università Degli Studi Di Palermo, Palermo, Italy
  • Hospital Universitario, 12 de Octubre, Madrid, Spain
  • University of Oxford, Oxford, UK
  • Department of Radiology, Hospital Vithas Nueve de Octubre, Valencia, Spain
  • Diagnostic and Interventional Radiology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy
  • Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
  • Analytic Imaging, Edinburgh, UK
  • Clinica Di Radiologia EOC IIMSI, Lugano, Switzerland
  • IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy
  • School of Biomedical Engineering & Imaging Sciences, King’s College London, London, UK
  • Studio MSK, Belluno, Italy
  • Hospital Universitario Donostia, San Sebastian, Spain
  • Dipartimento Di Diagnostica Per Immagini, Pineta Grande Hospital, Castel Volturno, Italy
  • MSK Radiology Services, Heraklion, Crete, Greece
  • Hospital General Universitario de Valencia, Valencia, Spain
  • 2nd Department of Radiology, University General Hospital “ATTIKON” Medical School, National and Kapodistrian University of Athens, Haidari, Athens, Greece
  • Cambridge University Hospitals, Cambridge, UK
  • Mid Cheshire Hospitals NHS Foundation Trust, Cheshire, UK
  • Leeds Teaching Hospitals, Leeds, UK
  • Guy’s and St Thomas’ Hospitals, London, UK
  • Medical Faculty, University Ss. Cyril and Methodius in Skopje, Skopje, Macedonia
  • Imperial College Healthcare NHS Trust, London, UK
  • Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria
  • Oxford Musculoskeletal Radiology, Oxford University Hospitals, Oxford, UK
  • Hospital Universitario Son Llatzer, Palma, Spain
  • AIRC, Advanced Imaging Research Consortium, Lisbon, Portugal
  • Department of Oncology and Hemato-Oncology, University of Milano, Milan, Italy
  • Oxford Musculoskeletal Radiology, Oxford, UK
  • Buckinghamshire Healthcare NHS Trust, Aylesbury, UK
  • Department of Radiology, Charité-Universitätsmedizin Berlin, Berlin, Germany
  • Department of Radiology, Herlev og Gentofte Hospital, Herlev, Denmark
  • Hospital de Loulé, Loulé, Portugal
  • Department of Radiology, Sint Maartenskliniek, Nijmegen, The Netherlands
  • Department of Oral Surgery, Wroclaw Medical University, Wroclaw, Poland
  • Department of Radiology, Ospedale Evangelico Internazionale, Genoa, Italy
  • Hospital POVISA, Vigo, Spain
  • Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India
  • Indywidualna Praktyka Lekarska Magdalena Posadzy, Poznan, Poland
  • Department of Radiology, Lithuanian University of Health Sciences, Kaunas, Lithuania
  • Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
  • IRCCS Ospedale Policlinico San Martino, Genoa, Italy
  • Department of Radiology, AUVA Trauma Center, Vienna, Austria
  • Radiology Dpt. MSK Unit. Hospital Clinic (CDIC), University of Barcelona (UB), Barcelona, Spain
  • University Institute of Radiology in Skopje, Clinical Center “Mother Theresa”, Skopje, Macedonia
  • Radiology Department, Hospital ICOT Ciudad de Telde, Las Palmas, Spain
  • St Luke’s Radiology Oxford Ltd, Oxford, UK
  • Varelli Institute, Naples, Italy
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00330-021-08258-1

    DOI

    http://dx.doi.org/10.1007/s00330-021-08258-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1141116531

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34523008


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