Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part V, knee.

Autor: Sconfienza LM; IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy. io@lucasconfienza.it.; Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Milan, Italy. io@lucasconfienza.it., Adriaensen M; Department of Medical Imaging, Zuyderland Medical Center, Sittard-Geleen, Heerlen, Brunssum, Kerkrade, the Netherlands., Albano D; IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy.; Sezione Di Scienze Radiologiche, Dipartimento Di Biomedicina, Neuroscienze E Diagnostica Avanzata, Università Degli Studi Di Palermo, Palermo, Italy., Alcala-Galiano A; Hospital Universitario, 12 de Octubre, Madrid, Spain., Allen G; St Luke's Radiology Oxford Ltd, Oxford, UK.; University of Oxford, Oxford, UK., Aparisi Gómez MP; Department of Radiology, Auckland City Hospital, Auckland, New Zealand.; Department of Radiology, Hospital Vithas Nueve de Octubre, Valencia, Spain., Aringhieri G; Diagnostic and Interventional Radiology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy., Bazzocchi A; Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy., Beggs I; Analytic Imaging, Edinburgh, UK., Chianca V; Ospedale Evangelico Betania, Napoli, Italy.; Clinica Di Radiologia EOC IIMSI, Lugano, Switzerland., Corazza A; IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy., Dalili D; School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK., De Dea M; Studio MSK, Belluno, Italy., Del Cura JL; Hospital Universitario Donostia, San Sebastian, Spain., Di Pietto F; Dipartimento Di Diagnostica Per Immagini, Pineta Grande Hospital, Castel Volturno, Italy., Drakonaki E; MSK Radiology Services, Heraklion, Crete, Greece., Facal de Castro F; Hospital General Universitario de Valencia, Valencia, Spain., Filippiadis D; 2nd Department of Radiology, University General Hospital 'ATTIKON' Medical School, National and Kapodistrian University of Athens, Haidari, Athens, Greece., Gitto S; Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Milan, Italy., Grainger AJ; Cambridge University Hospitals, Cambridge, UK., Greenwood S; Mid Cheshire Hospitals NHS Foundation Trust, Cheshire, UK., Gupta H; Leeds Teaching Hospitals, Leeds, UK., Isaac A; School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.; Guy's and St Thomas' Hospitals, London, UK., Ivanoski S; Department of Radiology, Special Hospital for Orthopedic Surgery and Traumatology, St. Erazmo, Ohrid, North Macedonia.; Medical Faculty, University Ss. Cyril and Methodius in Skopje, Skopje, Macedonia., Khanna M; Imperial College Healthcare NHS Trust, London, UK., Klauser A; Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria., Mansour R; Oxford Musculoskeletal Radiology, Oxford University Hospitals, Oxford, UK., Martin S; Hospital Universitario Son Llatzer, Palma, Spain., Mascarenhas V; Musculoskeletal Imaging Unit, Hospital da Luz, Lisbon, Portugal.; AIRC, Advanced Imaging Research Consortium, Lisbon, Portugal., Mauri G; Division of Interventional Radiology, Istituto Europeo Di Oncologia IRCCS, Milan, Italy.; Department of Oncology and Hemato-Oncology, University of Milano, Milan, Italy., McCarthy C; Oxford Musculoskeletal Radiology, Oxford, UK., McKean D; Buckinghamshire Healthcare NHS Trust, Aylesbury, UK., McNally E; Oxford Musculoskeletal Radiology, Oxford, UK., Melaki K; Department of Radiology, Charité-Universitätsmedizin Berlin, Berlin, Germany., Mirón Mombiela R; Department of Radiology, Herlev og Gentofte Hospital, Herlev, Denmark., Moutinho R; Musculoskeletal Imaging Unit, Hospital da Luz, Lisbon, Portugal.; Hospital de Loulé, Loulé, Portugal., Obradov M; Department of Radiology, Sint Maartenskliniek, Nijmegen, The Netherlands., Olchowy C; Department of Oral Surgery, Wroclaw Medical University, Wroclaw, Poland., Orlandi D; Department of Radiology, Ospedale Evangelico Internazionale, Genoa, Italy., Prada González R; Hospital POVISA, Vigo, Spain., Prakash M; Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India., Posadzy M; Indywidualna Praktyka Lekarska Magdalena Posadzy, Poznan, Poland., Rutkauskas S; Department of Radiology, Lithuanian University of Health Sciences, Kaunas, Lithuania., Snoj Ž; Institute of Radiology, University Medical Centre Ljubljana, Zaloska 7, 1000, Ljubljana, Slovenia.; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia., Stefano Tagliafico A; Department of Health Sciences, University of Genova, Genoa, Italy.; IRCCS Ospedale Policlinico San Martino, Genoa, Italy., Talaska A; Department of Radiology, AUVA Trauma Center, Vienna, Austria., Tomas X; Radiology Dpt. MSK Unit. Hospital Clinic (CDIC), University of Barcelona (UB), Barcelona, Spain., Vasilevska-Nikodinovska V; Medical Faculty, University Ss. Cyril and Methodius in Skopje, Skopje, Macedonia.; University Institute of Radiology in Skopje, Clinical Center 'Mother Theresa', Skopje, Macedonia., Vucetic J; Radiology Department, Hospital ICOT Ciudad de Telde, Las Palmas, Spain., Wilson D; St Luke's Radiology Oxford Ltd, Oxford, UK., Zaottini F; IRCCS Ospedale Policlinico San Martino, Genoa, Italy., Zappia M; Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy.; Varelli Institute, Naples, Italy., Messina C; IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy.
Jazyk: angličtina
Zdroj: European radiology [Eur Radiol] 2022 Mar; Vol. 32 (3), pp. 1438-1447. Date of Electronic Publication: 2021 Sep 14.
DOI: 10.1007/s00330-021-08258-1
Abstrakt: Objectives: Interventional 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.
Methods: We 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.
Results: A 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.
Conclusions: Ultrasonography 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.
(© 2021. The Author(s).)
Databáze: MEDLINE
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