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

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

doi:10.1007/s00330-021-08258-1

Cited by 10 publications

(9 citation statements)

References 82 publications

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“…Panels included multiple stakeholders, who were healthcare professionals in 95% of cases [24]. More recently, Delphi studies involving imaging have convened multidisciplinary expert panels of 18-50 relevant stakeholders [27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Standardised lesion segmentation for imaging biomarker quantitation: a consensus recommendation from ESR and EORTC

et al. 2022

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Background Lesion/tissue segmentation on digital medical images enables biomarker extraction, image-guided therapy delivery, treatment response measurement, and training/validation for developing artificial intelligence algorithms and workflows. To ensure data reproducibility, criteria for standardised segmentation are critical but currently unavailable. Methods A modified Delphi process initiated by the European Imaging Biomarker Alliance (EIBALL) of the European Society of Radiology (ESR) and the European Organisation for Research and Treatment of Cancer (EORTC) Imaging Group was undertaken. Three multidisciplinary task forces addressed modality and image acquisition, segmentation methodology itself, and standards and logistics. Devised survey questions were fed via a facilitator to expert participants. The 58 respondents to Round 1 were invited to participate in Rounds 2–4. Subsequent rounds were informed by responses of previous rounds. Results/conclusions Items with ≥ 75% consensus are considered a recommendation. These include system performance certification, thresholds for image signal-to-noise, contrast-to-noise and tumour-to-background ratios, spatial resolution, and artefact levels. Direct, iterative, and machine or deep learning reconstruction methods, use of a mixture of CE marked and verified research tools were agreed and use of specified reference standards and validation processes considered essential. Operator training and refreshment were considered mandatory for clinical trials and clinical research. Items with a 60–74% agreement require reporting (site-specific accreditation for clinical research, minimal pixel number within lesion segmented, use of post-reconstruction algorithms, operator training refreshment for clinical practice). Items with ≤ 60% agreement are outside current recommendations for segmentation (frequency of system performance tests, use of only CE-marked tools, board certification of operators, frequency of operator refresher training). Recommendations by anatomical area are also specified.

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Section: Discussionmentioning

confidence: 99%

Standardised lesion segmentation for imaging biomarker quantitation: a consensus recommendation from ESR and EORTC

et al. 2022

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“…However, cyst recurrence is common. In cases of repeated recurrences, sclerosis of the cyst can be attempted injecting Polidocanol foam inside 2,3,10 .…”

Section: Baker's Cyst Treatmentmentioning

confidence: 99%

“…To inject of substances, the needle should be directed to the point in the joint where it is widest, to be more certain of placing the needle in the joint space. For instance, at the hip, the needle should be directed to the concavity anterior to the surface of the neck of the femur, with the patient supine and the transducer and needle aligned with the axis of the neck of the femur 2,3,7,9,10,13,17 .…”

Section: Arthrocentesis and Joint Injectionsmentioning

confidence: 99%

“…However, US use in specifically musculoskeletal procedures took off on the first years of this century, especially to treat calcific tendonitis [3][4][5][6] . These procedures have grown unstoppably: a recent series of articles by a group of experts from the European Society of Musculoskeletal Radiology has reviewed the available evidence on musculoskeletal interventional radiological procedures and has found references to more than 80 different procedures, the vast majority with US guidance [7][8][9][10][11][12][13] . This article reviews these applications.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound-guided interventional procedures in the musculoskeletal system

Cura¹

2023

JMEXFRI

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Ultrasound (US) has gained importance in musculoskeletal imaging. One of the reasons is that it is the best technique to guide interventional procedures. These procedures have grown unstoppably. A recent review found more than 80 different procedures, the vast majority with US guidance. Shoulder pain treatments were the first introduced. They include treatment of calcific tendinitis, infiltrations of bursa and rotator cuff, joint injections, and nerve blocks. Tendons and fasciae are also targets of these procedures, including infiltrations, several treatments for tendinosis and fasciitis, trigger finger and palmar fibromatosis treatment. Musculoskeletal cysts (ganglions and Baker´s) and fluid collections can also be treated with ultrasound-guided techniques, as well as conditions at joints and nerves. Finally, foreign bodies can be removed also using US. This article reviews these applications. The list of procedures cannot be exhaustive, given the large number of procedures and their complexity, but it will serve to give a glimpse of how these techniques can solve specific musculoskeletal problems.

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“…steroid, local anesthetic (LA), hyaluronic acid (HA), platelet-rich-plasma (PRP)), ultrasound ensures safety in reaching the target with no radiation exposure. Furthermore, as recently highlighted by the latest evidence-based consensus recommendations by the European Society of Musculoskeletal Radiology (ESSR), ultrasound guidance allows for improving accuracy and effectiveness of most musculoskeletal interventional procedures in the upper and lower limbs (7)(8)(9)(10)(11)(12)(13) .…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided musculoskeletal interventional procedures around the hip: a practical guide

Albano¹,

Gitto²,

Serpi³

et al. 2023

J Ultrason

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Several studies have shown that ultrasound guidance may contribute to improved safety, effectiveness and accuracy of musculoskeletal interventional procedures performed around the hip if compared to those performed with a landmark-guided technique. Different approaches and injectates can be used for treating hip musculoskeletal disorders. These procedures may involve injections in the hip joint, periarticular bursae, tendons, and peripheral nerves. Intra-articular hip injections are mostly used as a conservative approach for treating patients affected by hip osteoarthritis. Ultrasound-guided injection of the iliopsoas bursa is performed in patients with bursitis and/or tendinopathy, to treat those with painful prosthesis due to iliopsoas impingement, or when the lidocaine test is indicated to identify the iliopsoas as a source of pain. Ultrasound-guided interventions are routinely used in patients with greater trochanteric pain syndrome having as target the gluteus medius/minimus tendons and/or the trochanteric bursae. Ultrasound-guided fenestration and platelet-rich plasma injection are applied in patients with hamstring tendinopathy with good clinical outcomes. Last but not least, ultrasound-guided perineural injections can be used for peripheral neuropathies or blocks of the sciatic, lateral femoral cutaneous, and pudendal nerves. In this paper, we discuss the evidence and technical tips for musculoskeletal interventional procedures performer around the hip, highlighting the added value of ultrasound as an imaging guidance modality.

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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

Cited by 10 publications

References 82 publications

Standardised lesion segmentation for imaging biomarker quantitation: a consensus recommendation from ESR and EORTC

Standardised lesion segmentation for imaging biomarker quantitation: a consensus recommendation from ESR and EORTC

Ultrasound-guided interventional procedures in the musculoskeletal system

Ultrasound-guided musculoskeletal interventional procedures around the hip: a practical guide

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