The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

Naredo, Esperanza; Rodriguez-García, S. C.; Terslev, Lene; Martinoli, Carlo; Klauser, Andrea; Hartung, Wolfgang; Hammer, Hilde Berner; Cantisani, Vito; Vlad, Violeta; Usón, Jacqueline; Todorov, Plamen; Tesch, C.; Sudoł‐Szopińska, Iwona; Simoni, Paolo; Şerban, Oana; Sconfienza, Luca Maria; Sala‐Blanch, Xavier; Plagou, Athena; Picasso, Riccardo; Özçakar, Levent; Najm, Aurélie; Möller, Ingrid; Micu, Mihaela; Mendoza-Cembranos, Dolores; Mandl, Péter; Malattia, Clara; Lenghel, Manuela; Keßler, Jens; Iohom, Gabriella; Fuente, Javier de la; D’Agostino, Maria; Collado, Paz; Bueno, Ángel; Bong, David; Alfageme, Fernando; Bilous, Diana; Gutiu, Roxana; Marian, Anamaria; Pelea, Michael; Fodor, Daniela

doi:10.1055/a-1640-9183

Cited by 11 publications

(20 citation statements)

References 374 publications

(478 reference statements)

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“…MSK US is commonly performed in the pediatric population due to its lack of ionizing radiation and not requiring sedation, real-time dynamic imaging, and low cost. B-mode and Doppler US is well-suited for imaging peripheral joints and superficially located tendons, tendon sheaths, and entheses [ 11 , 12 , 13 , 14 ]. Therefore, US is especially useful in patients with JIA where the knee, hand, wrist, hip, ankle, and foot are among the most frequently affected joints [ 10 , 12 , 14 ].…”

Section: Update In Ultrasoundmentioning

confidence: 99%

“…B-mode and Doppler US is well-suited for imaging peripheral joints and superficially located tendons, tendon sheaths, and entheses [ 11 , 12 , 13 , 14 ]. Therefore, US is especially useful in patients with JIA where the knee, hand, wrist, hip, ankle, and foot are among the most frequently affected joints [ 10 , 12 , 14 ]. US is also helpful in the differential diagnosis of JIA, which is based on clinical examination and the exclusion of other chronic arthropathies [ 12 ].…”

Section: Update In Ultrasoundmentioning

confidence: 99%

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Advances in Musculoskeletal Imaging in Juvenile Idiopathic Arthritis

et al. 2022

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Over the past decade, imaging of inflammatory arthritis in juvenile arthropathies has significantly advanced due to technological improvements in the imaging modalities and elaboration of imaging recommendations and protocols through systematic international collaboration. This review presents the latest developments in ultrasound (US) and magnetic resonance imaging (MRI) of the peripheral and axial joints in juvenile idiopathic arthritis. In the field of US, the ultra-wideband and ultra-high-frequency transducers provide outstanding spatial resolution. The more sensitive Doppler options further improve the assessment and quantification of the vascularization of inflamed tissues, and shear wave elastography enables the diagnosis of tissue stiffness. Concerning MRI, substantial progress has been achieved due to technological improvements in combination with the development of semiquantitative scoring systems for the assessment of inflammation and the introduction of new definitions addressing the pediatric population. New solutions, such as superb microflow imaging, shear wave elastography, volume-interpolated breath-hold examination, and MRI-based synthetic computed tomography open new diagnostic possibilities and, at the same time, pose new challenges in terms of clinical applications and the interpretation of findings.

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Section: Update In Ultrasoundmentioning

confidence: 99%

Section: Update In Ultrasoundmentioning

confidence: 99%

Advances in Musculoskeletal Imaging in Juvenile Idiopathic Arthritis

et al. 2022

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Section: Update On Imaging Of Sle On Radiography Ultrasonography and Mrimentioning

confidence: 99%

“…Iagnocco et al, in a prospective study on 62 consecutive SLE patients, reported that the MTP joints were the most commonly affected site, with joint effusions, synovial hypertrophy, or synovitis (72.6 %) compared with the wrist, MCP, and PIP joints [ 7 , 15 ]. Synovitis was most commonly detected in MTP 2 and 4 [ 7 , 15 ]. The MTP synovial hypertrophy was present in 80% of the SLE cases, but with power Doppler signals seen in only 10% of cases, which was attributed to mechanical tissue irritation [ 7 ].…”

Section: Update On Imaging Of Sle On Radiography Ultrasonography and Mrimentioning

confidence: 99%

Update on Current Imaging of Systemic Lupus Erythematous in Adults and Juveniles

Sudoł‐Szopińska

Żelnio

Olesińska

et al. 2022

JCM

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Systemic lupus erythematosus (SLE) is an autoimmune disease involving multiple organs and organ systems. Musculoskeletal (MSK) involvement is one of the most frequent and the earliest locations of disease. This disease affects joints and periarticular soft tissues, tendon sheaths and tendons, bones, and muscles. Multimodality imaging, including radiography, ultrasound (US), and magnetic resonance imaging (MRI), plays a significant role in the initial evaluation and treatment follow up of MSK manifestations of the SLE. In this paper, we illustrate MSK imaging features in three clinical forms of SLE, including nondeforming nonerosive arthritis, deforming nonerosive arthropathy, and erosive arthropathy, as well as the other complications and features of SLE within the MSK system in adults and juveniles. Advances in imaging are included. Conventional radiography primarily shows late skeletal lesions, whereas the US and MRI are valuable in the diagnosis of the early inflammatory changes of the soft tissues and bone marrow, as well as late skeletal manifestations. In nondeforming nonerosive arthritis, US and MRI show effusions, synovial and/or tenosynovial hypertrophy, and vascularity, whereas radiographs are normal. Deforming arthritis clinically resembles that observed in rheumatoid arthritis, but it is reversible, and US and MRI show features of inflammation of periarticular soft tissues (capsule, ligaments, and tendons) without the pannus and destruction classically observed in RA. Erosions are rarely seen, and this form of disease is called rhupus syndrome.

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“…To the best of our knowledge, for the first time, international guidelines and recommendations have been developed for the use of MSK US from a broad multidisciplinary approach, sponsored by the European Federation of Societies for Ultrasound in Medicine and Biology (EF-SUMB) [8,9]. Thirty-six physicians with extensive experience in MSK ultrasound from 7 different specialties (i.e.…”

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confidence: 99%