The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies

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

doi:10.1055/a-1562-1455

Cited by 21 publications

(20 citation statements)

References 426 publications

(501 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%

“…Myositis may be triggered by biological treatment in JIA [ 35 ], and may be an element of JIA, a systemic subtype [ 36 , 37 , 38 ]. US has 82.9% sensitivity for detecting histologically proven myositis [ 11 , 39 ]. Inflamed muscles present increased echogenicity and may be thickened and/or swollen.…”

Section: Update In Ultrasoundmentioning

confidence: 99%

“…Inflamed muscles present increased echogenicity and may be thickened and/or swollen. In the chronic stage, muscle atrophy and progressive infiltration of fatty tissue are seen [ 11 , 40 ]. The advent of elastography, and especially shear wave elastography (SWE), has improved the diagnosis of myositis not only because it is less of an operator-dependent method but also by quantification of muscle stiffness.…”

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%

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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“…According the EFSUMB (European Federation of Societies for Ultrasound in Medicine and Biology) guidelines, for the Ultrasound diagnosis of carpal tunnel syndrome (CTS), the CSA threshold value of 10 mm 2 obtained proximal to the flexor retinaculum should be used to differentiate a normal from compressed median nerve. Similarly, an ulnar nerve CSA cut-off value of 10 mm 2 obtained proximal or within retrocondylar groove at the elbow, should be considered for the diagnosis of cubital tunnel syndrome ( 21 ).…”

Section: High-resolution Ultrasound Findingsmentioning

confidence: 99%

High-resolution ultrasound of peripheral neuropathies in rheumatological patients: An overview of clinical applications and imaging findings

Picasso¹,

Pistoia

Sanguinetti

et al. 2022

Front. Med.

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Peripheral neuropathies are surprisingly common and can be associated with a number of conditions, including rheumatological diseases. Whether the co-existence of peripheral neuropathies with rheumatological disorders is coincidental or related to a common pathogenic mechanism, these disabling conditions can affect the outcome of rheumatological patients and should be targeted with specific treatment. The clinical presentation of peripheral neuropathy can be multifaceted and difficult to recognize in polysymptomatic patients. However, physicians adopting state-of-art diagnostic strategies, including nerve imaging, may improve the detection rate and management of neuropathies. In particular, a diagnostic approach relying exclusively on clinical history and nerve conduction studies may not be sufficient to disclose the etiology of the nerve damage and its anatomical location and thus requires integration with morphological studies. High-Resolution Ultrasound (HRUS) is increasingly adopted to support the diagnosis and follow-up of both joint disorders in rheumatology and peripheral neuropathies of different etiologies. In this review, the different types of nerve disorders associated with the most common syndromes of rheumatological interest are discussed, focusing on the distinctive sonographic features.

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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.…”

mentioning

confidence: 99%