The future of MSK interventions

Rosenthal, Daniel I.

doi:10.1007/s00256-011-1225-0

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…This may reflect the greater familiarity of current musculoskeletal radiologists with established procedures such as biopsies and steroid injections, which have been in the radiologist's armory since as early as the late 1950s following the development of the trephine needle. [11] On the other hand, vertebral fracture treatment has long relied on open surgery; minimally invasive vertebroplasty was first performed recently in 1984, and sacroplasty was first described just two decades ago. [12,13] The relative novelty of vertebral augmentation combined with its commonality to both spinal surgeons' and radiologists' caseloads, and availability of appropriate facilities limited to tertiary centers may explain the low prevalence among our sample of interventional musculoskeletal radiologists performing these.…”

Section: Discussionmentioning

confidence: 99%

Safe radiological spinal intervention: A multicenter snapshot survey of musculoskeletal radiologists in the UK and India

Aslam

Iyengar

Sharma

et al. 2022

IJMS

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Objectives: Research, knowledge, and technological advances have promoted minimally invasive image-guided diagnostic and therapeutic intervention. Such interventions are increasingly performed for musculoskeletal diseases by radiologists within outpatient settings. The objective of this study was to ascertain levels of safe practice among musculoskeletal radiologists in the United Kingdom and the Indian public health-care system, as defined by access to spinal surgeons and anesthetists during radiological spinal procedures. Material and Methods: An online cross-sectional survey of eight questions (multiple choice and free text) was circulated among musculoskeletal radiologists in the UK and India, to evaluate: (i) Image-guided practice among musculoskeletal radiologists. (ii) Types of interventions undertaken. (iii) Practice setting. (iv) Availability of supportive, backup access to spinal surgery services. Results: A total of 53 replies were received of which 43 (81.1%) were from musculoskeletal radiologists who perform spinal interventional procedures. Spinal biopsies and injections were the most common procedures performed by the 43 eligible radiologists (79.1% and 74.4%, respectively), with vertebroplasty and sacroplasty performed by only 16.3% and 11.6%, respectively. Less than half (46.5%) of musculoskeletal radiologists performing interventional procedures did so within a hospital setting with both a spinal surgeon and an anesthetist on site, 20.9% had an anesthetist on site but no spinal surgeon and 16.3% had neither on-site. Conclusion: Minimally invasive image-guided diagnostic and therapeutic intervention is a niche sub-specialty practiced by a few musculoskeletal radiologists. Enhanced resource allocation, skills training, and multidisciplinary service provision will ultimately minimize existing deficiencies, improving patient-related clinical outcomes, and quality of care.

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Section: Discussionmentioning

confidence: 99%