Use of musculoskeletal ultrasound in Japan: a survey of practicing rheumatologists

Takase, Kaoru; Ohno, Shigeru; Ideguchi, Haruko; Takeno, Mitsuhiro; Shirai, Akira; Ishigatsubo, Yoshiaki

doi:10.1007/s10165-010-0293-7

Cited by 11 publications

(9 citation statements)

References 15 publications

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“…While a solid and still growing body of evidence supports its use in daily rheumatologic practice, operator dependency and the long learning curve represent the main limitations. To date, different teaching approaches have been proposed and different training experiences have been described (), but the best method for allowing rheumatologists to obtain and maintain competency in musculoskeletal US has yet to be defined.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound Learning Curve in Gout: A Disease‐Oriented Training Program

Gutiérrez

Geso

Rovisco

et al. 2013

Arthritis Care & Research

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Objective. To describe the learning curve of rheumatologists with limited experience using ultrasound (US) attending an intensive disease-oriented training program focusing on the skills required to obtain and interpret US signs of monosodium urate (MSU) crystal deposits in joint and periarticular tissues. Methods. Three investigators participated in a 7-day training program involving 12 men with gout. The agreement between the expert and beginners was calculated in 4 sessions involving 8 patients with gout. The US assessment was performed at the second and third metacarpophalangeal joints, knee, tibiotalar and first metatarsophalangeal joints, second and third finger flexors, quadriceps and patellar posterior tibialis, peroneus longus and brevis, and Achilles tendons. The presence or absence of synovial fluid/synovial hypertrophy, double contour sign, intra-or periarticular and intratendinous tophi, bursitis, bone erosions, and tendon tears was recorded. Results. A total of 416 anatomic sites were studied. Kappa values and overall agreement percentages of qualitative assessments of US gout findings at the end of the exercise both showed moderate to excellent agreement, while in the first session they showed poor/fair agreement. At the end of the training session, sensitivity, specificity, and capability of the beginners were also improved. Conclusion. After 1 week of the disease-oriented training program, rheumatologists with limited experience in US were satisfactorily able to detect and interpret the main US signs indicative of MSU crystal deposits at different tissues in patients with gout.

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Section: Introductionmentioning

confidence: 99%

Ultrasound Learning Curve in Gout: A Disease‐Oriented Training Program

Gutiérrez

Geso

Rovisco

et al. 2013

Arthritis Care & Research

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“…Many surveys found that the lack of training was the major concern hampering the spread of MSUS among rheumatologists [15,16,27]. In fact, Maasa et al found that the development of training courses and informal training have doubled the number of MSUS users in Japan over 3 years [28].…”

Section: Discussionmentioning

confidence: 99%

“…The main indications were as follows: rheumatoid arthritis,shoulder pain, peripheral spondyloarthritis, ankle pain and guidance of interventional procedures. MSUS was used for procedures guidance by 47.2% of respondents, more frequently than European and Japanese rheumatologists [12,16,26].…”

Section: Discussionmentioning

confidence: 99%

“…Several surveys across many countries have been published to study the implementation, training and teaching of MSUS [12,15,16,[23][24][25]. European rheumatologists adopted MSUS into their practices earlier than their colleagues from other continents [21,10].…”

Section: Discussionmentioning

confidence: 99%

“…An English-language questionnaire with multiple-choice questions was designed in order to analyze the current state of training and practice of MSUS by Arab rheumatologists, following some European, American and Asian studies [13][14][15][16][17][18][19]. It was distributed to Arab rheumatologists who were present at the Panarab Congress of Rheumatology "ARLAR 2016", which took place from 24 to 26 March 2016 in Marrakech in Morocco.…”

Section: Methodsmentioning

confidence: 99%

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Current State of Musculoskeletal Ultrasound Training and Implementation among Rheumatologists in Arab Countries

Bouhouche¹,

Tazi²,

Rostom³

et al. 2017

JRAD

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Objective: To document the current state of Musculo Skeletal US (MSUS) implementation and training among Arab rheumatologists. Methods:A questionnaire in English divided into 9 items and 4 domains (sociodemographic characteristics, training in MSUS, MSUS in clinical practice and access to equipment) was distributed to Arab rheumatologists who were present at the Panarab Congress of Rheumatology "ARLAR 2016", which tookplace from 24 to 26 March 2016 in Morocco.Results: A total of 75 among 700 participants (11%) have answered the questionnaire. Most of respondents have less than 50 years (79.6%), 58% were female. MSUS was practiced daily by 37 (49.3%) respondents. Severalrespondents have formal university training (35.6%), few ones have informal training provided by rheumatologists (10.2%), 53.2% attended MSUS courses or Workshops and 75% have access to MSUS. They use MSUS in the following indications : rheumatoid arthritis (85.5%), shoulder pain (76.3%), ankle pain(50%), peripheral spondyloarthritis (51.3%) and for guidance of interventional procedures in 47.2%. Conclusion:Our results suggest that most of Arab rheumatologists have accessto MSUS machine and have been trained by attending MSUS courses or Workshops, but only a half uses MSUS in their daily practice.

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Challenges to expanding the clinical application of musculoskeletal ultrasonography (MSUS) among rheumatologists: from a second survey in Japan

et al. 2011

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Our previous survey in 2008 revealed that only 22% of Japanese rheumatologists used musculoskeletal ultrasonography (MSUS) for patient management, because of insufficient educational opportunities. To clarify the current state of MSUS usage and to identify further challenges, we conducted a second survey between October 2010 through January 2011 by sending questionnaires to 200 randomly selected Japanese rheumatologists, consisting of 100 participants in a meeting in 2009 on imaging in rheumatic diseases and 100 board-certified rheumatologists. Among the respondents, a majority (85 and 67%, respectively) used magnetic resonance imaging (MRI). MSUS users had increased from 32 to 60% of meeting participants and from 11 to 27% of other rheumatologists. The majority of MSUS users had begun using MSUS within the previous 3 years. Whereas most respondents in the previous survey had been self-taught, in the current survey many had attended training courses or had received informal training from skilled users. Despite an increase in skills and equipment ownership, obstacles to implementing MSUS remained, most prominently a lack of time. In conclusion, training courses and informal training have contributed to the popularization of MSUS in Japan. To further increase MSUS usage, additional training opportunities and education about the advantages of MSUS will be needed.

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Use of musculoskeletal ultrasound in Japan: a survey of practicing rheumatologists

Cited by 11 publications

References 15 publications

Ultrasound Learning Curve in Gout: A Disease‐Oriented Training Program

Ultrasound Learning Curve in Gout: A Disease‐Oriented Training Program

Current State of Musculoskeletal Ultrasound Training and Implementation among Rheumatologists in Arab Countries

Challenges to expanding the clinical application of musculoskeletal ultrasonography (MSUS) among rheumatologists: from a second survey in Japan

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