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01-02-2020 | Ultrasound | Musculoskeletal

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 I, shoulder

Authors: Luca Maria Sconfienza, Miraude Adriaensen, Domenico Albano, Georgina Allen, Maria Pilar Aparisi Gómez, Alberto Bazzocchi, Ian Beggs, Bianca Bignotti, Vito Chianca, Angelo Corazza, Danoob Dalili, Miriam De Dea, Jose Luis del Cura, Francesco Di Pietto, Eleni Drakonaki, Fernando Facal de Castro, Dimitrios Filippiadis, Jan Gielen, Salvatore Gitto, Harun Gupta, Andrea S. Klauser, Radhesh Lalam, Silvia Martin, Carlo Martinoli, Giovanni Mauri, Catherine McCarthy, Eugene McNally, Kalliopi Melaki, Carmelo Messina, Rebeca Mirón Mombiela, Benedikt Neubauer, Cyprian Olchowy, Davide Orlandi, Athena Plagou, Raquel Prada Gonzalez, Saulius Rutkauskas, Ziga Snoj, Alberto Stefano Tagliafico, Alexander Talaska, Violeta Vasilevska-Nikodinovska, Jelena Vucetic, David Wilson, Federico Zaottini, Marcello Zappia, Marina Obradov

Published in: European Radiology | Issue 2/2020

Abstract

Background

Image-guided interventional procedures around the shoulder are commonly performed in clinical practice, although evidence regarding their effectiveness is scarce. We report the results of a Delphi method review of evidence on literature published on image-guided interventional procedures around the shoulder with a list of clinical indications.

Methods

Forty-five experts in image-guided musculoskeletal procedures from the ESSR participated in a consensus study using the Delphic method. Peer-reviewed papers regarding interventional procedures around the shoulder up to September 2018 were scored according to the Oxford Centre for Evidence-based Medicine levels of evidence. Statements on clinical indications were constructed. Consensus was considered as strong if more than 95% of experts agreed and as broad if more than 80% agreed.

Results

A total of 20 statements were drafted, and 5 reached the highest level of evidence. There were 10 statements about tendon procedures, 6 about intra-articular procedures, and 4 about intrabursal injections. Strong consensus was obtained in 16 of them (80%), while 4 received broad consensus (20%).

Conclusions

Literature evidence on image-guided interventional procedures around the shoulder is limited. A strong consensus has been reached for 80% of statements. The ESSR recommends further research to potentially influence treatment options, patient outcomes, and social impact.

Key Points

• Expert consensus produced a list of 20 evidence-based statements on clinical indications of image-guided interventional procedures around the shoulder.

• The highest level of evidence was reached for five statements.

• Strong consensus was obtained for 16 statements (80%), while 4 received broad consensus (20%).

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Title: 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 I, shoulder
Authors: Luca Maria Sconfienza
Miraude Adriaensen
Domenico Albano
Georgina Allen
Maria Pilar Aparisi Gómez
Alberto Bazzocchi
Ian Beggs
Bianca Bignotti
Vito Chianca
Angelo Corazza
Danoob Dalili
Miriam De Dea
Jose Luis del Cura
Francesco Di Pietto
Eleni Drakonaki
Fernando Facal de Castro
Dimitrios Filippiadis
Jan Gielen
Salvatore Gitto
Harun Gupta
Andrea S. Klauser
Radhesh Lalam
Silvia Martin
Carlo Martinoli
Giovanni Mauri
Catherine McCarthy
Eugene McNally
Kalliopi Melaki
Carmelo Messina
Rebeca Mirón Mombiela
Benedikt Neubauer
Cyprian Olchowy
Davide Orlandi
Athena Plagou
Raquel Prada Gonzalez
Saulius Rutkauskas
Ziga Snoj
Alberto Stefano Tagliafico
Alexander Talaska
Violeta Vasilevska-Nikodinovska
Jelena Vucetic
David Wilson
Federico Zaottini
Marcello Zappia
Marina Obradov
Publication date: 01-02-2020
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Musculoskeletal Radiology
Tendinopathy
Ultrasound
Published in: European Radiology / Issue 2/2020
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-019-06419-x

At a glance: The STEP trials

Springer Medicine

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 I, shoulder

Abstract

Background

Methods

Results

Conclusions

Key Points

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Key Points

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