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 VI, foot and ankle.
Authors
Adriaensen, Miraude
Albano, Domenico
Alcala-Galiano, Andrea
Allen, Georgina
Aparisi Gómez, Maria Pilar
Aringhieri, Giacomo
Bazzocchi, Alberto
Beggs, Ian
Chianca, Vito
Corazza, Angelo
Dalili, Danoob
De Dea, Miriam
Del Cura, Jose Luis
Di Pietto, Francesco
Drakonaki, Elena
Facal de Castro, Fernando
Filippiadis, Dimitrios
Gitto, Salvatore
Grainger, Andrew J
Greenwood, Simon
Gupta, Harun
Isaac, Amanda
Ivanoski, Slavcho
Khanna, Monica
Klauser, Andrea
Mansour, Ramy
Martin, Silvia
Mascarenhas, Vasco
Mauri, Giovanni
McCarthy, Catherine
McKean, David
McNally, Eugene
Melaki, Kalliopi
Messina, Carmelo
Mirón Mombiela, Rebeca
Moutinho, Ricardo
Olchowy, Cyprian
Orlandi, Davide
Prada González, Raquel
Prakash, Mahesh
Posadzy, Magdalena
Rutkauskas, Saulius
Snoj, Žiga
Tagliafico, Alberto Stefano
Talaska, Alexander
Tomas, Xavier
Vasilevska Nikodinovska, Violeta
Vucetic, Jelena
Wilson, David
Zaottini, Federico
Zappia, Marcello
Obradov, Marina
Publication Date
2022-02Journal Title
Eur Radiol
ISSN
0938-7994
Publisher
Springer Science and Business Media LLC
Volume
32
Issue
2
Pages
1384-1394
Language
en
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Sconfienza, L. M., Adriaensen, M., Albano, D., Alcala-Galiano, A., Allen, G., Aparisi Gómez, M. P., Aringhieri, G., et al. (2022). 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 VI, foot and ankle.. Eur Radiol, 32 (2), 1384-1394. https://doi.org/10.1007/s00330-021-08125-z
Description
Funder: Università degli Studi di Milano
Abstract
OBJECTIVES: Clarity regarding accuracy and effectiveness for interventional procedures around the foot and ankle is lacking. Consequently, a board of 53 members of the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR) reviewed the published literature to evaluate the evidence on image-guided musculoskeletal interventional procedures around this anatomical region. METHODS: We report the results of a Delphi-based consensus of 53 experts from the European Society of Musculoskeletal Radiology who reviewed the published literature for evidence on image-guided interventional procedures offered around foot and ankle in order to derive their clinical indications. Experts drafted a list of statements and graded them according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus was considered strong when > 95% of experts agreed with the statement or broad when > 80% but < 95% agreed. The results of the Delphi-based consensus were used to write the paper that was shared with all panel members for final approval. RESULTS: A list of 16 evidence-based statements on clinical indications for image-guided musculoskeletal interventional procedures in the foot and ankle were drafted after a literature review. The highest level of evidence was reported for four statements, all receiving 100% agreement. CONCLUSION: According to this consensus, image-guided interventions should not be considered a first-level approach for treating Achilles tendinopathy, while ultrasonography guidance is strongly recommended to improve the efficacy of interventional procedures for plantar fasciitis and Morton's neuroma, particularly using platelet-rich plasma and corticosteroids, respectively. KEY POINTS: • The expert panel of the ESSR listed 16 evidence-based statements on clinical indications of image-guided musculoskeletal interventional procedures in the foot and ankle. • Strong consensus was obtained for all statements. • The highest level of evidence was reached by four statements concerning the effectiveness of US-guided injections of corticosteroid for Morton's neuroma and PRP for plantar fasciitis.
Keywords
Musculoskeletal, Interventional radiology, Ultrasonograph, Ankle, Foot, Achilles tendon
Identifiers
s00330-021-08125-z, 8125
External DOI: https://doi.org/10.1007/s00330-021-08125-z
This record's URL: https://www.repository.cam.ac.uk/handle/1810/333369
Rights
Licence:
http://creativecommons.org/licenses/by/4.0/
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