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dc.contributor.authorSconfienza, Luca Maria
dc.contributor.authorAdriaensen, Miraude
dc.contributor.authorAlbano, Domenico
dc.contributor.authorAlcala-Galiano, Andrea
dc.contributor.authorAllen, Georgina
dc.contributor.authorAparisi Gómez, Maria Pilar
dc.contributor.authorAringhieri, Giacomo
dc.contributor.authorBazzocchi, Alberto
dc.contributor.authorBeggs, Ian
dc.contributor.authorChianca, Vito
dc.contributor.authorCorazza, Angelo
dc.contributor.authorDalili, Danoob
dc.contributor.authorDe Dea, Miriam
dc.contributor.authorDel Cura, Jose Luis
dc.contributor.authorDi Pietto, Francesco
dc.contributor.authorDrakonaki, Elena
dc.contributor.authorFacal de Castro, Fernando
dc.contributor.authorFilippiadis, Dimitrios
dc.contributor.authorGitto, Salvatore
dc.contributor.authorGrainger, Andrew J
dc.contributor.authorGreenwood, Simon
dc.contributor.authorGupta, Harun
dc.contributor.authorIsaac, Amanda
dc.contributor.authorIvanoski, Slavcho
dc.contributor.authorKhanna, Monica
dc.contributor.authorKlauser, Andrea
dc.contributor.authorMansour, Ramy
dc.contributor.authorMartin, Silvia
dc.contributor.authorMascarenhas, Vasco
dc.contributor.authorMauri, Giovanni
dc.contributor.authorMcCarthy, Catherine
dc.contributor.authorMcKean, David
dc.contributor.authorMcNally, Eugene
dc.contributor.authorMelaki, Kalliopi
dc.contributor.authorMessina, Carmelo
dc.contributor.authorMirón Mombiela, Rebeca
dc.contributor.authorMoutinho, Ricardo
dc.contributor.authorOlchowy, Cyprian
dc.contributor.authorOrlandi, Davide
dc.contributor.authorPrada González, Raquel
dc.contributor.authorPrakash, Mahesh
dc.contributor.authorPosadzy, Magdalena
dc.contributor.authorRutkauskas, Saulius
dc.contributor.authorSnoj, Žiga
dc.contributor.authorTagliafico, Alberto Stefano
dc.contributor.authorTalaska, Alexander
dc.contributor.authorTomas, Xavier
dc.contributor.authorVasilevska Nikodinovska, Violeta
dc.contributor.authorVucetic, Jelena
dc.contributor.authorWilson, David
dc.contributor.authorZaottini, Federico
dc.contributor.authorZappia, Marcello
dc.contributor.authorObradov, Marina
dc.date.accessioned2022-01-28T16:50:37Z
dc.date.available2022-01-28T16:50:37Z
dc.date.issued2022-02
dc.date.submitted2021-03-27
dc.identifier.issn0938-7994
dc.identifier.others00330-021-08125-z
dc.identifier.other8125
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/333369
dc.descriptionFunder: Università degli Studi di Milano
dc.description.abstractOBJECTIVES: 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.
dc.languageen
dc.publisherSpringer Science and Business Media LLC
dc.subjectMusculoskeletal
dc.subjectInterventional radiology
dc.subjectUltrasonograph
dc.subjectAnkle
dc.subjectFoot
dc.subjectAchilles tendon
dc.titleClinical 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.
dc.typeArticle
dc.date.updated2022-01-28T16:50:36Z
prism.endingPage1394
prism.issueIdentifier2
prism.publicationNameEur Radiol
prism.startingPage1384
prism.volume32
dc.identifier.doi10.17863/CAM.80792
dcterms.dateAccepted2021-06-07
rioxxterms.versionofrecord10.1007/s00330-021-08125-z
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidSconfienza, Luca Maria [0000-0003-0759-8431]
dc.identifier.eissn1432-1084
cam.issuedOnline2021-08-25


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