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 V, knee.
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
Mirón Mombiela, Rebeca
Moutinho, Ricardo
Obradov, Marina
Olchowy, Cyprian
Orlandi, Davide
Prada González, Raquel
Prakash, Mahesh
Posadzy, Magdalena
Rutkauskas, Saulius
Snoj, Žiga
Stefano Tagliafico, Alberto
Talaska, Alexander
Tomas, Xavier
Vasilevska-Nikodinovska, Violeta
Vucetic, Jelena
Wilson, David
Zaottini, Federico
Zappia, Marcello
Messina, Carmelo
Publication Date
2022-03Journal Title
Eur Radiol
ISSN
0938-7994
Publisher
Springer Science and Business Media LLC
Volume
32
Issue
3
Pages
1438-1447
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 V, knee.. Eur Radiol, 32 (3), 1438-1447. https://doi.org/10.1007/s00330-021-08258-1
Description
Funder: Università degli Studi di Milano
Abstract
OBJECTIVES: Interventional procedures around the knee are widely adopted for treating different musculoskeletal conditions. A panel of experts from the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR) reviewed the existing literature to assess the evidence on image-guided musculoskeletal interventional procedures around the knee, with the goal of highlighting some controversies associated with these procedures, specifically the role of imaging guidance, as well as the efficacy of the medications routinely injected. METHODS: We report the results of a Delphi-based consensus of 53 experts in musculoskeletal radiology, who reviewed the published literature for evidence on image-guided interventional procedures around the knee to derive a list of pertinent clinical indications. RESULTS: A list of 10 statements about clinical indications of image-guided procedures around the knee was created by a Delphi-based consensus. Only two of them had the highest level of evidence; all of them received 100% consensus. CONCLUSIONS: Ultrasonography guidance is strongly recommended for intra-articular and patellar tendinopathy procedures to ensure the precision and efficacy of these treatments. Prospective randomized studies remain warranted to better understand the role of imaging guidance and assess some of the medications used for interventional procedures around the knee. KEY POINTS: • A list of 10 evidence-based statements on clinical indications of image-guided interventional procedures around the knee was produced by an expert panel of the ESSR. • Strong consensus with 100% agreement was obtained for all statements. • Two statements reached the highest level of evidence, allowing us to strongly recommend the use of ultrasonography to guide intra-articular and patellar tendon procedures to ensure higher accuracy and efficacy of these treatments.
Keywords
Musculoskeletal, Interventional radiology, Knee, Patellar tendon, Platelet-rich plasma, Hyaluronic acid
Identifiers
s00330-021-08258-1, 8258
External DOI: https://doi.org/10.1007/s00330-021-08258-1
This record's URL: https://www.repository.cam.ac.uk/handle/1810/333924
Rights
Licence:
http://creativecommons.org/licenses/by/4.0/
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