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

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 GuptaAndrea 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

Research output: Contribution to journalArticle

1 Citation (Scopus)

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%).

Original languageEnglish
JournalEuropean Radiology
DOIs
Publication statusAccepted/In press - Jan 1 2019

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Musculoskeletal System
Radiology
Evidence-Based Medicine
Social Change
Tendons
Joints

Keywords

  • Injections
  • Interventional radiology
  • Platelet-rich plasma
  • Shoulder
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

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

In: European Radiology, 01.01.2019.

Research output: Contribution to journalArticle

Sconfienza, LM, Adriaensen, M, Albano, D, Allen, G, Aparisi Gómez, MP, Bazzocchi, A, Beggs, I, Bignotti, B, Chianca, V, Corazza, A, Dalili, D, De Dea, M, del Cura, JL, Di Pietto, F, Drakonaki, E, Facal de Castro, F, Filippiadis, D, Gielen, J, Gitto, S, Gupta, H, Klauser, AS, Lalam, R, Martin, S, Martinoli, C, Mauri, G, McCarthy, C, McNally, E, Melaki, K, Messina, C, Mirón Mombiela, R, Neubauer, B, Olchowy, C, Orlandi, D, Plagou, A, Prada Gonzalez, R, Rutkauskas, S, Snoj, Z, Tagliafico, AS, Talaska, A, Vasilevska-Nikodinovska, V, Vucetic, J, Wilson, D, Zaottini, F, Zappia, M & Obradov, M 2019, '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', European Radiology. https://doi.org/10.1007/s00330-019-06419-x
Sconfienza, Luca Maria ; Adriaensen, Miraude ; Albano, Domenico ; Allen, Georgina ; Aparisi Gómez, Maria Pilar ; Bazzocchi, Alberto ; Beggs, Ian ; Bignotti, Bianca ; Chianca, Vito ; Corazza, Angelo ; Dalili, Danoob ; De Dea, Miriam ; del Cura, Jose Luis ; Di Pietto, Francesco ; Drakonaki, Eleni ; Facal de Castro, Fernando ; Filippiadis, Dimitrios ; Gielen, Jan ; Gitto, Salvatore ; Gupta, Harun ; Klauser, Andrea S. ; Lalam, Radhesh ; Martin, Silvia ; Martinoli, Carlo ; Mauri, Giovanni ; McCarthy, Catherine ; McNally, Eugene ; Melaki, Kalliopi ; Messina, Carmelo ; Mirón Mombiela, Rebeca ; Neubauer, Benedikt ; Olchowy, Cyprian ; Orlandi, Davide ; Plagou, Athena ; Prada Gonzalez, Raquel ; Rutkauskas, Saulius ; Snoj, Ziga ; Tagliafico, Alberto Stefano ; Talaska, Alexander ; Vasilevska-Nikodinovska, Violeta ; Vucetic, Jelena ; Wilson, David ; Zaottini, Federico ; Zappia, Marcello ; Obradov, Marina. / 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. In: European Radiology. 2019.
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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",
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{\%}).",
keywords = "Injections, Interventional radiology, Platelet-rich plasma, Shoulder, Ultrasonography",
author = "Sconfienza, {Luca Maria} and Miraude Adriaensen and Domenico Albano and Georgina Allen and {Aparisi G{\'o}mez}, {Maria Pilar} and Alberto Bazzocchi and Ian Beggs and Bianca Bignotti and Vito Chianca and Angelo Corazza and Danoob Dalili and {De Dea}, Miriam and {del Cura}, {Jose Luis} and {Di Pietto}, Francesco and Eleni Drakonaki and {Facal de Castro}, Fernando and Dimitrios Filippiadis and Jan Gielen and Salvatore Gitto and Harun Gupta and Klauser, {Andrea S.} and Radhesh Lalam and Silvia Martin and Carlo Martinoli and Giovanni Mauri and Catherine McCarthy and Eugene McNally and Kalliopi Melaki and Carmelo Messina and {Mir{\'o}n Mombiela}, Rebeca and Benedikt Neubauer and Cyprian Olchowy and Davide Orlandi and Athena Plagou and {Prada Gonzalez}, Raquel and Saulius Rutkauskas and Ziga Snoj and Tagliafico, {Alberto Stefano} and Alexander Talaska and Violeta Vasilevska-Nikodinovska and Jelena Vucetic and David Wilson and Federico Zaottini and Marcello Zappia and Marina Obradov",
year = "2019",
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TY - JOUR

T1 - Clinical indications for image-guided interventional procedures in the musculoskeletal system

T2 - a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part I, shoulder

AU - Sconfienza, Luca Maria

AU - Adriaensen, Miraude

AU - Albano, Domenico

AU - Allen, Georgina

AU - Aparisi Gómez, Maria Pilar

AU - Bazzocchi, Alberto

AU - Beggs, Ian

AU - Bignotti, Bianca

AU - Chianca, Vito

AU - Corazza, Angelo

AU - Dalili, Danoob

AU - De Dea, Miriam

AU - del Cura, Jose Luis

AU - Di Pietto, Francesco

AU - Drakonaki, Eleni

AU - Facal de Castro, Fernando

AU - Filippiadis, Dimitrios

AU - Gielen, Jan

AU - Gitto, Salvatore

AU - Gupta, Harun

AU - Klauser, Andrea S.

AU - Lalam, Radhesh

AU - Martin, Silvia

AU - Martinoli, Carlo

AU - Mauri, Giovanni

AU - McCarthy, Catherine

AU - McNally, Eugene

AU - Melaki, Kalliopi

AU - Messina, Carmelo

AU - Mirón Mombiela, Rebeca

AU - Neubauer, Benedikt

AU - Olchowy, Cyprian

AU - Orlandi, Davide

AU - Plagou, Athena

AU - Prada Gonzalez, Raquel

AU - Rutkauskas, Saulius

AU - Snoj, Ziga

AU - Tagliafico, Alberto Stefano

AU - Talaska, Alexander

AU - Vasilevska-Nikodinovska, Violeta

AU - Vucetic, Jelena

AU - Wilson, David

AU - Zaottini, Federico

AU - Zappia, Marcello

AU - Obradov, Marina

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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%).

AB - 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%).

KW - Injections

KW - Interventional radiology

KW - Platelet-rich plasma

KW - Shoulder

KW - Ultrasonography

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U2 - 10.1007/s00330-019-06419-x

DO - 10.1007/s00330-019-06419-x

M3 - Article

AN - SCOPUS:85073817181

JO - European Radiology

JF - European Radiology

SN - 0938-7994

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