EULAR points to consider for the use of imaging to guide interventional procedures in patients with rheumatic and musculoskeletal diseases (RMDs)
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EULAR points to consider for the use of imaging to guide interventional procedures in patients with rheumatic and musculoskeletal diseases (RMDs). / Dejaco, Christian; Machado, Pedro M.; Carubbi, Francesco; Bosch, Philipp; Terslev, Lene; Tamborrini, Giorgio; Sconfienza, Luca Maria; Scirè, Carlo Alberto; Ruetten, Sebastian; van Rompay, Jef; Proft, Fabian; Pitzalis, Costantino; Obradov, Marina; Moe, Rikke Helene; Mascarenhas, Vasco V; Malattia, Clara; Klauser, Andrea Sabine; Kent, Alison; Jans, Lennart; Hartung, Wolfgang; Hammer, Hilde Berner; Duftner, Christina; Balint, Peter V; Alunno, Alessia; Baraliakos, Xenofon.
I: Annals of the Rheumatic Diseases, Bind 81, Nr. 6, 2022, s. 760-767.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - EULAR points to consider for the use of imaging to guide interventional procedures in patients with rheumatic and musculoskeletal diseases (RMDs)
AU - Dejaco, Christian
AU - Machado, Pedro M.
AU - Carubbi, Francesco
AU - Bosch, Philipp
AU - Terslev, Lene
AU - Tamborrini, Giorgio
AU - Sconfienza, Luca Maria
AU - Scirè, Carlo Alberto
AU - Ruetten, Sebastian
AU - van Rompay, Jef
AU - Proft, Fabian
AU - Pitzalis, Costantino
AU - Obradov, Marina
AU - Moe, Rikke Helene
AU - Mascarenhas, Vasco V
AU - Malattia, Clara
AU - Klauser, Andrea Sabine
AU - Kent, Alison
AU - Jans, Lennart
AU - Hartung, Wolfgang
AU - Hammer, Hilde Berner
AU - Duftner, Christina
AU - Balint, Peter V
AU - Alunno, Alessia
AU - Baraliakos, Xenofon
N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2022
Y1 - 2022
N2 - OBJECTIVES: To develop evidence-based Points to Consider (PtC) for the use of imaging modalities to guide interventional procedures in patients with rheumatic and musculoskeletal diseases (RMDs). METHODS: European Alliance of Associations for Rheumatology (EULAR) standardised operating procedures were followed. A systematic literature review was conducted to retrieve data on the role of imaging modalities including ultrasound (US), fluoroscopy, MRI, CT and fusion imaging to guide interventional procedures. Based on evidence and expert opinion, the task force (25 participants consisting of physicians, healthcare professionals and patients from 11 countries) developed PtC, with consensus obtained through voting. The final level of agreement was provided anonymously. RESULTS: A total of three overarching principles and six specific PtC were formulated. The task force recommends preference of imaging over palpation to guide targeted interventional procedures at peripheral joints, periarticular musculoskeletal structures, nerves and the spine. While US is the favoured imaging technique for peripheral joints and nerves, the choice of the imaging method for the spine and sacroiliac joints has to be individualised according to the target, procedure, expertise, availability and radiation exposure. All imaging guided interventions should be performed by a trained specialist using appropriate operational procedures, settings and assistance by technical personnel. CONCLUSION: These are the first EULAR PtC to provide guidance on the role of imaging to guide interventional procedures in patients with RMDs.
AB - OBJECTIVES: To develop evidence-based Points to Consider (PtC) for the use of imaging modalities to guide interventional procedures in patients with rheumatic and musculoskeletal diseases (RMDs). METHODS: European Alliance of Associations for Rheumatology (EULAR) standardised operating procedures were followed. A systematic literature review was conducted to retrieve data on the role of imaging modalities including ultrasound (US), fluoroscopy, MRI, CT and fusion imaging to guide interventional procedures. Based on evidence and expert opinion, the task force (25 participants consisting of physicians, healthcare professionals and patients from 11 countries) developed PtC, with consensus obtained through voting. The final level of agreement was provided anonymously. RESULTS: A total of three overarching principles and six specific PtC were formulated. The task force recommends preference of imaging over palpation to guide targeted interventional procedures at peripheral joints, periarticular musculoskeletal structures, nerves and the spine. While US is the favoured imaging technique for peripheral joints and nerves, the choice of the imaging method for the spine and sacroiliac joints has to be individualised according to the target, procedure, expertise, availability and radiation exposure. All imaging guided interventions should be performed by a trained specialist using appropriate operational procedures, settings and assistance by technical personnel. CONCLUSION: These are the first EULAR PtC to provide guidance on the role of imaging to guide interventional procedures in patients with RMDs.
KW - arthritis
KW - MRI
KW - orthopaedic Procedures
KW - rheumatoid
KW - ultrasonography
U2 - 10.1136/annrheumdis-2021-221261
DO - 10.1136/annrheumdis-2021-221261
M3 - Journal article
C2 - 34893469
AN - SCOPUS:85120709781
VL - 81
SP - 760
EP - 767
JO - Annals of the Rheumatic Diseases
JF - Annals of the Rheumatic Diseases
SN - 0003-4967
IS - 6
ER -
ID: 317507895