Clinical indications for musculoskeletal ultrasound: A Delphi-based consensus paper of the European society of musculoskeletal radiology

被引：153

作者：

Klauser, Andrea S. ^{[2
]}

Tagliafico, Alberto ^{[1
]}

Allen, Gina M. ^{[3
]}

Boutry, Natalie ^{[4
]}

Campbell, Rob ^{[5
]}

Court-Payen, Michel ^{[6
]}

Grainger, Andrew ^{[7
,8
]}

Guerini, Henry ^{[9
]}

McNally, Eugene ^{[10
,11
]}

O'Connor, Philip J. ^{[12
]}

Ostlere, Simon ^{[10
]}

Petroons, Philippe ^{[13
]}

Reijnierse, Monique ^{[14
]}

Sconfienza, Luca Maria ^{[15
]}

Silvestri, Enzo ^{[16
]}

Wilson, David J. ^{[11
,17
]}

Martinoli, Carlo ^{[18
]}

机构：

[1] Univ Genoa, Inst Anat, Dept Expt Med, DIMES, I-16132 Genoa, Italy

[2] Med Univ Innsbruck, Dept Diagnost Radiol, A-6020 Innsbruck, Austria

[3] Oxford Radcliffe Hosp, Dept Radiol, Oxford, England

[4] CHU Lille, Hop Roger Salengro, Serv Radiol Osteoarticulaire, F-59037 Lille, France

[5] Royal Liverpool Univ Hosp, Dept Radiol, Liverpool L7 8XP, Merseyside, England

[6] GildhOj Private Hosp, Dept Musculoskeletal Radiol, DK-2605 Brondby, Denmark

[7] Leeds Teaching Hosp, Leeds LS7 4SA, W Yorkshire, England

[8] Leeds MSK Res Unit Leeds, Leeds LS7 4SA, W Yorkshire, England

[9] Hop Cochin, Serv Radiol B, F-75014 Paris, France

[10] Nuffield Orthopaed Ctr, Oxford OX3 7LD, England

[11] Univ Oxford, Oxford OX3 7LD, England

[12] Leeds Teaching Hosp Trust, Dept Clin Radiol, Gen Infirm, Leeds LS1 3EX, W Yorkshire, England

[13] Hop Iris Sud Moliere Longchamp, Dept Radiol, B-1190 Brussels, Belgium

[14] Leiden Univ, Med Ctr C3Q, NL-2300 RC Leiden, Netherlands

[15] IRCCS Policlin San Donato, Radiol Unit, I-20097 Milan, Italy

[16] Osped Evangelico Int, I-16122 Genoa, Italy

[17] Nuffield Orthopaed Ctr NHS Trust, Oxford OX3 7LD, England

[18] Univ Genoa, Cattedra R Radiol DICMI, I-16132 Genoa, Italy

来源：

EUROPEAN RADIOLOGY | 2012年 / 22卷 / 05期

关键词：

Ultrasonography; Delphi method; Musculoskeletal; Indications; Consensus;

D O I：

10.1007/s00330-011-2356-3

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Objective To develop clinical guidelines for musculoskeletal ultrasound (MSKUS) referral in Europe. Methods Sixteen musculoskeletal radiologists from seven European countries participated in a consensus-based interactive process (Delphi method) using consecutive questionnaires and consensus procedure meetings at several European radiology meetings. The evaluation of musculoskeletal diseases was established by literature reviews, followed by consensus on clinical utility in three consensus meetings. This involved a thorough, transparent, iterative approach which including interview, questionnaire, Delphi and standard setting methodologies. European MSK radiologists with a special interest in MSKUS formed two different expert groups who worked on reaching a consensus in the first two meetings. The third meeting resolved questions that did not achieve a consensus level of 67% using the first two questionnaires. Results On expert consensus, the use of MSKUS is indicated to detect joint synovitis, fluid and septic effusion for potential aspiration, and poorly indicated to detect loose bodies. Recommendations for most appropriate use of musculoskeletal ultrasound are reported in six areas relevant to musculoskeletal ultrasound: hand/wrist, elbow, shoulder, hip, knee and ankle/foot. Conclusion A comprehensive evidence-based, expert consensus-defined educational framework on clinical ultr-sound is presented. This should facilitate referrals for this important imaging technique throughout Europe. Key Points Musculoskeletal ultrasound is indicated for detecting joint synovitis, effusions and fluid collections. Musculoskeletal ultrasound is poor at detecting loose bodies. Musculoskeletal ultrasound is relevant for most joints.

引用

页码：1140 / 1148

页数：9