The 2017 EULAR standardised procedures for ultrasound imaging in rheumatology

Annals of the Rheumatic Diseases - Tập 76 Số 12 - Trang 1974-1979 - 2017
Ingrid Möller1,2,3, I. Janta2,4, Marina Backhaus5,6, Sarah Ohrndorf7,8, David Kane1,2,3, Carlo Martinoli9,10, Emilio Filippucci2,11, Luca Maria Sconfienza12,13,14,15, Lene Terslev16,17, Nemanja Damjanov18,19, Hilde Berner Hammer2,20, Iwona Sudoł‐Szopińska21,22,23,24, Walter Grassi2,11, Péter Mandl25,26, George A. W. Bruyn2,27, Maria Antonietta D’Agostino28,29,30,31, Diana Hollander32, Heidi J. Siddle33, Gabriela Supp34,35, Wolfgang Schmidt36,37, Annamaria Iagnocco38,39, Juhani Koski40,41, Daniela Fodor42,43, Alessandra Bruns2,44, Gurjit S. Kaeley45,46, Mihaela Micu47,48, Carmen Tze Kwan Ho49,50, Violeta Vlad2,51, Mario Alfredo Chávez-López52,53, Georgios Filippou54,55, Carmen Cerón2,56, Rodina Nestorova57, Maritza Quintero2,58, Richard J. Wakefield33, Loreto Carmona59, Maxime Dougados60,61
1Barcelona University
2Department of Rheumatology
3Instituto Poal de Reumatología
4Hospital General Universitario Gregorio Marañón
5Department of Internal Medicine - Rheumatology and Clinical Immunology
6Park-Klinik Weissensee
7Charité University Medicine
8Department of Rheumatology and Clinical Immunology
9Department of Radiology-III, IRCCS AOU San Martino-IST
10University of Genoa
11Università Politecnica delle Marche
12Department of Biomedical Sciences for Health
13IRCCS Istituto Ortopedico Galeazzi
14Unit of Diagnostic and Interventional Radiology
15University Of Milano
16Centre for Rheumatology and Spine Diseases
17Rigshospitalet
18Institute of Rheumatology
19University of Belgrade School of Medicine
20Diakonhjemmet Hospital
21Department of Radiology
22Imaging Diagnostic Department
23National Institute of Geriatrics, Rheumatology and Rehabilitation
24Warsaw Medical University
253rd Department of Rheumatology
26National Institute of Rheumatology and Physiotherapy
27MC Groep Hospitals
28Hôpital Ambroise Paré (APHP)
29INSERM U1173, Laboratoire d’Excellence INFLAMEX
30Rheumatology Department
31UFR Simone Veil, Versailles-Saint-Quentin University
32EULAR PARE Patient Research Partner
33Leeds Teaching Hospitals NHS Trust, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Chapel Allerton Hospital
34Joint and Bone Center for Diagnosis, Research, and Therapy of Musculoskeletal Disorders
35Medical University of Vienna
36Immanuel Krankenhaus Berlin
37Medical Center for Rheumatology
38Dipartimento Scienze Cliniche e Biologiche - Reumatologia
39Università degli Studi di Torino
40Department of Internal Medicine
41Mikkeli Central Hospital
42Department of Internal Medicine, “Iuliu Hatieganu”
43University of Medicine and Pharmacy
44University of Sherbrooke
45Division of Rheumatology
46University of Florida College of Medicine;
47Rehabilitation Clinical Hospital
48Rheumatology Division, 2nd Rehabilitation Department
49Rheumatology and Clinical Immunology Division
50University of Hong Kong
51Sf. Maria Clinical Hospital
52Department of Biomedical Research
53Universidad Autónoma de Aguascalientes
54Department of Medicine, Surgery and Neurosciences, Rheumatology Section
55University of Siena
56Medicarte
57Rheumatology Centre ’St Irina'
58Universidad de los Andes
59Instituto de Salud Musculoesquelética (InMusc)
60Department of Rheumatology, Joint and Bone Research Unit
61Hospital Universitario Fundación Jiménez Díaz and Autónoma University

Tóm tắt

BackgroundIn 2001, the European League Against Rheumatism developed and disseminated the first guidelines for musculoskeletal (MS) ultrasound (US) in rheumatology. Fifteen years later, the dramatic expansion of new data on MSUS in the literature coupled with technological developments in US imaging has necessitated an update of these guidelines.ObjectivesTo update the existing MSUS guidelines in rheumatology as well as to extend their scope to other anatomic structures relevant for rheumatology.MethodsThe project consisted of the following steps: (1) a systematic literature review of MSUS evaluable structures; (2) a Delphi survey among rheumatologist and radiologist experts in MSUS to select MS and non-MS anatomic structures evaluable by US that are relevant to rheumatology, to select abnormalities evaluable by US and to prioritise these pathologies for rheumatology and (3) a nominal group technique to achieve consensus on the US scanning procedures and to produce an electronic illustrated manual (ie, App of these procedures).ResultsStructures from nine MS and non-MS areas (ie, shoulder, elbow, wrist and hand, hip, knee, ankle and foot, peripheral nerves, salivary glands and vessels) were selected for MSUS in rheumatic and musculoskeletal diseases (RMD) and their detailed scanning procedures (ie, patient position, probe placement, scanning method and bony/other landmarks) were used to produce the App. In addition, US evaluable abnormalities present in RMD for each anatomic structure and their relevance for rheumatology were agreed on by the MSUS experts.ConclusionsThis task force has produced a consensus-based comprehensive and practical framework on standardised procedures for MSUS imaging in rheumatology.

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Annals of the Rheumatic Diseases

Tập 76 Số 12

1974-1979

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