RT Journal Article
SR Electronic
T1 EULAR points to consider for the use of imaging to guide interventional procedures in patients with rheumatic and musculoskeletal diseases (RMDs)
JF Annals of the Rheumatic Diseases
JO Ann Rheum Dis
FD BMJ Publishing Group Ltd and European League Against Rheumatism
SP 760
OP 767
DO 10.1136/annrheumdis-2021-221261
VO 81
IS 6
A1 Christian Dejaco
A1 Pedro M Machado
A1 Francesco Carubbi
A1 Philipp Bosch
A1 Lene Terslev
A1 Giorgio Tamborrini
A1 Luca Maria Sconfienza
A1 Carlo Alberto Scirè
A1 Sebastian Ruetten
A1 Jef van Rompay
A1 Fabian Proft
A1 Costantino Pitzalis
A1 Marina Obradov
A1 Rikke Helene Moe
A1 Vasco V Mascarenhas
A1 Clara Malattia
A1 Andrea Sabine Klauser
A1 Alison Kent
A1 Lennart Jans
A1 Wolfgang Hartung
A1 Hilde Berner Hammer
A1 Christina Duftner
A1 Peter V Balint
A1 Alessia Alunno
A1 Xenofon Baraliakos
YR 2022
UL http://ard.bmj.com/content/81/6/760.abstract
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.