The 2017 EULAR standardised procedures for ultrasound imaging in rheumatology - PubMed (original) (raw)

Practice Guideline

. 2017 Dec;76(12):1974-1979.

doi: 10.1136/annrheumdis-2017-211585. Epub 2017 Aug 16.

Iustina Janta 3, Marina Backhaus 4, Sarah Ohrndorf 5, David A Bong 1 2, Carlo Martinoli 6, Emilio Filippucci 7, Luca Maria Sconfienza 8 9, Lene Terslev 10, Nemanja Damjanov 11, Hilde Berner Hammer 12, Iwona Sudol-Szopinska 13 14, Walter Grassi 7, Peter Balint 15, George A W Bruyn 16, Maria Antonietta D'Agostino 17 18, Diana Hollander 19, Heidi J Siddle 20, Gabriela Supp 21, Wolfgang A Schmidt 22, Annamaria Iagnocco 23, Juhani Koski 24, David Kane 25, Daniela Fodor [ 26](#full-view-affiliation-26 "Department of Internal Medicine, "Iuliu Hatieganu", University of Medicine and Pharmacy, Cluj-Napoca, Romania."), Alessandra Bruns 27, Peter Mandl 28, Gurjit S Kaeley 29, Mihaela Micu 30, Carmen Ho 31, Violeta Vlad 32, Mario Chávez-López 33, Georgios Filippou 34, Carmen Elena Cerón 35, Rodina Nestorova 36, Maritza Quintero 37, Richard Wakefield 20, Loreto Carmona 38, Esperanza Naredo 39

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Practice Guideline

The 2017 EULAR standardised procedures for ultrasound imaging in rheumatology

Ingrid Möller et al. Ann Rheum Dis. 2017 Dec.

Free article

Abstract

Background: In 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.

Objectives: To update the existing MSUS guidelines in rheumatology as well as to extend their scope to other anatomic structures relevant for rheumatology.

Methods: The 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).

Results: Structures 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.

Conclusions: This task force has produced a consensus-based comprehensive and practical framework on standardised procedures for MSUS imaging in rheumatology.

Keywords: procedures; rheumatic and musculoskeletal diseases; rheumatology; scanning; standardization; ultrasound.

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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Conflict of interest statement

Competing interests: None declared.

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