Evidence map›Paper›PMID 34523008›Full record

ArticleEuropean radiology2022

Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part V, knee.

Luca Maria Sconfienza, Miraude Adriaensen, Domenico Albano, Andrea Alcala-Galiano, Georgina Allen, Maria Pilar Aparisi Gómez, Giacomo Aringhieri, Alberto Bazzocchi, Ian Beggs, Vito Chianca and 43 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Updates in ultrasound-guided musculoskeletal interventions.The British journal of radiology · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Bone biopsies guided by augmented reality: a pilot study.European radiology experimental · 2023
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

53 authors at 20 institutions in 16 countries.

Luca Maria SconfienzaIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy. io@lucasconfienza.it.ORCID http://orcid.org/0000-0003-0759-8431
Miraude AdriaensenDepartment of Medical Imaging, Zuyderland Medical Center, Sittard-Geleen, Heerlen, Brunssum, Kerkrade, the Netherlands.
Domenico AlbanoIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy.
Andrea Alcala-GalianoHospital Universitario, 12 de Octubre, Madrid, Spain.
Georgina AllenSt Luke's Radiology Oxford Ltd, Oxford, UK.
Maria Pilar Aparisi GómezDepartment of Radiology, Auckland City Hospital, Auckland, New Zealand.
Giacomo AringhieriDiagnostic and Interventional Radiology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Alberto BazzocchiDiagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Ian BeggsAnalytic Imaging, Edinburgh, UK.
Vito ChiancaOspedale Evangelico Betania, Napoli, Italy.
Angelo CorazzaIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy.
Danoob DaliliSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.
Miriam De DeaStudio MSK, Belluno, Italy.
Jose Luis Del CuraHospital Universitario Donostia, San Sebastian, Spain.
Francesco Di PiettoDipartimento Di Diagnostica Per Immagini, Pineta Grande Hospital, Castel Volturno, Italy.
Elena DrakonakiMSK Radiology Services, Heraklion, Crete, Greece.
Fernando Facal de CastroHospital General Universitario de Valencia, Valencia, Spain.
Dimitrios Filippiadis2nd Department of Radiology, University General Hospital "ATTIKON" Medical School, National and Kapodistrian University of Athens, Haidari, Athens, Greece.
Salvatore GittoDipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Milan, Italy.
Andrew J GraingerCambridge University Hospitals, Cambridge, UK.
Simon GreenwoodMid Cheshire Hospitals NHS Foundation Trust, Cheshire, UK.
Harun GuptaLeeds Teaching Hospitals, Leeds, UK.
Amanda IsaacSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.
Slavcho IvanoskiDepartment of Radiology, Special Hospital for Orthopedic Surgery and Traumatology, St. Erazmo, Ohrid, North Macedonia.
Monica KhannaImperial College Healthcare NHS Trust, London, UK.
Andrea KlauserDepartment of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Ramy MansourOxford Musculoskeletal Radiology, Oxford University Hospitals, Oxford, UK.
Silvia MartinHospital Universitario Son Llatzer, Palma, Spain.
Vasco MascarenhasMusculoskeletal Imaging Unit, Hospital da Luz, Lisbon, Portugal.
Giovanni MauriDivision of Interventional Radiology, Istituto Europeo Di Oncologia IRCCS, Milan, Italy.
Catherine McCarthyOxford Musculoskeletal Radiology, Oxford, UK.
David McKeanBuckinghamshire Healthcare NHS Trust, Aylesbury, UK.
Eugene McNallyOxford Musculoskeletal Radiology, Oxford, UK.
Kalliopi MelakiDepartment of Radiology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Rebeca Mirón MombielaDepartment of Radiology, Herlev og Gentofte Hospital, Herlev, Denmark.
Ricardo MoutinhoMusculoskeletal Imaging Unit, Hospital da Luz, Lisbon, Portugal.
Marina ObradovDepartment of Radiology, Sint Maartenskliniek, Nijmegen, The Netherlands.
Cyprian OlchowyDepartment of Oral Surgery, Wroclaw Medical University, Wroclaw, Poland.
Davide OrlandiDepartment of Radiology, Ospedale Evangelico Internazionale, Genoa, Italy.
Raquel Prada GonzálezHospital POVISA, Vigo, Spain.
Mahesh PrakashPost Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India.
Magdalena PosadzyIndywidualna Praktyka Lekarska Magdalena Posadzy, Poznan, Poland.
Saulius RutkauskasDepartment of Radiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Žiga SnojInstitute of Radiology, University Medical Centre Ljubljana, Zaloska 7, 1000, Ljubljana, Slovenia.
Alberto Stefano TagliaficoDepartment of Health Sciences, University of Genova, Genoa, Italy.
Alexander TalaskaDepartment of Radiology, AUVA Trauma Center, Vienna, Austria.
Xavier TomasRadiology Dpt. MSK Unit. Hospital Clinic (CDIC), University of Barcelona (UB), Barcelona, Spain.
Violeta Vasilevska-NikodinovskaMedical Faculty, University Ss. Cyril and Methodius in Skopje, Skopje, Macedonia.
Jelena VuceticRadiology Department, Hospital ICOT Ciudad de Telde, Las Palmas, Spain.
David WilsonSt Luke's Radiology Oxford Ltd, Oxford, UK.
Federico ZaottiniIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Marcello ZappiaDepartment of Medicine and Health Sciences, University of Molise, Campobasso, Italy.
Carmelo MessinaIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy.
Istituto Ortopedico Galeazzi · ITUniversity of Milan · ITHospital da Luz · PTNIHR Oxford Musculoskeletal Biomedical Research Centre · GBOspedale Policlinico San Martino · ITUniversity of Oxford · GBAuckland City Hospital · NZBiogipuzkoa Health Research Institute · ESBuckinghamshire Healthcare NHS Trust · GBCambridge University Hospitals NHS Foundation Trust · GBCentre for Technological Research of Crete · GRCharité - Universitätsmedizin Berlin · DEGentofte Hospital · DKHospital General Universitario De Valencia · ESHospital Son Llatzer · ESHospital Universitario 12 De Octubre · ESImperial College Healthcare NHS Trust · GBInnsbruck Medical University · ATIstituto Ortopedico Rizzoli · ITKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInterventional procedures around the knee are widely adopted for treating different musculoskeletal conditions. A panel of experts from the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR) reviewed the existing literature to assess the evidence on image-guided musculoskeletal interventional procedures around the knee, with the goal of highlighting some controversies associated with these procedures, specifically the role of imaging guidance, as well as the efficacy of the medications routinely injected.

methodsWe report the results of a Delphi-based consensus of 53 experts in musculoskeletal radiology, who reviewed the published literature for evidence on image-guided interventional procedures around the knee to derive a list of pertinent clinical indications.

resultsA list of 10 statements about clinical indications of image-guided procedures around the knee was created by a Delphi-based consensus. Only two of them had the highest level of evidence; all of them received 100% consensus.

conclusionsUltrasonography guidance is strongly recommended for intra-articular and patellar tendinopathy procedures to ensure the precision and efficacy of these treatments. Prospective randomized studies remain warranted to better understand the role of imaging guidance and assess some of the medications used for interventional procedures around the knee. KEY POINTS: • A list of 10 evidence-based statements on clinical indications of image-guided interventional procedures around the knee was produced by an expert panel of the ESSR. • Strong consensus with 100% agreement was obtained for all statements. • Two statements reached the highest level of evidence, allowing us to strongly recommend the use of ultrasonography to guide intra-articular and patellar tendon procedures to ensure higher accuracy and efficacy of these treatments.

Indexed as

RadiologyHumansKnee JointProspective StudiesRadiographyRadiology, InterventionalUltrasonography, InterventionalHyaluronic acidInterventional radiologyKneePatellar tendonPlatelet-rich plasma

Identifiers

PMID34523008
PMCPMC8831279
OpenAlexW4200091968

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.