North American musculoskeletal ultrasound scanning protocol of the hip, knee, ankle, and foot: update of a Delphi consensus study.
Musculoskeletal ultrasound
Scanning protocol
Ultrasound of the ankle and foot
Ultrasound of the hip
Ultrasound of the knee
Journal
Clinical rheumatology
ISSN: 1434-9949
Titre abrégé: Clin Rheumatol
Pays: Germany
ID NLM: 8211469
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
18
12
2020
accepted:
23
03
2021
revised:
17
03
2021
pubmed:
7
4
2021
medline:
29
9
2021
entrez:
6
4
2021
Statut:
ppublish
Résumé
A North American rheumatology consensus on tiered-mastery designation for anatomic views was developed in 2011 for course and fellowship teaching. This study updates the lower extremity joint scanning protocols aiming to inform musculoskeletal ultrasound curriculum development for the American College of Rheumatology affiliated Fellowship Programs. Three Delphi rounds were conducted to reach consensus for tiered-level mastery designation for hip, knee, ankle, and foot scanning views. The survey was disseminated (Qualtrics™) to 101 potential participants with ultrasound teaching experience. High agreement was defined as ≥ 85% consensus and final tier designation as having >50% agreement for the preferred tier. Response changes were evaluated by McNemar's chi-square test. Consensus regarding tier designations was reached for 80% of the views. Three knee views (anterior transverse suprapatellar, medial, and lateral longitudinal) and 2 ankle views (anterior and posterior transverse) achieved upgrades to tier 1 from 2. The transverse sacroiliac hip joint was downgraded from tier 2 to 3. The lateral longitudinal hip view was added with a tier 1 designation. Updated scanning protocols support modifications reflecting current scanning methods delivered by North American rheumatologists performing point of care ultrasound that may inform educators involved in rheumatology ultrasound. Key Points • The anterior transverse suprapatellar, medial, and lateral longitudinal knee views; the anterior and posterior transverse ankle views; and the lateral longitudinal view hip view were perceived as important to master and perform routinely. • The transverse sacroiliac joint view was suggested to be performed based on practice focus.
Sections du résumé
BACKGROUND/OBJECTIVE
OBJECTIVE
A North American rheumatology consensus on tiered-mastery designation for anatomic views was developed in 2011 for course and fellowship teaching. This study updates the lower extremity joint scanning protocols aiming to inform musculoskeletal ultrasound curriculum development for the American College of Rheumatology affiliated Fellowship Programs.
METHODS
METHODS
Three Delphi rounds were conducted to reach consensus for tiered-level mastery designation for hip, knee, ankle, and foot scanning views. The survey was disseminated (Qualtrics™) to 101 potential participants with ultrasound teaching experience. High agreement was defined as ≥ 85% consensus and final tier designation as having >50% agreement for the preferred tier. Response changes were evaluated by McNemar's chi-square test.
RESULTS
RESULTS
Consensus regarding tier designations was reached for 80% of the views. Three knee views (anterior transverse suprapatellar, medial, and lateral longitudinal) and 2 ankle views (anterior and posterior transverse) achieved upgrades to tier 1 from 2. The transverse sacroiliac hip joint was downgraded from tier 2 to 3. The lateral longitudinal hip view was added with a tier 1 designation.
CONCLUSION
CONCLUSIONS
Updated scanning protocols support modifications reflecting current scanning methods delivered by North American rheumatologists performing point of care ultrasound that may inform educators involved in rheumatology ultrasound. Key Points • The anterior transverse suprapatellar, medial, and lateral longitudinal knee views; the anterior and posterior transverse ankle views; and the lateral longitudinal view hip view were perceived as important to master and perform routinely. • The transverse sacroiliac joint view was suggested to be performed based on practice focus.
Identifiants
pubmed: 33821367
doi: 10.1007/s10067-021-05716-5
pii: 10.1007/s10067-021-05716-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4233-4242Informations de copyright
© 2021. International League of Associations for Rheumatology (ILAR).
Références
McAlindon T, Kissin E, Levon N et al (2012) American College of Rheumatology report on reasonable use of musculoskeletal ultrasonography in Rheumatology Clinical Practice. Arthritis Care Res 64:1625–1640
doi: 10.1002/acr.21836
Neogi T, Jansen TL, Dalbeth N, Fransen J, Schumacher HR, Berendsen D, Brown M, Choi H, Edwards NL, Janssens HJ, Lioté F, Naden RP, Nuki G, Ogdie A, Perez-Ruiz F, Saag K, Singh JA, Sundy JS, Tausche AK, Vazquez-Mellado J, Yarows SA, Taylor WJ (2015) 2015 Gout Classification Criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum 67(10):2557–2568
doi: 10.1002/art.39254
Aletaha D, Neogi T, Silman AJ et al (2010) Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Ann Rheum Dis 2010:1580–1588
doi: 10.1136/ard.2010.138461
Zhang W, Doherty M, Bardin T, Barskova V, Guerne PA, Jansen TL, Leeb BF, Perez-Ruiz F, Pimentao J, Punzi L, Richette P, Sivera F, Uhlig T, Watt I, Pascual E (2011) European League Against Rheumatism recommendations for calcium pyrophosphate deposition. Part 1: terminology and diagnosis. Ann Rheum Dis 70:563–570
doi: 10.1136/ard.2010.139105
Plaza M, Nowakowska-Plaza A, Pracon G et al (2016) Role of ultrasonography in the diagnosis of rheumatic diseases in light of ACR/EULAR guidelines. J Ultrason 16:55–64
doi: 10.15557/JoU.2016.0006
Dasgupta B, Cimmino M, Maradit-Kremers H et al (2012) 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. Ann Rheum Dis 71:484–492
doi: 10.1136/annrheumdis-2011-200329
Berko N, Goldberg-Stein S, Thornhill B et al (2016) Survey of current trends in postgraduate musculoskeletal ultrasound education in the United States. Skelet Radiol 45:475–482
doi: 10.1007/s00256-015-2324-0
Canella A, Kissin E, Torralba K et al (2014) Evolution of Musculoskeletal Ultrasound in the United States: Implementation and Practice in Rheumatology. Arthritis Care Res 66:7–13
doi: 10.1002/acr.22183
ACR MSKUS task force: American College of Rheumatology Musculoskeletal Ultrasound Task Force (2010) Ultrasound in American Rheumatology Practice: Report of the American College of Rheumatology Musculoskeletal Ultrasound Task Force. Arthritis Care Res 62:1206–1219
doi: 10.1002/acr.20241
Samuels J, Abramson SB, Kealey GS (2010) The use of musculoskeletal ultrasound by rheumatologists in the United States. Bull NYU Hosp Jt Dis 68(4):292–298
pubmed: 21162707
Torralba KD, Cannella AC, Kissin EY, Bolster MB, Salto LM, Higgs J, Samuels J, Nishio MJ, Kaeley GS, Evangelisto A, De Marco P, Kohler MJ (2017) Musculoskeletal Ultrasound Instruction in Adult Rheumatology Fellowship Programs. Arthritis Care Res 72:859–870. https://doi.org/10.1002/acr.23336
doi: 10.1002/acr.23336
Backhaus M, Burmester GR, Gerber T, Grassi W, Machold KP, Swen WA, Wakefield RJ, Manger B, Working Group for Musculoskeletal Ultrasound in the EULAR Standing Committee on International Clinical Studies including Therapeutic Trials (2001) Guidelines for musculoskeletal ultrasound in rheumatology. Ann Rheum Dis 60:641–649
doi: 10.1136/ard.60.7.641
Martinoli C (2010) Musculoskeletal ultrasound: technical guidelines. Insights Imaging 1:99–141
doi: 10.1007/s13244-010-0032-9
American College of Radiology (ACR); Society for Pediatric Radiology (SPR); Society of Radiologists in Ultrasound (SRU). AIUM practice guideline for the performance of musculoskeletal ultrasound examination. J Ultrasound Med 2012; 31: 1473-1488
Moller I, Janta I, Backhaus M et al (2017) The 2017 EULAR standardized procedures for ultrasound imaging in rheumatology. Ann Rheum Dis 76:1974–1979
doi: 10.1136/annrheumdis-2017-211585
Delle Sedie A, Riente L, Filippucci E, Scirè CA, Iagnocco A, Meenagh G, Gutierrez M, Valesini G, Montecucco C, Grassi W, Bombardieri S (2011) Ultrasound imaging for the rheumatologist. XXXII. Sonographic assessment of the foot in patients with psoriatic arthritis. Clin Exp Rheumatol 29(2):217–222
pubmed: 21504659
Iagnocco A, Filippucci E, Riente L, Meenagh G, Delle Sedie A, Sakellariu G, Ceccarelli F, Montecucco C, Bombardieri S, Grassi W, Valesini G (2012) Ultrasound imaging for the rheumatologist. XLI Sonographic assessment of the hip in OA patients. Clin Exp Rheumatol 30:652–657
pubmed: 23075672
Di Geso L, Filippucci E, Riente L et al (2012) Ultrasound imaging for the rheumatologist. XL Sonographic assessment of the hip in rheumatoid arthritis patients. Clin Exp Rheumatol 30:464–468
pubmed: 22931581
Riente L, Delle Sedie A, Sakellariou G, Filippucci E, Meenagh G, Iagnocco A, Cioffi E, Valesini G, Grassi W, Montecucco C, Bombardieri S (2012) Ultrasound imaging for the rheumatologist. XXXVIII Sonographic assessment of the hip in psoriatic arthritis patients. Clin Exp Rheumatol 30:152–155
pubmed: 22546068
Sakellariou G, Iagnocco A, Meenagh G, Riente L, Filippucci E, Delle Sedie A, Scirè CA, Bombardieri S, Grassi W, Valesini G, Montecucco C (2012) Ultrasound imaging for the rheumatologist. XXXVII Sonographic assessment of the hip in ankylosing spondylitis patients. Clin Exp Rheumatol 30:1–5
pubmed: 22409814
Meenagh G, Sakellariou G, Iagnocco A, Delle Sedie A, Riente L, Filippucci E, di Geso L, Grassi W, Bombardieri S, Valesini G, Montecucco C (2012) Ultrasound imaging for the rheumatologist. XXXIX Sonographic assessment of the hip in fibromyalgia. Clin Exp Rheumatol 30:319–321
pubmed: 22734970
Riente L, Delle Sedie A, Filippucci E, Scirè CA, Iagnocco A, Gutierrez M, Possemato N, Meenagh G, Valesini G, Montecucco C, Grassi W, Bombardieri S (2010) Ultrasound Imaging for the rheumatologist XXVII. Sonographic assessment of the knee in patients with rheumatoid arthritis. Clin Exp Rheumatol 28(3):300–303
pubmed: 20576224
Delle Sedie A, Riente L, Filippucci E, Scirè CA, Iagnocco A, Gutierrez M, Valesini G, Montecucco C, Grassi W, Bombardieri S (2010) Ultrasound imaging for the rheumatologist XXVI. Sonographic assessment of the knee in patients with psoriatic arthritis. Clin Exp Rheumatol 28(2):147–152
pubmed: 20483039
Iagnocco A, Meenagh G, Riente L, Filippucci E, Delle Sedie A, Scirè CA, Ceccarelli F, Montecucco C, Grassi W, Bombardieri S, Valesini G (2010) Ultrasound imaging for the rheumatologist XXIX. Sonographic assessment of the knee in patients with osteoarthritis. Clin Exp Rheumatol 28(5):643–646
pubmed: 21029564
Filippucci E, Meenagh G, Delle Sedie A, Sakellariou G, Iagnocco A, Riente L, Gutierrez M, Bombardieri S, Valesini G, Montecucco C, Grassi W (2011) Ultrasound imaging for the rheumatologist XXXVI. Sonographic assessment of the foot in gout patients. Clin Exp Rheumatol 29(6):901–905
pubmed: 22206648
Iagnocco A, Filippucci E, Riente L, Meenagh G, Delle Sedie A, Sakellariou G, Ceccarelli F, Montecucco C, Bombardieri S, Grassi W, Valesini G (2011) Ultrasound imaging for the rheumatologist XXXV. Sonographic assessment of the foot in patients with osteoarthritis. Clin Exp Rheumatol 29(5):757–762
pubmed: 22041178
Riente L, Delle Sedie A, Scirè CA, Filippucci E, Meenagh G, Iagnocco A, Possemato N, Valesini G, Grassi W, Montecucco C, Bombardieri S (2011) Ultrasound imaging for the rheumatologist. XXXI. Sonographic assessment of the foot in patients with rheumatoid arthritis. Clin Exp Rheumatol 29(1):1–5
pubmed: 21345286
Jamadar DA, Jacobson JA, Caoili EM, Boon TA, Dong Q, Morag Y, Girish GAJR (2008) Musculoskeletal sonography technique: focused versus comprehensive evaluation. Am J Roentgenol 190(1):5–9
doi: 10.2214/AJR.07.2433
Rempell JS, Saldana F, DiSalvo D, Kumar N, Stone MB, Chan W, Luz J, Noble VE, Liteplo A, Kimberly H, Kohler MJ (2016) Pilot Point-of-Care Ultrasound Curriculum at Harvard Medical School: Early Experience. West J Emerg Med 17(6):734–740
doi: 10.5811/westjem.2016.8.31387
Moore CL, Copel JA (2011) Point-of-care ultrasonography. N Engl J Med 364(8):749–757
doi: 10.1056/NEJMra0909487
de Miguel E, Cobo T, Munoz-Fernandez S, Naredo E, Uson J, Acebes JC et al (2009) Validity of enthesis ultrasound assessment in spondyloarthropathy. Ann Rheum Dis 68:169–174
doi: 10.1136/ard.2007.084251
Döring S, Provyn S, Marcelis S, Shahabpour M, Boulet C, de Mey J, De Smet A, De Maeseneer M (2018) Ankle and midfoot ligaments: Ultrasound with anatomical correlation: A review. Eur J Radiol 107:216–226
doi: 10.1016/j.ejrad.2018.08.011
Finoff JT, Smith J, Nutz DJ, Grogg BE (2010) A Musculoskeletal Ultrasound Course for Physical Medicine and Rehabilitation Residents. Am J Phys Med Rehabil 89(1):56–60. https://doi.org/10.1097/PHM.0b013e3181c1ee69
doi: 10.1097/PHM.0b013e3181c1ee69
American College of Radiology. ACR-AIUM-SPR-SRU Practice Parameter for the performance of the musculoskeletal ultrasound examination. 2017. https://www.acr.org/-/media/ACR/Files/Practice-Parameters/US-MSK.pdf (Accessed August 19, 2020)
Cannella AC, Kissin EY, Torralba KD, Lin C, Higgs JB, Bolster M, DeMarco PJ, Nishio MJ, Oberle E, Putterman C, Roth J, Ting T, Vega-Fernandez P (2019) Rheumatologic ultrasound (RhUS) Curriculum Supplement to the American College of Rheumatology 2015 Core Curriculum Outline. https://www.rheumatology.org/Portals/0/Files/Rhumatologic-Ultrasound-Curriculum-Supplement.pdf?ver=2020-07-07-213008-530
Torralba KD, Choi KS, Salto LM, Fairchild R, Cannella AC, Kissin EY, Thiele R, Evangelisto A, Nishio MJ (2020) Musculoskeletal Ultrasound Scanning Protocol Consensus Statements on Scanning Conventions and Documentation in the US. Arthritis Care Res 72(8):1177–1184
doi: 10.1002/acr.24005