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 IV, hip.
Luca Maria Sconfienza, Miraude Adriaensen, Andrea Alcala-Galiano, Georgina Allen, Maria Pilar Aparisi Gómez, Giacomo Aringhieri, Alberto Bazzocchi, Ian Beggs, Vito Chianca, Angelo Corazza, Danoob Dalili, Miriam De Dea, Jose Luis Del Cura, Francesco Di Pietto, Elena Drakonaki, Fernando Facal de Castro, Dimitrios Filippiadis, Salvatore Gitto, Andrew J Grainger, Simon Greenwood, Harun Gupta, Amanda Isaac, Slavcho Ivanoski, Monica Khanna, Andrea Klauser, Ramy Mansour, Silvia Martin, Vasco Mascarenhas, Giovanni Mauri, Catherine McCarthy, David McKean, Eugene McNally, Kalliopi Melaki, Carmelo Messina, Rebeca Mirón Mombiela, Ricardo Moutinho, Marina Obradov, Cyprian Olchowy, Davide Orlandi, Raquel Prada González, Mahesh Prakash, Magdalena Posadzy, Saulius Rutkauskas, Žiga Snoj, Alberto Stefano Tagliafico, Alexander Talaska, Xavier Tomas, Violeta Vasilevska Nikodinovska, Jelena Vucetic, David Wilson, Federico Zaottini, Marcello Zappia, Domenico Albano
Author Information
Luca Maria Sconfienza: IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy. io@lucasconfienza.it. ORCID
Miraude Adriaensen: Department of Medical Imaging, Zuyderland Medical Center, Sittard-Geleen, Heerlen, Brunssum, Kerkrade, the Netherlands.
Andrea Alcala-Galiano: Hospital Universitario 12 de Octubre, Madrid, Spain.
Georgina Allen: St Lukes Radiology Oxford Ltd, Oxford, UK.
Maria Pilar Aparisi Gómez: Department of Radiology, Auckland City Hospital, Auckland, New Zealand.
Giacomo Aringhieri: Diagnostic and Interventional Radiology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Alberto Bazzocchi: Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Danoob Dalili: Epsom and St Helier University Hospitals NHS Trust, London, UK.
Miriam De Dea: Studio MSK, Belluno, Italy.
Jose Luis Del Cura: Hospital Universitario Donostia, San Sebastian, Spain.
Francesco Di Pietto: Dipartimento di Diagnostica per Immagini, Pineta Grande Hospital, Castel Volturno, Italy.
Elena Drakonaki: MSK Radiology Services, Heraklion, Crete, Greece.
Fernando Facal de Castro: Hospital General Universitario de Valencia, Valencia, Spain.
Dimitrios Filippiadis: 2nd Department of Radiology, University General Hospital "ATTIKON" Medical School, National and Kapodistrian University of Athens, Haidari/Athens, Greece.
Salvatore Gitto: Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy.
Andrew J Grainger: Cambridge University Hospitals, Cambridge, UK.
Simon Greenwood: Mid Cheshire Hospitals NHS Foundation Trust, Cheshire, UK.
Harun Gupta: Leeds Teaching Hospitals, Leeds, UK.
Amanda Isaac: School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.
Slavcho Ivanoski: Department of Radiology, Special Hospital for Orthopedic Surgery and Traumatology, St. Erazmo, Ohrid, North Macedonia.
Monica Khanna: Imperial College Healthcare NHS Trust, London, UK.
Andrea Klauser: Department of Radiology, Medical University Innsbruck, Innsbruck, Austria.
Ramy Mansour: Oxford Musculoskeletal Radiology, Oxford University Hospitals, Oxford, UK.
Silvia Martin: Hospital Universitario Son Llatzer, Palma, Spain.
Vasco Mascarenhas: Hospital da Luz, Musculoskeletal Imaging Unit, Lisbon, Portugal.
Giovanni Mauri: Division of Interventional Radiology, Istituto Europeo di Oncologia IRCCS, Milano, Italy.
Catherine McCarthy: Oxford Musculoskeletal Radiology, Oxford University Hospitals, Oxford, UK.
David McKean: Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.
Eugene McNally: Oxford Musculoskeletal Radiology, Oxford University Hospitals, Oxford, UK.
Kalliopi Melaki: Department of Radiology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
OBJECTIVES: Image-guided musculoskeletal interventional procedures around the hip are widely used in daily clinical practice. The need for clarity concerning the actual added value of imaging guidance and types of medications to be offered led the Ultrasound and the Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR) to promote, with the support of its Research Committee, a collaborative project to review the published literature on image-guided musculoskeletal interventional procedures in the lower limb in order to derive a list of clinical indications. METHODS: In this article, we report the results of a Delphi-based consensus of 53 experts who reviewed the published literature for evidence on image-guided interventional procedures offered in the joint and soft tissues around the hip in order of their clinical indications. RESULTS: Ten statements concerning image-guided treatment procedures around the hip have been collected by the panel of ESSR experts. CONCLUSIONS: This work highlighted that there is still low evidence in the existing literature on some of these interventional procedures. Further large prospective randomized trials are essential to better confirm the benefits and objectively clarify the role of imaging to guide musculoskeletal interventional procedures around the hip. KEY POINTS: • Expert consensus produced a list of 10 evidence-based statements on clinical indications of image-guided interventional procedures around the hip. • The highest level of evidence was only reached for one statement. • Strong consensus was obtained for all statements.
