TY - JOUR
TI - 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 III, nerves of the upper limb
AU - Sconfienza, L.M.
AU - Adriaensen, M.
AU - Albano, D.
AU - Allen, G.
AU - Aparisi Gómez, M.P.
AU - Bazzocchi, A.
AU - Beggs, I.
AU - Bignotti, B.
AU - Chianca, V.
AU - Corazza, A.
AU - Dalili, D.
AU - De Dea, M.
AU - del Cura, J.L.
AU - Di Pietto, F.
AU - Drakonaki, E.
AU - Facal de Castro, F.
AU - Filippiadis, D.
AU - Gielen, J.
AU - Gitto, S.
AU - Gupta, H.
AU - Klauser, A.S.
AU - Lalam, R.
AU - Martin, S.
AU - Martinoli, C.
AU - Mauri, G.
AU - McCarthy, C.
AU - McNally, E.
AU - Melaki, K.
AU - Messina, C.
AU - Mirón Mombiela, R.
AU - Neubauer, B.
AU - Obradov, M.
AU - Olchowy, C.
AU - Orlandi, D.
AU - Gonzalez, R.P.
AU - Rutkauskas, S.
AU - Snoj, Z.
AU - Tagliafico, A.S.
AU - Talaska, A.
AU - Vasilevska-Nikodinovska, V.
AU - Vucetic, J.
AU - Wilson, D.
AU - Zaottini, F.
AU - Zappia, M.
AU - Plagou, A.
AU - on behalf of the Ultrasound
AU - Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR)
JO - European Radiology Experimental
PY - 2020
VL - 30
TODO - 3
SP - 1498-1506
PB - Springer-Verlag
SN - null
TODO - 10.1007/s00330-019-06479-z
TODO - corticosteroid, Article;  brachial plexus anesthesia;  carpal tunnel syndrome;  cubital tunnel syndrome;  echography;  evidence based medicine;  human;  interventional ultrasonography;  low level laser therapy;  medical society;  musculoskeletal system;  priority journal;  upper limb;  carpal tunnel syndrome;  computer assisted surgery;  consensus;  Delphi study;  diagnostic imaging;  echography;  innervation;  medical society;  peripheral nerve;  procedures;  radiography;  radiology, Carpal Tunnel Syndrome;  Consensus;  Delphi Technique;  Humans;  Peripheral Nerves;  Radiography;  Radiology;  Societies, Medical;  Surgery, Computer-Assisted;  Ultrasonography;  Upper Extremity
TODO - Background: Image-guided interventional procedures of the nerves are commonly performed by physicians from different medical specialties, although there is a lack of clinical indications for these types of procedures. This Delphi-based consensus provided a list of indications on image-guided interventional procedures for nerves of the upper limb based on updated published evidence. Methods: An expert panel of 45 members of the Ultrasound and Interventional Subcommittees of the ESSR participated in this Delphi-based consensus study. After revision of the published papers on image-guided interventional procedures for nerves of the upper limb updated to September 2018, the experts drafted a list of statements according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus on statements regarding clinical indications was considered as strong when more than 95% of experts agreed, and broad if more than 80% agreed. Results: Ten statements were drafted on procedures for nerves of the upper limb. Only two statements reached the highest level of evidence (ultrasound guidance is a safe and effective method for brachial plexus block; ultrasound-guided non-surgical approaches are safe and effective methods to treat carpal tunnel syndrome in the short term, but there is sparse evidence on the mid- and long-term effectiveness of these interventions). Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%). Conclusions: This Delphi-based consensus study reported poor evidence on image-guided interventional procedures for nerves of the upper limb. Sixty percent of statements on clinical indications provided by the expert board reached a strong consensus. Key Points: • An expert panel of the ESSR provided 10 evidence-based statements on clinical indications for image-guided interventional procedures for nerves of the upper limb • Two statements reached the highest level of evidence • Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%) © 2019, European Society of Radiology.
ER -