Evidence map›Paper›PMID 31529252›Full record

ArticleEuropean radiology2020

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 I, shoulder.

Luca Maria Sconfienza, Miraude Adriaensen, Domenico Albano, Georgina Allen, Maria Pilar Aparisi Gómez, Alberto Bazzocchi, Ian Beggs, Bianca Bignotti, Vito Chianca, Angelo Corazza and 35 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Own the turf or lose it: Ultrasound-guided procedures and the future of shoulder repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
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  13. [Research progress of ultrasound in diagnosis and treatment of shoulder joint diseases].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
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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

45 authors.

Luca Maria SconfienzaIRCCS Istituto Ortopedico Galeazzi, Unità Operativa di Radiologia Diagnostica ed Interventistica, 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, Unità Operativa di Radiologia Diagnostica ed Interventistica, 20161, Milan, Italy.
Georgina AllenSt Luke's Radiology Oxford Ltd, Oxford, UK.
Maria Pilar Aparisi GómezDepartment of Radiology, Auckland City Hospital, Auckland, 1023, New Zealand.
Alberto BazzocchiDiagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Via G. C. Pupilli 1, 40136, Bologna, Italy.
Ian BeggsDepartment of Radiology, Royal Infirmary of Edinburgh, NHS Lothian, Edinburgh, UK.
Bianca BignottiOspedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy.
Vito ChiancaIRCCS Istituto Ortopedico Galeazzi, Unità Operativa di Radiologia Diagnostica ed Interventistica, 20161, Milan, Italy.
Angelo CorazzaIRCCS Istituto Ortopedico Galeazzi, Unità Operativa di Radiologia Diagnostica ed Interventistica, 20161, Milan, Italy.
Danoob DaliliThe Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Miriam De DeaUOC Radiologia, Ospedale di Feltre, AULSS 1 Dolomiti, Veneto, Italy.
Jose Luis Del CuraDepartment of Radiology, Donostia University Hospital, Begiristain Doktorea Pasealekua, 109, 20014, Donostia/San Sebastian, Spain.
Francesco Di PiettoDipartimento di Diagnostica per Immagini, Pineta Grande Hospital, Castel Volturno, CE, Italy.
Eleni DrakonakiDepartment of Musculoskeletal Radiology, Private Ultrasound Institution, Heraklion, Greece.
Fernando Facal de CastroIBERORAD 1895 S.L., 08021, Barcelona, Spain.
Dimitrios Filippiadis2nd Department of Radiology, University General Hospital "ATTIKON" Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Jan GielenUniversity of Antwerp, University of Antwerp Hospital (UZA), Antwerp, Belgium.
Salvatore GittoUniversità degli Studi di Milano, Milan, Italy.
Harun GuptaLeeds Teaching Hospitals, Leeds, UK.
Andrea S KlauserDepartment of Radiology, Medical University Innsbruck, Innsbruck, Austria.
Radhesh LalamThe Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Gobowen, Oswestry, UK.
Silvia MartinHospital Son Llatzer, Palma de Mallorca, Spain.
Carlo MartinoliDISSAL Department of Health Sciences, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy.
Giovanni MauriDivision of Interventional Radiology, European Institute of Oncology, IRCCS, Milan, Italy.
Catherine McCarthyNuffield Orthopaedic Hospital, Oxford, UK.
Eugene McNallyOxford Musculoskeletal Radiology, Oxford, UK.
Kalliopi MelakiMedical School of the National and Kapodistrian University of Athens, Athens, Greece.
Carmelo MessinaIRCCS Istituto Ortopedico Galeazzi, Unità Operativa di Radiologia Diagnostica ed Interventistica, 20161, Milan, Italy.
Rebeca Mirón MombielaDepartment of Physiology, Universidad de Valencia/INCLIVA, Avenida Blasco Ibañez 15, 46010, Valencia, Spain.
Benedikt NeubauerRadiology, Ordensklinikum, Seilerstätte 4, 4020, Linz, Austria.
Cyprian OlchowyDepartment of Oral Dentistry, Wroclaw Medical University, Wroclaw, Poland.
Davide OrlandiOspedale Evangelico Internazionale Genova, Genoa, Italy.
Athena PlagouDepartment of Radiology, Private Institution of Ultrasonography, Athens, Greece.
Raquel Prada GonzalezPOVISA Hospital, Vigo, Pontevedra, Spain.
Saulius RutkauskasInstitute of Sport Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.
Ziga SnojInstitute of Radiology, University Medical Centre Ljubljana, Zaloska 7, 1000, Ljubljana, Slovenia.
Alberto Stefano TagliaficoOspedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy.
Alexander TalaskaDepartment of Radiology, AUVA Trauma Centre, Vienna, Austria.
Violeta Vasilevska-NikodinovskaMedical Faculty, University "Ss.Cyril and Methodius", Skopje, North Macedonia; University Surgical Clinic "St.Naum Ohridski", Skopje, North Macedonia.
Jelena VuceticDepartment of Radiology, General University Hospital of Valencia, Valencia, Spain.
David WilsonSt Luke's Radiology Oxford Ltd, Oxford, UK.
Federico ZaottiniDepartment of Health Sciences (DISSAL), University of Genoa, Genova, Italy.
Marcello ZappiaDepartment of Medicine and Health Sciences, University of Molise, Campobasso, Italy.
Marina ObradovSint Maartenskliniek, 6500GM, 9011, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImage-guided interventional procedures around the shoulder are commonly performed in clinical practice, although evidence regarding their effectiveness is scarce. We report the results of a Delphi method review of evidence on literature published on image-guided interventional procedures around the shoulder with a list of clinical indications.

methodsForty-five experts in image-guided musculoskeletal procedures from the ESSR participated in a consensus study using the Delphic method. Peer-reviewed papers regarding interventional procedures around the shoulder up to September 2018 were scored according to the Oxford Centre for Evidence-based Medicine levels of evidence. Statements on clinical indications were constructed. Consensus was considered as strong if more than 95% of experts agreed and as broad if more than 80% agreed.

resultsA total of 20 statements were drafted, and 5 reached the highest level of evidence. There were 10 statements about tendon procedures, 6 about intra-articular procedures, and 4 about intrabursal injections. Strong consensus was obtained in 16 of them (80%), while 4 received broad consensus (20%).

conclusionsLiterature evidence on image-guided interventional procedures around the shoulder is limited. A strong consensus has been reached for 80% of statements. The ESSR recommends further research to potentially influence treatment options, patient outcomes, and social impact. KEY POINTS: • Expert consensus produced a list of 20 evidence-based statements on clinical indications of image-guided interventional procedures around the shoulder. • The highest level of evidence was reached for five statements. • Strong consensus was obtained for 16 statements (80%), while 4 received broad consensus (20%).

Indexed as

ConsensusDelphi TechniqueHumansMusculoskeletal SystemOrthopedic ProceduresRadiographyRadiologyShoulderSocieties, MedicalSurgery, Computer-AssistedInjectionsInterventional radiologyPlatelet-rich plasmaShoulderUltrasonography

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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 OpenQuestion graph.