Evidence map›Paper›PMID 32405754›Full record

ReviewEuropean radiology2020

The Lisbon Agreement on Femoroacetabular Impingement Imaging-part 1: overview.

Vasco V Mascarenhas, Miguel O Castro, Paulo A Rego, Reto Sutter, Luca Maria Sconfienza, Ara Kassarjian, Florian Schmaranzer, Olufemi R Ayeni, Tobias Johannes Dietrich, Philip Robinson and 21 more

Erratum issuedOpen access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 pooled it
11.2field-weighted citation impact, top 1% 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

52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Guideline
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  4. Pooled it
  5. The Management of Acetabular Labral Tears: A Contemporary Review.Current reviews in musculoskeletal medicine · 2026
    Review
  6. [Imaging in hip disorders in childhood and adolescence].Orthopadie (Heidelberg, Germany) · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 20 institutions in 12 countries.

Vasco V MascarenhasMusculoskeletal Imaging Unit, Imaging Center, Radiology Department, Hospital da Luz, Grupo Luz Saúde, Av. Lusiada 100, 1500-650, Lisbon, Portugal. vmascarenhas@me.com.
Miguel O CastroDepartment of Radiology, Centro Hospitalar Universitário do Algarve, Portimão, Portugal.
Paulo A RegoDepartment of Orthopaedic Surgery, Hospital da Luz, Lisbon, Portugal.
Reto SutterRadiology, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Luca Maria SconfienzaIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Ara KassarjianElite Sports Imaging SL, Madrid, Spain.
Florian SchmaranzerDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern, University of Bern, Bern, Switzerland.
Olufemi R AyeniDivision of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada.
Tobias Johannes DietrichDepartment of Radiology and Nuclear Medicine, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Philip RobinsonRadiology Department, Leeds Teaching Hospitals, Chapel Allerton Hospital, Leeds, UK.
Marc-André WeberInstitute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, University Medical Center, Rostock, Germany.
Paul E BeauléDivision of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada.
Michael DienstOrthopädische Chirurgie München, Munich, Germany.
Lennart JansDepartment of Radiology, Ghent University Hospital, Gent, Belgium.
Radhesh LalamThe Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Gobowen, Oswestry, UK.
Apostolos H KarantanasMedical School, University of Crete, Heraklion, Greece.
Iwona Sudoł-SzopińskaDepartment of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Suzanne AndersonInstitute of Radiology, Kantonsspital Baden, Baden, Switzerland.
Iris Noebauer-HuhmannDepartment of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Vienna, Austria.
Filip M VanhoenackerDepartment of Radiology, Ghent University Hospital, Gent, Belgium.
Pedro DantasHospital CUF Descobertas, Lisbon, Portugal.
Oliver Marin-PeñaOrthopedic and Traumatology Department, Hip Unit, University Hospital Infanta Leonor, Madrid, Spain.
Diego ColladoCirugía Ortopédica y Traumatología, Centro Médico Teknon, Barcelona, Spain.
Marc Tey-PonsDepartment of Orthopedic Surgery and Traumatology, University Hospital del Mar, Barcelona, Spain.
Ehrenfried SchmaranzerDepartment of Radiology, District Hospital St. Johann, St. Johann, Tyrol, Austria.
Eva LlopisDepartment of Radiology, Hospital de la Ribera, Valencia, Spain.
Mario PadronDepartment of Radiology, Clínica Cemtro, Madrid, Spain.
Josef KramerRöntgeninstitut am Schillerpark, Rainerstrasse, Linz, Austria.
Patrick O ZinggDepartment of Orthopaedics, Balgrist University Hospital, Zurich, Switzerland.
Michel De MaeseneerUniversitair Ziekenhuis Brussel, Brussels, Belgium.
P Diana AfonsoMusculoskeletal Imaging Unit, Imaging Center, Radiology Department, Hospital da Luz, Grupo Luz Saúde, Av. Lusiada 100, 1500-650, Lisbon, Portugal.
Hospital da Luz · PTGhent University Hospital · BEAlgarve Biomedical Center · PTClínica Rementería · ESHospital de La Ribera · ESHospital Del Mar · ESHospital do Desterro · PTHospital Quirón Teknon · ESHospital Universitario Infanta Leonor · ESKantonsspital Baden · CHKantonsspital St. Gallen · CHMcMaster University · CAMedical University of Vienna · ATNational Institute of Geriatrics, Rheumatology and Rehabilitation · PLOrthopädische Praxis · DERobert Jones and Agnes Hunt Orthopaedic Hospital · GBUniversitair Ziekenhuis Brussel · BEUniversitätsklinik Balgrist · CHUniversity of Bern · CHUniversity of Crete · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesImaging assessment for the clinical management of femoroacetabular impingement (FAI) syndrome remains controversial because of a paucity of evidence-based guidance and notable variability in clinical practice, ultimately requiring expert consensus. The purpose of this agreement is to establish expert-based statements on FAI imaging, using formal techniques of consensus building.

methodsA validated Delphi method and peer-reviewed literature were used to formally derive consensus among 30 panel members (21 musculoskeletal radiologists and 9 orthopaedic surgeons) from 13 countries. Forty-four questions were agreed on, and recent relevant seminal literature was circulated and classified in five major topics ('General issues', 'Parameters and reporting', 'Radiographic assessment', 'MRI' and 'Ultrasound') in order to produce answering statements. The level of evidence was noted for all statements, and panel members were asked to score their level of agreement with each statement (0 to 10) during iterative rounds. Either 'consensus', 'agreement' or 'no agreement' was achieved.

resultsForty-seven statements were generated, and group consensus was reached for 45 (95.7%). Seventeen of these statements were selected as most important for dissemination in advance. There was no agreement for the two statements pertaining to 'Ultrasound'.

conclusionRadiographic evaluation is the cornerstone of hip evaluation. An anteroposterior pelvis radiograph and a Dunn 45° view are recommended for the initial assessment of FAI although MRI with a dedicated protocol is the gold standard imaging technique in this setting. The resulting consensus can serve as a tool to reduce variability in clinical practices and guide further research for the clinical management of FAI. KEY POINTS: • FAI imaging literature is extensive although often of low level of evidence. • Radiographic evaluation with a reproducible technique is the cornerstone of hip imaging assessment. • MRI with a dedicated protocol is the gold standard imaging technique for FAI assessment.

Indexed as

ConsensusFemoracetabular ImpingementHumansMagnetic Resonance ImagingDiagnostic imagingFemoroacetabular impingementGuidelineHipOrthopaedics

Identifiers

PMID32405754
OpenAlexW3025434178

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.