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

• Published in: European radiology Vol. 32; no. 1; pp. 551 - 560
• Main Authors: Sconfienza, Luca Maria, Adriaensen, Miraude, Alcala-Galiano, Andrea, Allen, Georgina, Aparisi Gómez, Maria Pilar, Aringhieri, Giacomo, Bazzocchi, Alberto, Beggs, Ian, Chianca, Vito, Corazza, Angelo, Dalili, Danoob, De Dea, Miriam, del Cura, Jose Luis, Di Pietto, Francesco, Drakonaki, Elena, de Castro, Fernando Facal, Filippiadis, Dimitrios, Gitto, Salvatore, Grainger, Andrew J, Greenwood, Simon, Gupta, Harun, Isaac, Amanda, Ivanoski, Slavcho, Khanna, Monica, Klauser, Andrea, Mansour, Ramy, Martin, Silvia, Mascarenhas, Vasco, Mauri, Giovanni, McCarthy, Catherine, McKean, David, McNally, Eugene, Melaki, Kalliopi, Messina, Carmelo, Mombiela, Rebeca Mirón, Moutinho, Ricardo, Obradov, Marina, Olchowy, Cyprian, Orlandi, Davide, González, Raquel Prada, Prakash, Mahesh, Posadzy, Magdalena, Rutkauskas, Saulius, Snoj, Žiga, Tagliafico, Alberto Stefano, Talaska, Alexander, Tomas, Xavier, Vasilevska Nikodinovska, Violeta, Vucetic, Jelena, Wilson, David, Zaottini, Federico, Zappia, Marcello, Albano, Domenico
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.01.2022; Springer Nature B.V
• Subjects: Clinical trials; Collaboration; Consensus; Delphi method; Diagnostic Radiology; Hip; Humans; Hyaluronic acid; Imaging; Internal Medicine; Interventional Radiology; Joint surgery; Literature reviews; Magnetic resonance imaging; Medicine; Medicine & Public Health; Musculoskeletal; Musculoskeletal System; Neuroradiology; Pain; Prospective Studies; Radiography; Radiology; Radiology, Interventional; Soft tissues; Steroids; Ultrasonic imaging; Ultrasonography, Interventional; Ultrasound; Injections; Interventional radiology; Platelet-rich plasma; Hip; Ultrasonography
• ISSN: 0938-7994; 1432-1084
• DOI: 10.1007/s00330-021-07997-5

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.