Abstract:
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%).
journal_name
Eur Radioljournal_title
European radiologyauthors
Sconfienza LM,Adriaensen M,Albano D,Allen G,Aparisi Gómez MP,Bazzocchi A,Beggs I,Bignotti B,Chianca V,Corazza A,Dalili D,De Dea M,Del Cura JL,Di Pietto F,Drakonaki E,Facal de Castro F,Filippiadis D,Gielen J,Gitto S,doi
10.1007/s00330-019-06479-zsubject
Has Abstractpub_date
2020-03-01 00:00:00pages
1498-1506issue
3eissn
0938-7994issn
1432-1084pii
10.1007/s00330-019-06479-zjournal_volume
30pub_type
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