2023 EULAR recommendations on imaging in diagnosis and management of crystal-induced arthropathies in clinical practice

Mandl P, D'Agostino MA, Navarro-Compán V, Geßl I, Sakellariou G, Abhishek A, Becce F, Dalbeth N, Ea HK, Filippucci E, Hammer HB, Iagnocco A, De Thurah A, Naredo E, Ottaviani S, Pascart T, Pérez-Ruiz F, Pitsillidou IA, Proft F, Rech J, Schmidt WA, Sconfienza LM, Terslev L, Wildner B, Zufferey P, Filippou G (2024)

Publication Type: Journal article

Publication year: 2024

Journal

Article Number: ard-2023-224771

DOI: 10.1136/ard-2023-224771

Abstract

Objective: To formulate evidence-based recommendations and overarching principles on the use of imaging in the clinical management of crystal-induced arthropathies (CiAs). Methods: An international task force of 25 rheumatologists, radiologists, methodologists, healthcare professionals and patient research partners from 11 countries was formed according to the EULAR standard operating procedures. Fourteen key questions on the role of imaging in the most common forms of CiA were generated. The CiA assessed included gout, calcium pyrophosphate deposition disease and basic calcium phosphate deposition disease. Imaging modalities included conventional radiography, ultrasound, CT and MRI. Experts applied research evidence obtained from four systematic literature reviews using MEDLINE, EMBASE and CENTRAL. Task force members provided level of agreement (LoA) anonymously by using a Numerical Rating Scale from 0 to 10. Results: Five overarching principles and 10 recommendations were developed encompassing the role of imaging in various aspects of patient management: making a diagnosis of CiA, monitoring inflammation and damage, predicting outcome, response to treatment, guided interventions and patient education. Overall, the LoA for the recommendations was high (8.46-9.92). Conclusions: These are the first recommendations that encompass the major forms of CiA and guide the use of common imaging modalities in this disease group in clinical practice.

Authors with CRIS profile

Involved external institutions

Lausanne University Hospital / Centre hospitalier universitaire vaudois (CHUV) Switzerland (CH) University of Auckland New Zealand (NZ) Hôpitaux Universitaires Saint-Louis, Lariboisière, Fernand-Widal France (FR) Università Politecnica delle Marche (UNIVPM) / Marche Polytechnic University Italy (IT) Medizinische Universität Wien Austria (AT) Diakonhjemmet Hospital Norway (NO) University of Turin / Università degli Studi di Torino (UNITO) Italy (IT) Aarhus University Hospital / Aarhus Universitetshospital Denmark (DK) Fondazione Policlinico Universitario Agostino Gemelli IRCCS Italy (IT) Hospital Universitario La Paz Spain (ES) Hospital Universitario Fundación Jiménez Díaz Spain (ES) Université Sorbonne Paris Cité France (FR) Université Catholique de Lille France (FR) European League Against Rheumatism (EULAR) Switzerland (CH) Charité - Universitätsmedizin Berlin Germany (DE) Vivantes - Netzwerk für Gesundheit GmbH Germany (DE) Università degli studi di Milano Italy (IT) Rigshospitalet Denmark (DK) Istituto Ortopedico Galeazzi Italy (IT) Istituti Clinici Scientifici (ICS) Maugeri Spa Italy (IT) University of Nottingham United Kingdom (GB) Osakidetza Spain (ES)

How to cite

APA:

Mandl, P., D'Agostino, M.A., Navarro-Compán, V., Geßl, I., Sakellariou, G., Abhishek, A.,... Filippou, G. (2024). 2023 EULAR recommendations on imaging in diagnosis and management of crystal-induced arthropathies in clinical practice. Annals of the Rheumatic Diseases. https://dx.doi.org/10.1136/ard-2023-224771

MLA:

Mandl, Peter, et al. "2023 EULAR recommendations on imaging in diagnosis and management of crystal-induced arthropathies in clinical practice." Annals of the Rheumatic Diseases (2024).

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