4.5 Article

Recommended Musculoskeletal and Sports Ultrasound Terminology A Delphi-Based Consensus Statement

Journal

JOURNAL OF ULTRASOUND IN MEDICINE
Volume 41, Issue 10, Pages 2395-2412

Publisher

WILEY
DOI: 10.1002/jum.15947

Keywords

musculoskeletal; orthopedics; sports medicine; ultrasound

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This study aims to provide standardized terminology in musculoskeletal and sports ultrasound to improve clarity and consistency in communication. Through a Delphi process and a multidisciplinary expert panel, we have successfully defined the terms and definitions in seven topics and addressed the issue of confusion in existing terminology.
Objectives The current lack of agreement regarding standardized terminology in musculoskeletal and sports ultrasound presents challenges in education, clinical practice, and research. This consensus was developed to provide a reference to improve clarity and consistency in communication. Methods A multidisciplinary expert panel was convened consisting of 18 members representing multiple specialty societies identified as key stakeholders in musculoskeletal and sports ultrasound. A Delphi process was used to reach consensus which was defined as group level agreement >80%. Results Content was organized into seven general topics including: 1) General Definitions, 2) Equipment and Transducer Manipulation, 3) Anatomic and Descriptive Terminology, 4) Pathology, 5) Procedural Terminology, 6) Image Labeling, and 7) Documentation. Terms and definitions which reached consensus agreement are presented herein. Conclusions The historic use of multiple similar terms in the absence of precise definitions has led to confusion when conveying information between colleagues, patients, and third-party payers. This multidisciplinary expert consensus addresses multiple areas of variability in diagnostic ultrasound imaging and ultrasound-guided procedures related to musculoskeletal and sports medicine.

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