Sconfienza, Luca MariaAdriaensen, MiraudeAlbano, DomenicoAlcala-Galiano, AndreaAllen, GeorginaAparisi Gómez, Maria PilarAringhieri, GiacomoBazzocchi, AlbertoBeggs, IanChianca, VitoCorazza, AngeloDalili, DanoobDe Dea, MiriamDel Cura, Jose LuisDi Pietto, FrancescoDrakonaki, ElenaFacal de Castro, FernandoFilippiadis, DimitriosGitto, SalvatoreGrainger, Andrew JGreenwood, SimonGupta, HarunIsaac, AmandaIvanoski, SlavchoKhanna, MonicaKlauser, AndreaMansour, RamyMartin, SilviaMascarenhas, VascoMauri, GiovanniMcCarthy, CatherineMcKean, DavidMcNally, EugeneMelaki, KalliopiMessina, CarmeloMirón Mombiela, RebecaMoutinho, RicardoOlchowy, CyprianOrlandi, DavidePrada González, RaquelPrakash, MaheshPosadzy, MagdalenaRutkauskas, SauliusSnoj, ŽigaTagliafico, Alberto StefanoTalaska, AlexanderTomas, XavierVasilevska Nikodinovska, VioletaVucetic, JelenaWilson, DavidZaottini, FedericoZappia, MarcelloObradov, Marina2024-12-022024-12-022022-02(2022). European Radiology, 32(2), 1384-1394.0938-7994https://hdl.handle.net/2292/70839<h4>Objectives</h4>Clarity regarding accuracy and effectiveness for interventional procedures around the foot and ankle is lacking. Consequently, a board of 53 members of the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR) reviewed the published literature to evaluate the evidence on image-guided musculoskeletal interventional procedures around this anatomical region.<h4>Methods</h4>We report the results of a Delphi-based consensus of 53 experts from the European Society of Musculoskeletal Radiology who reviewed the published literature for evidence on image-guided interventional procedures offered around foot and ankle in order to derive their clinical indications. Experts drafted a list of statements and graded them according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus was considered strong when > 95% of experts agreed with the statement or broad when > 80% but < 95% agreed. The results of the Delphi-based consensus were used to write the paper that was shared with all panel members for final approval.<h4>Results</h4>A list of 16 evidence-based statements on clinical indications for image-guided musculoskeletal interventional procedures in the foot and ankle were drafted after a literature review. The highest level of evidence was reported for four statements, all receiving 100% agreement.<h4>Conclusion</h4>According to this consensus, image-guided interventions should not be considered a first-level approach for treating Achilles tendinopathy, while ultrasonography guidance is strongly recommended to improve the efficacy of interventional procedures for plantar fasciitis and Morton's neuroma, particularly using platelet-rich plasma and corticosteroids, respectively.<h4>Key points</h4>• The expert panel of the ESSR listed 16 evidence-based statements on clinical indications of image-guided musculoskeletal interventional procedures in the foot and ankle. • Strong consensus was obtained for all statements. • The highest level of evidence was reached by four statements concerning the effectiveness of US-guided injections of corticosteroid for Morton's neuroma and PRP for plantar fasciitis.Print-ElectronicItems in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htmhttps://creativecommons.org/licenses/by/4.0/AnkleMusculoskeletal SystemAchilles TendonHumansConsensusRadiologyTendinopathyFootInterventional radiologyUltrasonograph32 Biomedical and Clinical Sciences3202 Clinical SciencesBiomedical ImagingScience & TechnologyLife Sciences & BiomedicineRadiology, Nuclear Medicine & Medical ImagingPLATELET-RICH PLASMACHRONIC ACHILLES TENDINOPATHYHYALURONIC-ACID INJECTIONCORTICOSTEROID INJECTIONMORTONS NEUROMAPLANTAR FASCIITISALCOHOL INJECTIONSTEROID INJECTIONFOLLOW-UPTHERAPEUTIC INJECTIONS1103 Clinical SciencesJournal Article10.1007/s00330-021-08125-z2024-11-27Copyright: The authors34432122 (pubmed)http://purl.org/eprint/accessRights/OpenAccess1432-108410.1007/s00330-021-08125-z