EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small joints
Objectives To develop an EULAR training model for education in synovial tissue biopsy (STB) under ultrasound guidance (UG) following a stepwise approach: (1) development of educational material on UGSTB in large and small joints; (2) assessment of the validity, reliability and feasibility of the UGS...
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BMJ Publishing Group
2025-01-01
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| Series: | RMD Open |
| Online Access: | https://rmdopen.bmj.com/content/11/1/e005065.full |
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| author | Annamaria Iagnocco Andrew Filer Gabriel Herrero-Beaumont Peter Balint Ingrid Moller Esperanza Naredo Lene Terslev Alessandra Bruns Aurélie Najm Ana Rodriguez Raquel Largo Stefano Alivernini Jesús Garrido Maria Antonietta D’Agostino Jacqueline Uson Juhani Koski Maribel Miguel Carlos Guillén-Astete David A. Bong George A.W. Bruyn Carlos Acebes |
| author_facet | Annamaria Iagnocco Andrew Filer Gabriel Herrero-Beaumont Peter Balint Ingrid Moller Esperanza Naredo Lene Terslev Alessandra Bruns Aurélie Najm Ana Rodriguez Raquel Largo Stefano Alivernini Jesús Garrido Maria Antonietta D’Agostino Jacqueline Uson Juhani Koski Maribel Miguel Carlos Guillén-Astete David A. Bong George A.W. Bruyn Carlos Acebes |
| author_sort | Annamaria Iagnocco |
| collection | DOAJ |
| description | Objectives To develop an EULAR training model for education in synovial tissue biopsy (STB) under ultrasound guidance (UG) following a stepwise approach: (1) development of educational material on UGSTB in large and small joints; (2) assessment of the validity, reliability and feasibility of the UGSTB educational procedure on cadaveric specimens; (3) validation of this procedure in live patients.Methods Using a nominal group (NG) and a DELPHI consensus methodology, educational audio-visual (AV) material and minimal requirements for education in UGSTB were developed by an expert panel. Then the experts performed an UGSTB on cadaveric joints using the developed approach. The samples retrieved from the cadaveric joints were confirmed histologically and the procedure was then tested by a group of ultrasonographers with different expertise for feasibility and face validity. The AV material and the practical procedures’ phases were subsequently ranked by the experts to finalise the training model for performing UGSTB in patients. The ST retrieved in patients was assessed for tissue quality.Results Based on NG and DELPHI processes, educational material and a stepwise standardised cadaver-based training model were developed. The knee was the cadaveric joint with the highest yield of histologically good quality of ST. 90% of the UGSTB from patients showed synovial membrane and 77% intact lining layer.Conclusions This EULAR endeavour provided a consensus-based comprehensive educational material and a practical cadaver-based model for training in UGSTB, which has shown feasibility and validity in tissue acquisition in specimens and patients. |
| format | Article |
| id | doaj-art-b7c8a2e6d521496ba16dfa7c3ab16983 |
| institution | Kabale University |
| issn | 2056-5933 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | RMD Open |
| spelling | doaj-art-b7c8a2e6d521496ba16dfa7c3ab169832025-01-21T12:55:08ZengBMJ Publishing GroupRMD Open2056-59332025-01-0111110.1136/rmdopen-2024-005065EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small jointsAnnamaria Iagnocco0Andrew Filer1Gabriel Herrero-Beaumont2Peter Balint3Ingrid Moller4Esperanza Naredo5Lene Terslev6Alessandra Bruns7Aurélie Najm8Ana Rodriguez9Raquel Largo10Stefano Alivernini11Jesús Garrido12Maria Antonietta D’Agostino13Jacqueline Uson14Juhani Koski15Maribel Miguel16Carlos Guillén-Astete17David A. Bong18George A.W. Bruyn19Carlos Acebes20Academic Rheumatology Centre, Department of Clinical and Biological Sciences, Università degli Studi di Torino, Torino, ItalyNIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and Institute for Inflammation and Ageing, University of Birmingham, Birmingham, UKDepartment of Medicine, Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain3rd Rheumatology Department, National Institute of Musculoskeletal Diseases, Budapest, HungaryHuman Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, Faculty of Medicine and Health Sciences (Bellvitge Campus), University of Barcelona, Barcelona, SpainDepartment of Medicine, Faculty of Medicine, Autonomous University of Madrid, Madrid, SpainCentre for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, DenmarkDepartment of Rheumatology, University of Sherbrooke and McGill University, Quebec, Quebec, CanadaSchool of Infection & Immunity, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UKDepartment of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid, SpainJoint and Bone Research Unit, Health Research Institute Fundación Jiménez Díaz (IIS-FJD, UAM), Madrid, SpainDepartment of Rheumatology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Rome, ItalyDepartment of Social Psychology and Methodology, Faculty of Psychology, Autonomous University of Madrid, Madrid, SpainDepartment of Rheumatology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Rome, ItalyDepartment of Rheumatology, Hospital Universitario de Móstoles, Móstoles, Madrid, SpainDepartment of Internal Medicine, Mikkeli Central Hospital, Mikkeli, FinlandHuman Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, Faculty of Medicine and Health Sciences (Bellvitge Campus), University of Barcelona, Barcelona, SpainDepartment of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid, SpainInstituto Poal de Reumatología, Barcelona, SpainTergooi MC Hospital, Hilversum, NetherlandsRheumatology Division, Hospital General de Villalba, Collado Villalba, Madrid, SpainObjectives To develop an EULAR training model for education in synovial tissue biopsy (STB) under ultrasound guidance (UG) following a stepwise approach: (1) development of educational material on UGSTB in large and small joints; (2) assessment of the validity, reliability and feasibility of the UGSTB educational procedure on cadaveric specimens; (3) validation of this procedure in live patients.Methods Using a nominal group (NG) and a DELPHI consensus methodology, educational audio-visual (AV) material and minimal requirements for education in UGSTB were developed by an expert panel. Then the experts performed an UGSTB on cadaveric joints using the developed approach. The samples retrieved from the cadaveric joints were confirmed histologically and the procedure was then tested by a group of ultrasonographers with different expertise for feasibility and face validity. The AV material and the practical procedures’ phases were subsequently ranked by the experts to finalise the training model for performing UGSTB in patients. The ST retrieved in patients was assessed for tissue quality.Results Based on NG and DELPHI processes, educational material and a stepwise standardised cadaver-based training model were developed. The knee was the cadaveric joint with the highest yield of histologically good quality of ST. 90% of the UGSTB from patients showed synovial membrane and 77% intact lining layer.Conclusions This EULAR endeavour provided a consensus-based comprehensive educational material and a practical cadaver-based model for training in UGSTB, which has shown feasibility and validity in tissue acquisition in specimens and patients.https://rmdopen.bmj.com/content/11/1/e005065.full |
| spellingShingle | Annamaria Iagnocco Andrew Filer Gabriel Herrero-Beaumont Peter Balint Ingrid Moller Esperanza Naredo Lene Terslev Alessandra Bruns Aurélie Najm Ana Rodriguez Raquel Largo Stefano Alivernini Jesús Garrido Maria Antonietta D’Agostino Jacqueline Uson Juhani Koski Maribel Miguel Carlos Guillén-Astete David A. Bong George A.W. Bruyn Carlos Acebes EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small joints RMD Open |
| title | EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small joints |
| title_full | EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small joints |
| title_fullStr | EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small joints |
| title_full_unstemmed | EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small joints |
| title_short | EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small joints |
| title_sort | eular standardised training model for ultrasound guided minimally invasive synovial tissue biopsy procedures in large and small joints |
| url | https://rmdopen.bmj.com/content/11/1/e005065.full |
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