EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small joints

RMD OpenPublished Consensus-based development and validation study of a training model

Authors' conclusion

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.

Study context

Population
Expert panel and ultrasonographers with different expertise; cadaveric joints and live patients undergoing ultrasound guidance (UG) synovial tissue biopsy of large and small joints
Outcome
Tissue quality of UGSTB in patients
Methodological detailsnominal group, DELPHI consensus, cadaver-based, validation in live patients
  • Nominal group
  • DELPHI consensus
  • Cadaver-based
  • Validation in live patients

Recommendations

As reported in the abstract

UGSTB from patients showing synovial membrane

90%

UGSTB from patients showing intact lining layer

77%

Further findings

Cadaveric joint yield

Knee was the cadaveric joint with the highest yield of histologically good quality ST

Development of training model

Educational material and a stepwise standardised cadaver-based training model were developed by nominal group (NG) and DELPHI processes

Original publication

EULAR standardised training model for ultrasound-guided, minimally invasive synovial tissue biopsy procedures in large and small joints. RMD Open. Published 20 January 2025. doi:10.1136/rmdopen-2024-005065

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