Semin Musculoskelet Radiol 2020; 24(03): 323-330
DOI: 10.1055/s-0040-1713119
Review Article

Present Status of Musculoskeletal Radiology in Europe: International Survey by the European Society of Musculoskeletal Radiology

Žiga Snoj*
1   Radiology Institute, University Medical Centre Ljubljana, Ljubljana, Slovenia
2   Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
,
Timea Hebar*
3   Radiology Institute, University Medical Centre Maribor, Slovenia
,
Luca Maria Sconfienza
4   IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
31   Dipartimento di Scienze Biomediche per la Salute, Universität degli studi di Milano, Italy
,
Filip Maria H.M. Vanhoenacker
5   Department of Radiology, Antwerp University Hospital and Antwerp University, Antwerp, Belgium
6   University of Ghent, Ghent, Belgium
,
Maryam Shahabpour
7   Department of Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium
,
Vladka Salapura
1   Radiology Institute, University Medical Centre Ljubljana, Ljubljana, Slovenia
2   Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
,
Amanda Isaac
8   Guy's and St. Thomas' Hospitals NHS Foundation Trust, London, United Kingdom
9   Kings College London (KCL), London, United Kingdom
,
Eleni Drakonaki
10   Private Institution of Ultrasonography and MSK Radiology, Heraklion, Greece
11   Department of Anatomy, Medical School of the European University of Cyprus, Nicosia, Cyprus
,
Yurii Vasilev
12   Moscow State University of Medicine and Dentistry, Moscow, Russia
,
Jean-Luc Drape
13   Department of Radiology, Hôpital Cochin, Paris, France
,
Miraude Adriaensen
14   Department of Medical Imaging, Zuyderland Medical Center, Sittard-Geleen, Heerlen, Brunssum, Kerkrade, The Netherlands
,
Klaus Friedrich
15   Department of Radiology, Division of Neuroradiology and Musculoskeletal Radiology, Medical University of Vienna, Wien, Austria
,
Giuseppe Guglielmi
16   Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Foggia, Italy
,
Alberto Vieira
17   São João University Hospital, Porto Medical School - FMUP, Porto, Portugal
,
Hatice Tuba Sanal
18   Department of Radiology, Health Sciences University, Gülhane Medical School, Ankara, Turkey
,
Liisa Kerttula
19   HUS Medical Imaging Center, Helsinki, Finland
,
Johan Castberg Hellund
20   Clinic of Radiology and Nuclear medicine, Oslo University Hospital, Oslo, Norway
,
Judit Nagy
21   Innomed Medical, Inc., Budapest, Hungary
,
Andreas Heuck
22   Radiologisches Zentrum München Pasing RZM, Munich, Germany
,
Matthieu Rutten
23   Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
,
Maria Tzalonikou
24   YGEIA Hospital, Athens, Greece
,
Ulrich Hansen
25   Copenhagen University Hospital Bispebjerg-Frederiksberg, Frederiksberg, Denmark
,
Joanna Niemunis-Sawicka
26   2nd Radiology Department, Medical University of Gdansk, Gdansk, Poland
,
Fabio Becce
27   Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
,
Enzo Silvestri
28   Department of Radiology, Ospedale Evangelico Internazionale, Genoa, Italy
,
Eva Llopis San Juan
29   Department of Radiology, Hospital de la Ribera, Alzira, Valencia, Spain
,
Klaus Wörtler
30   Department of Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany
› Institutsangaben

Abstract

No official data exist on the status of musculoskeletal (MSK) radiology in Europe. The Committee for National Societies conducted an international survey to understand the status of training, subspecialization, and local practice among the European Society of Musculoskeletal Radiology (ESSR) partner societies. This article reports the results of that survey. An online questionnaire was distributed to all 26 European national associations that act as official partner societies of the ESSR. The 24 questions were subdivided into six sections: society structure, relationship with the national radiological society, subspecialization, present radiology practice, MSK interventional procedures, and MSK ultrasound. The findings of our study show a lack of standardized training and/or accreditation methods in the field of MSK radiology at a national level. The European diploma in musculoskeletal radiology is directed to partly overcome this problem; however, this certification is still underrecognized. Using certification methods, a more homogeneous European landscape could be created in the future with a view to subspecialist training. MSK ultrasound and MSK interventional procedures should be performed by a health professional with a solid knowledge of the relevant imaging modalities and sufficient training in MSK radiology. Recognition of MSK radiology as an official subspecialty would make the field more attractive for younger colleagues as well as attracting the brightest and best, an important key to further development of both clinical and academic radiology.

Key Points

  • Standardized training and/or accreditation methods in the field of MSK radiology is lacking at a national level.

  • With certification methods, such as the European diploma in musculoskeletal radiology, a more homogeneous European landscape could be created in the future with a view to subspecialist training.

  • Recognition of MSK radiology as an official subspecialty would make the field more attractive for younger colleagues as well as attracting the brightest and best, an important key to further development of both clinical and academic radiology.

* These authors contributed equally to this work.




Publikationsverlauf

Artikel online veröffentlicht:
28. September 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Sardanelli F. The future of radiology is now: the first 100 articles published in European Radiology Experimental . Eur Radiol Exp 2019; 3 (01) 28
  • 2 European Society of Radiology 2009. The future role of radiology in healthcare. Insights Imaging 2010; 1 (01) 2-11
  • 3 European Society of Radiology (ESR). Summary of the proceedings of the International Summit 2015: GENERAL and subspecialty radiology. Insights Imaging 2016; 7 (01) 1-5
  • 4 Adriaensen M, Nyhsen C, Martinoli C. Bringing MSK knowledge and skills to the point of care, MSK radiology education. In: Viera A, Sconfienza L, Kainberger F. eds. Imaging of Motion & Performance: Stress & Strain. Vienna, Austria: European Society of Radiology; 2019: 301-304
  • 5 European Society of Radiology (ESR). European training curriculum for sub-specialisation in radiology. February 2018. Available at: https://www.myesr.org/sites/default/files/ESR%20European%20Training%20Curriculum%20Level%20III%20%282018%29.pdf
  • 6 The European Board of Radiology. About EDiR. Accessed May 11, 2019 at: https://www.myebr.org/edir/certification-of-excellence
  • 7 European Society of Musculoskeletal Radiology. Diploma in Musculoskeletal Radiology. Accessed May 11, 2019 at: https://www.essr.org/diploma/
  • 8 Google. Forms. Accessed May 11, 2019 at: Retrieved from: https://www.google.com/intl/en/forms/about/
  • 9 Dunnick NR, Applegate K, Arenson R, Levin D. Training for the future of radiology: a report of the 2005 Intersociety Conference. J Am Coll Radiol 2006; 3 (05) 319-324
  • 10 Chalian M, Del Grande F, Thakkar RS, Jalali SF, Chhabra A, Carrino JA. Second-opinion subspecialty consultations in musculoskeletal radiology. AJR Am J Roentgenol 2016; 206 (06) 1217-1221
  • 11 European Society of Radiology (ESR). Radiology trainees forum survey report on workplace satisfaction, ESR education, mobility and stress level. Insights Imaging 2018; 9 (05) 755-759
  • 12 Baker SR. Notes of a Radiology Watcher. New York, NY: Springer; 2014: 75
  • 13 Rahal A, Head HW, Jung AJ. et al. Combined radiology residency/PhD program for education of academic radiologists: a response to revitalizing the radiology research enterprise. Radiology 2007; 245 (01) 14-20
  • 14 Farrell TP, Adams NC, Walsh JP, Hynes J, Eustace SK, Kavanagh E. Musculoskeletal imaging: current practice and future directions. Semin Musculoskelet Radiol 2018; 22 (05) 564-581
  • 15 Snoj Ž, Wu CH, Taljanovic MS. et al. Ultrasound elastography in musculoskeletal radiology: past, present and future. Semin Musculoskelet Radiol 2020; In press
  • 16 Plut D, Kotnik BF, Zupan IP. et al. Diagnostic accuracy of haemophilia early arthropathy detection with ultrasound (HEAD-US): a comparative magnetic resonance imaging (MRI) study. Radiol Oncol 2019; 53 (02) 178-186
  • 17 Snoj Ž, Vidmar J, Gergar M, Plut D, Salapura V. T2 distribution profiles are a good way to show cartilage regional variabilities and cartilage insufficiency. Skeletal Radiol 2020; 49 (01) 137-145
  • 18 Dhanoa D, Dhesi TS, Burton KR, Nicolaou S, Liang T. The evolving role of the radiologist: the Vancouver workload utilization evaluation study. J Am Coll Radiol 2013; 10 (10) 764-769
  • 19 Gyftopoulos S, Lin D, Knoll F, Doshi AM, Rodrigues TC, Recht MP. Artificial intelligence in musculoskeletal imaging: current status and future directions. AJR Am J Roentgenol 2019; 213 (03) 506-513
  • 20 Vanhoenacker F, Martinoli C. ESSR diploma: what's new?. J Belgian Soc Radiol 2017; 101 (S2): 17
  • 21 Bureau NJ, Ziegler D. Economics of musculoskeletal ultrasound. Curr Radiol Rep 2016; 4: 44
  • 22 Berko NS, Goldberg-Stein S, Thornhill BA, Koenigsberg M. Survey of current trends in postgraduate musculoskeletal ultrasound education in the United States. Skeletal Radiol 2016; 45 (04) 475-482
  • 23 European Society of Radiology (ESR); European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB). Joint ESR-EFSUMB recommendation on archiving and reporting ultrasound examinations. Insights Imaging 2013; 4 (05) 525-526
  • 24 European Society of Radiology (ESR). ESR statement on portable ultrasound devices. Insights Imaging 2019; 10 (01) 89
  • 25 Berko NS, Le JN, Thornhill BA. et al. Incorporation of musculoskeletal ultrasound training into the radiology core curriculum. Skeletal Radiol 2018; 47 (07) 911-912
  • 26 Klauser A, McNally E, Chhem R. Training Musculoskeletal Ultrasound Specialists: European Education and Clinical Guidelines: Work in Progress. Berlin, Germany: Springer; 2010: 143-159
  • 27 Sconfienza LM, Albano D, Allen G. et al. Clinical indications for musculoskeletal ultrasound updated in 2017 by European Society of Musculoskeletal Radiology (ESSR) consensus. Eur Radiol 2018; 28 (12) 5338-5351
  • 28 Sconfienza LM, Adriaensen M, Albano D. et al. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part I, shoulder. Eur Radiol 2020; 30 (02) 903-913
  • 29 Sconfienza LM, Adriaensen M, Albano D. et al; Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR). Clinical indications for image guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part III, nerves of the upper limb. Eur Radiol 2020; 30 (03) 1498-1506
  • 30 Sconfienza LM, Adriaensen M, Albano D. et al; Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR). Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-Part II, elbow and wrist. Eur Radiol 2020; 30 (04) 2220-2230
  • 31 Terslev L, Hammer HB, Torp-Pedersen S. et al. EFSUMB minimum training requirements for rheumatologists performing musculoskeletal ultrasound. Ultraschall Med 2013; 34 (05) 475-477