Image-guided Sports Medicine and Musculoskeletal Tumor Interventions: A Patient-Centered Model

Area of Science:

• Musculoskeletal (MSK) imaging and interventions
• Interventional radiology
• Medical imaging modalities

Background:

• The field of musculoskeletal (MSK) interventions is rapidly expanding, necessitating optimized service delivery.
• Key goals include maximizing diagnostic/therapeutic yield, reducing radiation exposure, and enhancing cost-efficiency.
• Patient satisfaction and outcomes are paramount in evolving healthcare practices.

Purpose of the Study:

• To present a patient-centered workflow model for image-guided MSK interventions.
• To contrast this model with traditional interventionalist- or imaging modality-centered practices.
• To evaluate various imaging modalities for MSK interventions in sports injury and oncology.

Main Methods:

• Described a patient-centered care model integrating advanced imaging, evidence-based practices, and value-based principles.
• Compared procedural success and outcomes based on patient-specific needs.
• Reviewed the rationales, benefits, and limitations of fluoroscopy, ultrasound, CT, and MRI for MSK interventions.

Main Results:

• A patient-centered approach optimizes procedural success and outcomes at an individual level.
• Different imaging modalities (fluoroscopy, ultrasound, CT, MRI) offer unique advantages and limitations for MSK interventions.
• Optimal image guidance selection is crucial for each procedure and patient.

Conclusions:

• A patient-centered workflow model enhances MSK intervention effectiveness.
• Tailoring imaging modality selection to individual patient needs improves outcomes in sports injury and oncology.
• This approach contrasts with practices based on local preference or modality availability.