SURVEY ON MUSCULOSKELETAL ULTRASONOGRAPHY (MSUS)

(with the exception of questions with yes/no options, or requiring numbers, more than one box can be ticked)

"*" indicates required fields

Name*

First Last

Country*

Specialty*

Years of experience performing MSK MRI*

Certified in MSK MRI by*

Q1. What is your main work setting?*

University hospital

Non-university hospital

Outpatient clinic

Private practice

Primary Care

Q2. Do you have access to MSUS?*

Yes, easy

Yes, difficult

Q3. For clinical purposes, do you perform MSUS*

During the clinical visit as part of the physical examination?

Scheduling patients for specific MSUS appointments?

Both

Q4. In clinical practice do you perform MSUS for helping in*

(you may tick more than 1 box)

Global (patient-level) diagnosis

Local (e.g. joint) level diagnosis

Decisions on systemic therapy

Decisions on local therapy

Monitoring therapy response

Assessment of disease activity in remission

Predicting outcome/treatment effect

Other

Q5. Do you perform MSUS*

(you may tick more than 1 box)

Only on your own patients?

On patients in your rheumatology department?

On patients referred by other specialists for MSUS?

Please specify what specialties:

Q6. In your practice what are the main clinical indications for performing MSUS for diagnostic purposes?

Indication

% of patients where MSUS is performed

Rheumatoid arthritis and other inflammatory arthritis

Diagnostic purposes - Rheumatoid arthritis and other inflammatory arthritis*

Spondyloarthritis

Diagnostic purposes - Spondyloarthritis*

Osteoarthritis

Diagnostic purposes - Osteoarthritis*

Crystal-related arthropathies

Diagnostic purposes - Crystal-related arthropathies*

Connective tissue diseases

Diagnostic purposes - Connective tissue diseases*

Vasculitis

Diagnostic purposes - Vasculitis*

Soft tissue diseases/regional pain syndromes

Diagnostic purposes - Soft tissue diseases/regional pain syndromes*

Peripheral nerve disorders

Diagnostic purposes - Peripheral nerve disorders*

Other disease with musculoskeletal manifestations

Diagnostic purposes - Other disease with musculoskeletal manifestations*

Q7. In your practice what are the main clinical indications for performing MSUS for management purposes (excluding diagnosis)?

Indication

% of patients where MSUS is performed

Rheumatoid arthritis and other inflammatory arthritis

Management purposes - Rheumatoid arthritis and other inflammatory arthritis*

Spondyloarthritis

Management purposes - Spondyloarthritis*

Osteoarthritis

Management purposes - Osteoarthritis*

Crystal-related arthropathies

Management purposes - Crystal-related arthropathies*

Connective tissue diseases

Management purposes - Connective tissue diseases*

Vasculitis

Management purposes - Vasculitis*

Soft tissue diseases/regional pain syndromes

Management purposes - Soft tissue diseases/regional pain syndromes*

Peripheral nerve disorders

Management purposes - Peripheral nerve disorders*

Other disease with musculoskeletal manifestations

Management purposes - Other disease with musculoskeletal manifestations*

Q8. What joints/regions do you commonly scan (including related bursae, tendon, entheses)*

Please specify what other joints/regions do you commonly scan

Q9. What joints/regions do you less commonly scan (including related bursae, tendon, entheses)*

Please specify what other joints/regions do you less commonly scan

Q10. What joints/regions do you never scan (including related bursae, tendon, entheses)*

Please specify what other joints/regions do you never scan

Q11. In which joints/regions do you perform MSUS-guided intervention* (including related bursae, tendon, entheses) (please skip if not relevant)

*including arthrocentesis, infiltration and injection

Please specify which other joints/regions do you perform MSUS-guided intervention

Q12. In which joints/regions do you perform MSUS-guided biopsies* (please skip if not relevant)

*including synovial, tenosynovial and bursa biopsies

Please specify which other joints/regions do you perform MSUS-guided biopsies

Q13. How have rheumatologists been trained in reading MSUS in your country?*

Official EULAR courses

EULAR-endorsed course

EFSUMB Course

National course*

Other course

Mentor

Self-taught

*offered by national rheumatology or radiology societies

Q14. Is MSUS included in the rheumatology training curriculum?*

Yes

Q14.1. How long has MSUS been included in the rheumatology training curriculum (years)?*

Q14.2 Is competency assessed?*

Yes

Q14.3. If assessed what is necessary to achieve competency?*

Attending courses

Theoretical exam

Practical exam

MSUS exam

Training period

Others

In Q14.3, you have selected others, please specify*

Q15. Does the National Society of Rheumatology in your country offer courses on MSUS?

Yes

Q15.1. How long have MSUS courses been organized (years)?

Q15.2. How many rheumatologists trained in these courses (number)?

Q15.3. How many training levels are there?*

One level

Basic and advanced

Basic, intermediate and advanced

Modular courses in specific topics

Other

How many courses are offered per year (number)?*

Please specify course duration (days)*

In Q15.3, you have selcted others, please specify

Q15.4. What percentage of the course is spent on hands-on scanning (%)?*

Q15.5. What percentage of the course is spent on theoretical education (%)?*

Q15.6. How many participants per tutor are there in practical sessions (number)?*

Q15.7. Is competency in MSUS assessed at the end of the courses?*

Yes

Q15.8. What is necessary to achieve competency?

Attending courses

Theoretical exam

Reading images

Training period

Others

In Q15.8, you have selected others, please specify*

Q16. Do you use MSUS for teaching purposes?*

Yes

Q16.1 What form of teaching do you provide?*

Teaching residents/fellows (internally)

Teaching residents/fellows (externally)

Teaching at national courses

Teaching at EULAR courses

Teaching at EFSUMB courses

Teaching at other courses

Q17. Do you perform MSUS research?*

Yes

Q17.1 What kind of research do you perform?*

Original research

Industry study

Q17.2 With regard to studies, who perform MSUS?*

MSUS performed by our department

MSUS is performed by other department ie Radiology

Q17.3 If MSUS is performed by your own department, have you received training in MSUS?*

Yes

Please specify what training you have received*

Q18. Who is officially responsible for performing MSUS in rheumatological patients in your country (more than one option)?

Radiologists

Rheumatologists

Orthopaedic Surgeons

Physical Medicine Specialists

Sport Medicine specialists

General Practitioners

Other

In Q18, you have selected others, please specify*

Q19. Who mainly performs MSUS in rheumatological patients in your country*

Radiologists

Rheumatologists

Orthopaedic Surgeons

Physical Medicine Specialists

Sport Medicine specialists

General Practitioners

Other (Please specify)

Please specify who is the other who mainly perform MSUS in rheumatological patients in your country.

Q20. Who is officially responsible for performing MSUS-guided intervention* in rheumatological patients in your country (more than one option)?

Radiologists

Rheumatologists

Orthopaedic Surgeons

Physical Medicine Specialists

Sport Medicine specialists

General Practitioners

Other

*including arthrocentesis, infiltration and injection

Please specify who is the other who officially responsible for performing MSUS-guided intervention in rheumatological patients in your country

Q21. Who mainly performs MSUS-guided intervention* in rheumatological patients in your country (more than one option)

Radiologists

Rheumatologists

Orthopaedic Surgeons

Physical Medicine Specialists

Sport Medicine specialists

General Practitioners

Other

*including arthrocentesis, infiltration and injection

Please specify who is the other who mainly performs MSUS-guided intervention in rheumatological patients in your country.

Q22. What % of rheumatologists routinely perform MSUS in your country?*

Q23. What % of rheumatologists routinely perform MSUS-guided intervention in your country?*

Q24. What % of rheumatology departments/units routinely perform MSUS in your country?*

Q25. What % of rheumatologist departments/units routinely perform MSUS-guided interventions in your country?*

Q26. What % of rheumatologists are trained in MSUS in your country?*

Q27. Is there any sort of national register of rheumatologists performing MSUS?*

Yes

Please provide details on the national register below:*

Q28. Is there a committee/subgroup in the National Society of Rheumatology responsible for practice and/or training in MSUS?*

Yes

Please provide details on the committee/subgroup below:*

Q29. Do rheumatologists in your country get reimbursement for MSUS?*

Yes, in private practice

Yes, in public practice

Q30. Any further comments on MSUS practice/training in your country?