The Targeted Ultrasound Initiative (TUI) is an educational programme to promote the value and raise awareness of a targeted ultrasound approach in clinical practice.
For rheumatologists to use ultrasound routinely, in a standardised way, to diagnose and assess patients with inflammatory arthritis.
To promote the value and raise awareness of a targeted ultrasound approach in clinical practice.
1. Ultrasound should be available to detect synovitis, objectively, contributing to a diagnosis of rheumatoid arthritis.
2. Ultrasound should be available for all new cases of undifferentiated or suspected arthritis.
3. Ultrasound should be performed in all patients with rheumatoid arthritis who have reached their stable treatment target of remission (or low disease activity) in order to provide an objective evaluation of disease activity.
4. All rheumatology departments should have at least one ultrasound machine available of a sufficient standard to perform an acceptable evaluation of disease activity (i.e. grey scale and power Doppler) and have suitably qualified individuals to use it.
5. All individuals performing musculoskeletal ultrasound to diagnose and manage inflammatory arthritis should be trained appropriately and qualified for this purpose.
6. All countries should seek to develop a network/framework for educating rheumatologists practising ultrasound to achieve the above.