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About us

The Targeted Ultrasound Initiative (TUI) is an educational programme to promote the value and raise awareness of a targeted ultrasound approach in clinical practice.

Our vision

For rheumatologists to use ultrasound routinely, in a standardised way, to diagnose and assess patients with inflammatory arthritis.

Driving
change

Our mission

To promote the value and raise awareness of a targeted ultrasound approach in clinical practice.

Targeting
unmet need

TUI Steering Committee

TUI Chairs

Professor Paul Emery
TUI Chair
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Professor Paul Emery

TUI Chair
Professor Paul Emery is the Arthritis Research UK Professor of Rheumatology, Director at the Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, and the Director of the National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Unit at Leeds Teaching Hospitals Trust, UK.
Professor Emery was President of EULAR 2009–2011. He was inaugural President of ISEMIR (International Society for Musculoskeletal Imaging in Rheumatology). He is an NIHR Senior Investigator. He is a recipient of the Roche Biennial Award for Clinical Rheumatology, the Rheumatology Hospital Doctor of the Year award 1999, and the EULAR prize 2002 for outstanding contribution to rheumatology. In 2012, he was awarded the Carol Nachman Prize, and honoured by the Queen with an OBE in 2018. He has published over 1100 peer-reviewed articles in these areas, h-index >100.
Professor Maria Antonietta D’Agostino
Deputy Chair
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Professor Maria Antonietta D’Agostino

Deputy Chair
Professor Maria Antonietta D’Agostino is Professor of Rheumatology at University Paris Ouest Versailles-Saint-Quentin-en-Yvelines, Rheumatology Department of Ambroise Paré Hospital, Boulogne-Billancourt, France.
She is an OMERACT (Outcome Measures in Rheumatology) Executive Committee Member, Co-Leader of the Imaging/Biomarkers Theme at OMERACT and Mentor of the OMERACT Ultrasound Group. She served as Chair of the European League Against Rheumatism (EULAR) Standing Committee on Musculoskeletal Imaging from 2010 to 2014, and she is a Faculty Teacher of the EULAR Sonography courses. She has published several major papers in the field of ultrasound and rheumatic diseases.

Steering Committee

Professor Peter Balint
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Professor Peter Balint

Professor Peter Balint is Head of Department, 3rd Rheumatology Department and Professor (honoris causa) of Semmelweis University, Budapest, Hungary. He is a Faculty member of the European League Against Rheumatism (EULAR) Musculoskeletal Ultrasound courses and a European Federation Societies for Ultrasound in Medicine and Biology (EFSUMB) Level 3 sonographer.
He is also a member of the EULAR Standing Committee on Musculoskeletal Imaging, EULAR/OMERACT (Outcome Measures in Rheumatology) Ultrasound Special Interest Group (USSONAR-MSSK), of the EFSUMB, of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), and of the Association of Hungarian Rheumatologists. Professor Balint has published more than 150 papers, 20 books and book chapters, and is a reviewer for several international rheumatology journals. He is the Editor of the Imaging Section of Hungarian Rheumatology.
Professor Marina Backhaus
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Professor Marina Backhaus

Professor Marina Backhaus is Professor of Rheumatology and Head of the Department of Internal Medicine, Rheumatology and Clinical Immunology at Park-Klinik Weissensee Berlin, Germany.
Professor Backhaus has organized numerous ultrasound training courses and has published more than 100 peer-reviewed papers in this field. She was the co-ordinator of the American College of Rheumatology (ACR) Musculoskeletal Ultrasound Group (2006–2010), is a member of the Faculty of the European League Against Rheumatism (EULAR) Sonography courses, the OMERACT (Outcome Measures in Rheumatology) Special Interest Group on Ultrasound and of the National Imaging Group of Rheumatology.
Professor Walter Grassi
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Professor Walter Grassi

Professor Walter Grassi is Professor of Rheumatology and Director of the Postgraduate School of Rheumatology at the Università Politecnica delle Marche, and Chief of the Rheumatology Clinic at the Jesi Medical Centre, Italy.
He has published over 250 peer-reviewed publications and many books and chapters in various textbooks of rheumatology and internal medicine. He is also a member of the editorial boards of Annals of the Rheumatic Diseases, Clinical and Experimental Rheumatology, Clinical Rheumatology, and Reumatismo.
Professor Annamaria Iagnocco
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Professor Annamaria Iagnocco

Professor Annamaria Iagnocco is Professor of Rheumatology at the University of Turin, Italy. She is Treasurer of the European League Against Rheumatism (EULAR). She is Advisory Board Chair of the EULAR School of Rheumatology, former chair of the EULAR Standing Committee on Education and Training, and faculty teacher in the EULAR Sonography Courses.
She is former co-chair of the OMERACT (Outcome Measures in Rheumatology) Ultrasound Group, Chair of the Ultrasound Study Group of the Italian Society for Rheumatology and member of several national and international working groups on ultrasound in rheumatic musculoskeletal diseases. She is Associate Editor and member of the Editorial Board of prestigious international journals of rheumatology. Her research interests include rheumatoid arthritis, psoriatic arthritis, osteoarthritis, therapy monitoring, and imaging of rheumatic diseases, with a special interest on ultrasonography and assessment of inflammation. She is involved in national and international clinical trials and studies on imaging in rheumatic diseases. She has authored more than 230 peer-reviewed publications.
Dr Esperanza Naredo
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Dr Esperanza Naredo

Dr Esperanza Naredo is a Rheumatologist at the Department of Rheumatology, Joint and Bone Research Unit, Hospital Universitario Fundación Jiménez Díaz, Autonoma University, Madrid, Spain. She founded the Ultrasound School of the Spanish Society of Rheumatology.
She has been a Faculty member of the European League Against Rheumatism (EULAR) Sonography Courses since 1998, a member of EULAR's Working Group for Musculoskeletal Ultrasound since 2000, and is co-chair of the OMERACT (Outcome Measures in Rheumatology) group for Musculoskeletal Ultrasound. She was Chair of the EULAR Standing Committee on Musculoskeletal Imaging (2014–2016). She has authored more than 150 publications in the field.
Professor Mikkel Østergaard
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Professor Mikkel Østergaard

Professor Mikkel Østergaard is Professor of Rheumatology and Head of the Copenhagen Centre for Arthritis Research (COPECARE) at Rigshospitalet and the University of Copenhagen, Denmark.
He is involved in national and international clinical and imaging studies of rheumatoid arthritis, psoriatic arthritis and spondyloarthritis, is former Chair of the European League Against Rheumatism (EULAR) Standing Committee on Imaging, co-chair of the OMERACT (Outcome Measures in Rheumatology) MRI In Inflammatory Arthritis Special Interest Group and member of several other international working groups within inflammatory joint diseases, like the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) and the Assessment of SpondyloArthritis International Society (ASAS). He has authored more than 390 original and review articles, and supervised > 30 PhD students.
Dr Lene Terslev
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Dr Lene Terslev

Dr Lene Terslev is a Consultant Rheumatologist and Head of the Rheumatological Ultrasound Unit at Rigshospitalet, Glostrup, Denmark.
Dr Terslev has been involved in musculoskeletal ultrasound since 1999 and is a faculty member of the European League Against Rheumatism (EULAR) Sonography Courses, past-chair of the EULAR Standing Committee for Musculoskeletal Imaging and co-chair of the OMERACT (Outcome Measures in Rheumatology) Special Interest Group on Ultrasound. Her educational and research interests focus on standardisation and certification in musculoskeletal ultrasound and the development of ultrasound as a clinical tool for crystal disease, vasculitis, rheumatoid arthritis and spondyloarthropathy, including psoriatic arthritis. She has published more than 100 papers on ultrasound and rheumatology, including book chapters in this field.
Dr Richard Wakefield
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Dr Richard Wakefield

Dr Richard Wakefield is the Ultrasound and Undergraduate Education Lead for the Leeds Institute of Rheumatic and Musculoskeletal Medicine, and Chair for Undergraduate Ultrasound Education, Leeds School of Medicine, University of Leeds, UK. He is a member of the European League Against Rheumatism (EULAR) and OMERACT (Outcome Measures in Rheumatology) Ultrasound Working Groups.
Dr Wakefield has published more than 150 papers on imaging-related subjects, written several book chapters on ultrasound and co-edited the first EULAR-sponsored ultrasound book, Applications of Musculoskeletal Ultrasound in Rheumatology. He was the co-ordinator of the American College of Rheumatology (ACR) Musculoskeletal Ultrasound Group (2003–2005), and co-chair of the OMERACT Ultrasound Special Interest Group (2004–2012).

TUI Goals

1
Ultrasound should be available to detect synovitis objectively, contributing to a diagnosis of any inflammatory arthritis, especially 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.

© TUI 2019