Editorial
Musculoskeletal Ultrasound in Mexico 10 Years After its Inception
La ecografía musculoesquelética en México a 10 años de su inicio
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Its benefit in the diagnosis, treatment and monitoring of progress and response to treatment of patients with rheumatic diseases has been confirmed by two studies. Since the last quarter of the twentieth century, concern emerged among rheumatologists in Europe's with regard to the emerging diagnostic technologies applied in rheumatology, particularly musculoskeletal ultrasound.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The Ultrasound School of the Mexican College of Rheumatology (ECOMER) originated with the twenty-first century, specifically in 2001, when reports on the application of this imaging technique in the field of rheumatology began to appear. It was during the XXIX Mexican Congress of Rheumatology held in the city of Mazatlan, Sinaloa, where Dr. Esperanza Naredo, today director of the ultrasound school of the Spanish Society of Rheumatology, gave a lecture on musculoskeletal ultrasound in rheumatology. Many who were there were astonished by the usefulness of this imaging technique which promised to be one of the most important complementary tools in the clinical practice of rheumatologist, a previously cherished dream by some colleagues. The interest and impact generated by the new diagnostic tool were such that Dr. Naredo was asked to repeat the conference a day later so a greater number of colleagues could hear it.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Later that same year, Dr. Carlos Pineda, a rheumatologist, expert in the area of imaging, and Dr. Mario Chavez, a rheumatologist with just two years of clinical practice, were trained simultaneously, although in different cities in the months of September and December. Dr. J. Antonio Bouffard, then a radiologist at Henry Ford Hospital and who is currently in the Detroit Medical Center in Detroit, US, and is a renowned expert and pioneer in the area, was responsible for the formation of Dr. Pineda; in addition, one of his most prominent disciples, Dr. Naredo, a pioneering rheumatologist in the application of technology to our field, addressed Dr. Chavez's training in 2001 and later Dr. Carlos Moya's in 2002, in the city of Madrid, Spain.</p><p id="par0020" class="elsevierStylePara elsevierViewall">After returning from their training, doctors Pineda and Chavez successfully organized the first introductory course in musculoskeletal ultrasound in rheumatology in the city of Merida, Yucatan, in February 2002 under the aegis of the XXX Mexican Congress of Rheumatology, which generated the same enthusiasm among several Mexican rheumatologists who continued the learning curve of ultrasound, enhanced their knowledge and developed their skills in courses in Madrid, by the Spanish School of Ultrasound. The first course in Merida followed those held in the framework of the Mexican Congress of Rheumatology in 2003 in Monterrey, in Guadalajara in 2004, in Villahermosa in 2005, the first theoretical-practical crash course in Acapulco in 2006, and so on, with ultrasound courses becoming a pre-congress tradition, with events in Veracruz in 2008, Leon in 2009, Morelia 2010, Cancun 2011 and San Luis Potosi in 2012.</p><p id="par0025" class="elsevierStylePara elsevierViewall">In 2003, during a meeting in Cancun, doctors Pineda, Moya and Chavez, in response to the interest generated among Mexican rheumatologists, were given the task of forming the goals, mission and vision of ECOMER and delineating the ECOMER statutes, and shortly afterwards, that same year, obtained official recognition as a study group from the Mexican College of Rheumatology.</p><p id="par0030" class="elsevierStylePara elsevierViewall">In 2004 in the city of Aguascalientes, Mexico, the first instructor course in musculoskeletal ultrasound was held by Mexicans rheumatologists who had been trained in musculoskeletal ultrasound, training Laura Gonzalez and Ivan Gamez of Guadalajara, Jose Uribe from Coatzacoalcos, Ricardo Gomez Angulo and Homero Benavides of Villahermosa, Lucio Ventura and Angélica Pérez Ruiz from Mexico City, Cristina Hernandez and Sergio Arroyo from the state of Mexico State.</p><p id="par0035" class="elsevierStylePara elsevierViewall">The close links between academics established friendly relations with the various groups that are spearheading this area and have allowed ECOMER to interact with research and development of human resources with different schools like those in Spain, the US and Italy, the latter represented by Dr. Emilio Filippucci, Dr. Marwin Gutierrez and Dr. Walter Grassi. Several of our members are active members of the PANLAR Imaging ultrasound group in the area as well as in areas of OMERACT concerning musculoskeletal ultrasound.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Since 2005, ECOMER has a website (<a href="http://www.ecomer.org.mx/">www.ecomer.org.mx</a>) aimed at disseminating and promoting musculoskeletal ultrasound among those interested in this area of knowledge; the site is visited by several specialists related to bones and joints, such as orthopedists, chiropractors, rehabilitation specialists, sports doctors, radiologists and of course, fellow rheumatologists.</p><p id="par0045" class="elsevierStylePara elsevierViewall">The PANLAR ultrasound study group was established in 2002 and is counted as one of the most productive and participatory in the organization. In Latin America PANLAR has conducted courses in ultrasound sponsored by Argentina, Bolivia, Brazil, Colombia, Cuba, Costa Rica, Dominican Republic, Ecuador, Guatemala, Honduras, Chile, Mexico, Nicaragua, Peru and with the active participation Venezuela<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> as well as having an advisory ultrasound study group embedded in the Mexican College of Rheumatology.</p><p id="par0050" class="elsevierStylePara elsevierViewall">Among ECOMER's efforts, publications such as guidelines for training and practice of musculoskeletal ultrasound in the Americas<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> and the first interobserver ultrasound exercise performed by Mexicans rheumatologists, “The Mexican experience”,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> and recently the publication of inter- and intraobserver variability in the sonographic assessment of joint inflammation and erosion in rheumatoid arthritis patients,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> have been produced.</p><p id="par0055" class="elsevierStylePara elsevierViewall">In addition, educational activities led by our school have included a tutorial called itinerant rheumatologists ECOTOUR in which 98 members of the Mexican College of Rheumatology from eight Mexican states received education and training tutorials, with several currently counted as instructors, as well as three tutorial courses in Mexico City and Aguascalientes per year, including one with practices in university-provided cadavers. Approximately 1200 rheumatologists from 17 countries in the Americas have participated in musculoskeletal ultrasound courses where ECOMER members have served as teachers or organizers.</p><p id="par0060" class="elsevierStylePara elsevierViewall">Academically, teaching has led to an ECOMER Diploma endorsed by the National Autonomous University of Mexico (UNAM), lasting 12 months and lasting a little over 1200<span class="elsevierStyleHsp" style=""></span>h with practice of the technique applied exclusively to the musculoskeletal system.</p><p id="par0065" class="elsevierStylePara elsevierViewall">The boom in rheumatology ultrasound is also reflected in the publication of a manual of ultrasound, which is intended as a guide for rheumatologists and other specialists who are trained or interested in musculoskeletal ultrasound; the work covers fundamental aspects as the physical principles of ultrasound, the knowledge of the elements of an ultrasound machine to obtain optimal images, review of articular and periarticular structures, a systematic review of the anatomical regions, the utility power Doppler, sonographic findings in various diseases in which the ultrasound has proven useful both for diagnosis and for monitoring, plus the role of ultrasound in rarer diseases such as vasculitis, salivary gland disease, traumatic injury and, last but not least, the use of ultrasound to guide puncture-infiltration. The book is edited by Dr. Lucio Ventura and in April 2012 it will be published in a second edition, enlarged and revised,<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> involving a larger number of partners from several countries.</p><p id="par0070" class="elsevierStylePara elsevierViewall">However, some ECOMER targets are pending; rheumatologists of some European nations have already included in their university curriculum a section devoted to musculoskeletal ultrasound during the residency training years. In our country, at the end of 2011 that was achieved through the joint efforts of distinguished members of the Mexican College of Rheumatology and the UNAM graduate Division, including ultrasound teaching in the rheumatology curriculum. The challenge now will be to ensure that all training centers in Mexico have the equipment and trained personnel for proper teaching of musculoskeletal ultrasound.</p><p id="par0075" class="elsevierStylePara elsevierViewall">ECOMER is one of the most consistent and fastest growing study groups in the Mexican College of Rheumatology. The experience gained so far and the goals achieved only commit us to work harder, to stick together, to go further and get more rheumatologists to approach and become part of this group. The San Luis Potosi ultrasound course in February 2012 marks the first decade of the group's work; however, there is much more to do, so on this day we reiterate our commitment to continue implementing the objectives and achieving the group's goals, to realize “the dream of a rheumatologist”<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> incorporating ultrasound into our daily work, a technique that allows us to more fully evaluate our rheumatic patients.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please, cite this article as: Chávez-López M, Pineda C. La ecografía musculoesquelética en México a 10 años de su inicio. Reumatol Clin. 2012;8:304–5.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Training and education in rheumatology ultrasound: Latin American and Caribbean experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C. Pineda" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Essential applications of musculoskeletal ultrasound in rheumatology" "paginaInicial" => "348" "paginaFinal" => "351" "serieFecha" => "2010" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pan-American League of Associations for Rheumatology (PANLAR) recommendations and guidelines for musculoskeletal ultrasound training in the Americas for rheumatologists" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "Pan-American League of Associations for Rheumatology (PANLAR) Ultrasound Study Group" "etal" => true "autores" => array:6 [ 0 => "C. Pineda" 1 => "A.M. Reginato" 2 => "V. Flores" 3 => "M. Aliste" 4 => "M. Alva" 5 => "R.A. Aragón-Laínez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/RHU.0b013e3181d60053" "Revista" => array:6 [ "tituloSerie" => "J Clin Rheumatol" "fecha" => "2010" "volumen" => "16" "paginaInicial" => "113" "paginaFinal" => "118" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20375820" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ultrasound in rheumatology: the Mexican experience" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Pineda" 1 => "E. Filippucci" 2 => "M. Chávez-López" 3 => "C. Hernández-Díaz" 4 => "C. Moya" 5 => "L. Ventura" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Exp Rheumatol" "fecha" => "2008" "volumen" => "26" "paginaInicial" => "929" "paginaFinal" => "932" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19032832" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Inter- and intra-observer agreement of high-resolution ultrasonography and power Doppler in assessment of joint inflammation and bone erosions in patients with rheumatoid arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.A. Chávez-López" 1 => "C. Hernández-Díaz" 2 => "C. Moya" 3 => "C. Pineda" 4 => "L. Ventura-Ríos" 5 => "I. Möller" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00296-011-2297-9" "Revista" => array:2 [ "tituloSerie" => "Rheumatol Int" "fecha" => "2012" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:1 [ "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:3 [ "titulo" => "Manual de ecografía musculoesquelética" "edicion" => "1st ed." "serieFecha" => "2010" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ultrasound imaging: a rheumatologist's dream" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.J. Canoso" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "2000" "volumen" => "27" "paginaInicial" => "2063" "paginaFinal" => "2064" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10990212" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000800000006/v1_201305061648/S217357431200161X/v1_201305061648/en/main.assets" "Apartado" => array:4 [ "identificador" => "17335" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Editorial" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000800000006/v1_201305061648/S217357431200161X/v1_201305061648/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357431200161X?idApp=UINPBA00004M" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 13 | 12 | 25 |
| 2024 October | 43 | 42 | 85 |
| 2024 September | 132 | 43 | 175 |
| 2024 August | 65 | 59 | 124 |
| 2024 July | 53 | 41 | 94 |
| 2024 June | 91 | 52 | 143 |
| 2024 May | 112 | 38 | 150 |
| 2024 April | 71 | 28 | 99 |
| 2024 March | 55 | 44 | 99 |
| 2024 February | 50 | 33 | 83 |
| 2024 January | 48 | 27 | 75 |
| 2023 December | 39 | 29 | 68 |
| 2023 November | 73 | 39 | 112 |
| 2023 October | 49 | 27 | 76 |
| 2023 September | 56 | 34 | 90 |
| 2023 August | 52 | 18 | 70 |
| 2023 July | 55 | 45 | 100 |
| 2023 June | 44 | 30 | 74 |
| 2023 May | 40 | 16 | 56 |
| 2023 April | 28 | 11 | 39 |
| 2023 March | 91 | 19 | 110 |
| 2023 February | 53 | 29 | 82 |
| 2023 January | 31 | 20 | 51 |
| 2022 December | 70 | 32 | 102 |
| 2022 November | 71 | 22 | 93 |
| 2022 October | 68 | 24 | 92 |
| 2022 September | 38 | 40 | 78 |
| 2022 August | 43 | 43 | 86 |
| 2022 July | 42 | 42 | 84 |
| 2022 June | 51 | 37 | 88 |
| 2022 May | 49 | 57 | 106 |
| 2022 April | 51 | 46 | 97 |
| 2022 March | 54 | 38 | 92 |
| 2022 February | 39 | 30 | 69 |
| 2022 January | 54 | 47 | 101 |
| 2021 December | 32 | 36 | 68 |
| 2021 November | 39 | 50 | 89 |
| 2021 October | 65 | 54 | 119 |
| 2021 September | 46 | 37 | 83 |
| 2021 August | 40 | 47 | 87 |
| 2021 July | 30 | 28 | 58 |
| 2021 June | 37 | 47 | 84 |
| 2021 May | 50 | 36 | 86 |
| 2021 April | 100 | 98 | 198 |
| 2021 March | 78 | 33 | 111 |
| 2021 February | 47 | 23 | 70 |
| 2021 January | 32 | 21 | 53 |
| 2020 December | 38 | 20 | 58 |
| 2020 November | 56 | 17 | 73 |
| 2020 October | 18 | 19 | 37 |
| 2020 September | 39 | 31 | 70 |
| 2020 August | 23 | 15 | 38 |
| 2020 July | 24 | 12 | 36 |
| 2020 June | 37 | 20 | 57 |
| 2020 May | 45 | 13 | 58 |
| 2020 April | 52 | 14 | 66 |
| 2020 March | 16 | 11 | 27 |
| 2020 February | 2 | 0 | 2 |
| 2020 January | 4 | 0 | 4 |
| 2019 September | 4 | 0 | 4 |
| 2019 June | 1 | 0 | 1 |
| 2019 March | 1 | 0 | 1 |
| 2019 January | 1 | 0 | 1 |
| 2018 May | 6 | 0 | 6 |
| 2018 April | 43 | 9 | 52 |
| 2018 March | 82 | 5 | 87 |
| 2018 February | 63 | 5 | 68 |
| 2018 January | 37 | 3 | 40 |
| 2017 December | 52 | 9 | 61 |
| 2017 November | 45 | 13 | 58 |
| 2017 October | 24 | 8 | 32 |
| 2017 September | 35 | 10 | 45 |
| 2017 August | 34 | 10 | 44 |
| 2017 July | 33 | 4 | 37 |
| 2017 June | 47 | 8 | 55 |
| 2017 May | 50 | 10 | 60 |
| 2017 April | 29 | 7 | 36 |
| 2017 March | 41 | 15 | 56 |
| 2017 February | 31 | 1 | 32 |
| 2017 January | 33 | 5 | 38 |
| 2016 December | 101 | 12 | 113 |
| 2016 November | 93 | 15 | 108 |
| 2016 October | 86 | 10 | 96 |
| 2016 September | 80 | 7 | 87 |
| 2016 August | 85 | 11 | 96 |
| 2016 July | 59 | 12 | 71 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 0 | 18 | 18 |
| 2015 September | 3 | 0 | 3 |
| 2015 August | 2 | 0 | 2 |
| 2015 July | 39 | 5 | 44 |
| 2015 June | 60 | 15 | 75 |
| 2015 May | 84 | 34 | 118 |
| 2015 April | 70 | 26 | 96 |
| 2015 March | 68 | 18 | 86 |
| 2015 February | 62 | 18 | 80 |
| 2015 January | 72 | 27 | 99 |
| 2014 December | 88 | 15 | 103 |
| 2014 November | 73 | 21 | 94 |
| 2014 October | 69 | 22 | 91 |
| 2014 September | 65 | 14 | 79 |
| 2014 August | 64 | 20 | 84 |
| 2014 July | 78 | 18 | 96 |
| 2014 June | 66 | 16 | 82 |
| 2014 May | 76 | 15 | 91 |
| 2014 April | 81 | 8 | 89 |
| 2014 March | 77 | 24 | 101 |
| 2014 February | 59 | 12 | 71 |
| 2014 January | 59 | 11 | 70 |
| 2013 December | 55 | 10 | 65 |
| 2013 November | 46 | 9 | 55 |
| 2013 October | 65 | 24 | 89 |
| 2013 September | 42 | 15 | 57 |
| 2013 August | 56 | 22 | 78 |
| 2013 July | 70 | 13 | 83 |
| 2013 June | 69 | 23 | 92 |
| 2013 May | 48 | 19 | 67 |
| 2013 April | 56 | 19 | 75 |
| 2013 March | 71 | 21 | 92 |
| 2013 February | 65 | 23 | 88 |
| 2013 January | 60 | 25 | 85 |
| 2012 December | 60 | 25 | 85 |
| 2012 November | 10 | 4 | 14 |
Show all
