Advancing the Discipline of Musculoskeletal Ultrasound

Dr. Delzell actively participates in research to advance the discipline of musculoskeletal ultrasound and to improve her skills as a clinician. Over the past three decades, she has had articles published in numerous peer-reviewed publications, written multiple abstracts, presented multiple scientific exhibitions and received invites to present at conferences and symposiums nationally and internationally. 

 

Dr. Delzell is also active with the American Institute of Ultrasound in Medicine (AIUM), serving on the AIUM Board of Governors and on the American Medical Society for Sports Medicine and AIUM terminology task force.

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Active Research

  1. Can ABVS be used with similar diagnostic accuracy as conventional MSK US for synovial screening? Prospective study. IRB approved. Primary investigator. Data being analyzed.
     

  2. Delzell, PB, Mofakham FA, Bullen, J, Genin, J. Functional popliteal artery entrapment (fPAES): Investigation with dynamic and doppler ultrasound, manuscript writing.

 

Peer-Reviewed Publications

  1. Tyson S, Delzell P, Subhas N, Sundaram M. Radiologic case study. Orthopedics. 2012;35(10):829, 907.

  2. Shiraj S, Winalski CS, Delzell P, Sundaram M. Radiologic case study. Intersection syndrome of the wrist. Orthopedics. 2013;36(3):165, 225-227.

  3. Delzell PB, Boyle A, Schneider E. Dedicated training program for shoulder sonography: the results of a quality program reverberate with everyone. J Ultrasound Med. 2015;34(6):1037-1042.

  4. He L, Genin J, Delzell P. Ultrasound diagnosis and percutaneous treatment of Achilles tendon tethering: a case series. Skeletal Radiol. 2016;45(9):1293-1298.

  5. Wajid H, LeBlanc J, Shapiro DB, Delzell P. Bowler's thumb: ultrasound diagnosis of a neuroma of the ulnar digital nerve of the thumb. Skeletal Radiol. 2016;45(11):1589-1592.

  6. Delzell PB, Tritle BA, Bullen JA, Chiunda S, Forney MC. Clinical utility of high-frequency musculoskeletal ultrasonography in foot and ankle pathology: how ultrasound imaging influences diagnosis and management. J Foot Ankle Surg. 2017;56(4):735-739. 

  7. Forney MC, Delzell PB. Musculoskeletal ultrasonography basics. Cleve Clin J Med. 2018 Apr;85(4):283-300.

  8. Mikkilineni H, Delzell PB, Andrish J, Bullen J, Obuchowski NA, Subhas N, Polster JM, Schils JP. Ultrasound evaluation of infrapatellar fat pad impingement: an exploratory prospective study. Knee. 2018;25(2):279-285.

  9. He L, Delzell P, Schils J. Comparison of MRI findings after musculoskeletal ultrasound: an opportunity to reduce redundant imaging. J Am Coll Radiol. 2018 May 5. 

  10. Delzell, P, Patel, M, Ultrasound-guided perineural injection for pronator syndrome caused by median nerve entrapment, J Ultrasound Med. In Press, October 2019.

  11. Paulson, D, Delzell, P, Urbanic, B, Williams,J Fascial band of the lower extremity in an athlete: A case report., submitted for publication.​

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Other Publications

  1. Delzell PB, Dupuy DE. Evaluation and diagnosis of Mycobacterium marinum using musculoskeletal ultrasound. Advanced Technology Laboratories Continuing Medical Education Web Service, June 1999, www.ATL.com.

  2. Delzell P. Contributing author for Rajiah P, Holden DM, Schils J, Polster J, Iannotti J, Miniaci A, Williams G, Zuckerman J, eds. Disorders of the Shoulder: Diagnosis and Management, 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2013.

  3. Patel M, Delzell P, Forney M, Umeda Y, Schils J. Case study: US-guided hydrodissection for treatment of nerve entrapment. Orthopaedic Insights. 2015 (Summer):11. 

  4. Arthritis Advisor, Cleveland Clinic Publication, Interviewed for the article: “Why Ultrasound?: Imaging tests can help pinpoint the source of musculoskeletal pain. Ultrasound has some advantages”, Spring, 2019.

 

Abstracts

  1. Petchprapa CN, Delzell PB, Leighton DL, et al. Shoulder Ultrasound Learning Curve:  Don’t Give Ultrasound the Cold Shoulder Just Yet. Chicago, IL: RSNA; 2001. 

  2. Mikkilineni H, Delzell PB, Andrish J, Polster J, Subhas N, Obuchowski N, Schils J. Ultrasound Indicators of Infrapatellar Fat Pad Impingement. Las Vegas, NV: American Institute of Ultrasound in Medicine (AIUM); 2014. 

  3. Patel RN, Delzell PB, Bauer TW, Schils JP, Winalski CS. ISS Case #28:  Transthyretin Amyloidosis of the Hips. Maui HI: Member’s Meeting of the International Skeletal Society; 2015. 

  4. Garg A, Delzell PB, Bullen J, Subhas N. Preloaded Machine Protocols: Is it a better way to ensure a complete Shoulder US exam? New York, NY: AIUM; 2016. 

  5. He L, Delzell PB, Schils J. When is MRI Necessary after a Diagnostic Musculoskeletal Ultrasound? - A 3-year retrospective review. Orlando, FL: AIUM; 2017. 

  6. Delzell PB, Mofakham FA, Kuyumcu G, Gharib M, Simpfendorfer C, Forney M. When Does Using Dynamic Evaluation of the ATFL Lead to Increased Diagnostic Confidence? New York, NY: AIUM; 2018.

  7. Delzell, PB, Mofakham FA, Bullen, J, Genin, J. Functional Popliteal Artery Entrapment Syndrome: Investigation with Dynamic and Doppler Ultrasound. Atlanta, GA: PRISM; 2019.

  8. Delzell, PB, Mofakham FA, Bullen, J, Genin, J. Functional Popliteal Artery Entrapment Syndrome: Investigation with Dynamic and Doppler Ultrasound. Orlando, FL: AIUM; 2019.

  9. Stracciolini A, Boucher L, Jackson S, Brown N, Magrini D, McKee-Proctor M, d’Hemecourt P, Delzell PB. Feasibility and Reliability of Musculoskeletal Ultrasound Measurement of the Medial Patellofemoral Ligament, Phoenix, AZ:  PRiSM; 2020.

  10. Delzell PB, Bullen J, Saluan P. Outcomes from Ultrasound-guided Lidocaine Hydrodissection of Postsurgical or Posttraumatic Patellar Retinacular Scar, AIUM; 2020 (virtual).

 

Exhibitions / Presentations

Scientific Exhibitions

  1. Griewe, A, Forney, M, Delzell, P, Musculoskeletal Ultrasound Examination Below the Knee. San Diego, CA: ARRS; 2014. 

  2. Tritle B, Forney M, Bullen J, Delzell P. Clinical Utility of Musculoskeletal Ultrasound in Foot and Ankle Pathology: How Ultrasound Imaging Changes Diagnosis and Management. Chicago, IL: RSNA; 2014.

  3. Patel M, Bullen J, Delzell P. Ultrasound Guided Therapeutic Hydrodissection for Peripheral Nerve Entrapment Syndromes: Preliminary Review of Efficacy and Outcomes. Orlando, FL: AIUM; 2015. 

  4. Delzell P, Forney M, Bullen J, Joy S, Schils J. Collaborative, streamlined musculoskeletal ultrasound clinic: benefits to a large multisubspecialty hospital system. Orlando, FL: AIUM; 2015.

  5. Patel R, Delzell P, Winalski C, Bauer T, Bunyard M, Schils J. Amyloidosis of the Hips: Unknown Case Presentation. Maui, HI: International Skeletal Society; 2015. 

  6. Delzell P, Patel M. Diagnosis and treatment of nerve entrapments in the adolescent and young adult population: preliminary results. San Diego, CA: PRISM; 2016.

  7. Griffaw, N, Delzell, P, Ultrasound and MRI comparison of myofascial thickening and muscle scarring of hip musculature. Orlando, FL: AIUM; 2019.

 

Invited Presentations

  1. Overview of Musculoskeletal Ultrasound. Providence, RI: Rhode Island Society of Ultrasonographers; March 29, 2000.

  2. Musculoskeletal Ultrasound. Orthopedics and Sports Medicine Institute; Cleveland, OH: Cleveland Clinic; May 2010.

  3. Update on Musculoskeletal Ultrasound at Cleveland Clinic. Cleveland, OH: Cleveland Clinic MSK Alumni Course; May 18, 2012.

  4. Innovations in Musculoskeletal Ultrasound. Orlando, FL: Siemens Innovations Conference; July 19, 2012.

  5. Musculoskeletal Ultrasound for the General Technologist. Independence, OH: Northeast Ohio Ultrasound Society Annual Meeting; Feb 2, 2013.  

  6. Dynamic Musculoskeletal Ultrasound Anatomy. San Antonio, TX: Siemens Innovations Conference; July 23-25, 2013.

  7. Teaching Faculty. Portland, ME: American Medical Society for Sports Medicine (AMSSM) Ultrasound-Guided Injections: Beginner/Intermediate Level Hands-on Course; Sept 27-29, 2013.

  8. Ultrasound of the Hip. Cleveland, OH: Cleveland Clinic Musculoskeletal Ultrasound Course; June 20-21, 2014.

  9. Co-Director. Cleveland, OH: Cleveland Clinic Musculoskeletal Ultrasound Course; June 20-21, 2014.

  10. Ultrasound of Peripheral Nerves. San Francisco, CA: Musculoskeletal and Sports Medicine Intervention Symposium 2014; June 10-12, 2014.

  11. Ultrasound of the Hip. San Francisco, CA: Musculoskeletal and Sports Medicine Intervention Symposium 2014; June 10-12, 2014.

  12. Teaching Faculty. San Francisco, CA: Musculoskeletal and Sports Medicine Intervention Symposium 2014; June 10-12, 2014.

  13. Evolution of Shear Wave Imaging and Its Application in the MSK System. Orlando, FL: Siemens Innovations Conference; July 24, 2014.

  14. Teaching Faculty. Portland, ME: AMSSM Ultrasound-Guided Injections: Beginner/Intermediate Level Hands-on Course; Sept 25-28, 2014.

  15. Co-Presenter for MSK Ultrasound in Pediatric Sports Medicine. Weston, FL: PRISM Conference; Feb 20-21, 2015.

  16. Elastography: Just Cases. Presentation in Musculoskeletal Ultrasound. Orlando, FL: AIUM Annual Meeting; March 23, 2015.

  17. Teaching Faculty. Toronto, Canada: ARRS Hip Ultrasound Hands-On Workshop; April 19, 2015.

  18. MSK Ultrasound of Scar: Present and Future Research. Cleveland, OH: Basic Research Conference, Orthopedic and Rheumatologic Institute; Cleveland Clinic; June 5, 2015.

  19. Ultrasound of Peripheral Nerves. San Francisco, CA: Musculoskeletal and Sports Medicine Intervention Symposium 2015; June 11-13, 2015.

  20. Ultrasound of the Hip. San Francisco, CA: Musculoskeletal and Sports Medicine Intervention Symposium 2015; June 11-13, 2015.

  21. Co-Director. Cleveland, OH: Cleveland Clinic Musculoskeletal Ultrasound Course; Sept 10-12, 2015.

  22. Ultrasound of the Adult Lateral and Posterior Hip. Cleveland, OH: Cleveland Clinic Musculoskeletal Ultrasound Course; Sept 12, 2015.

  23. Ultrasound of the Elbow in Young Athletes. San Diego, CA: PRISM Conference; Jan 28-30, 2016.

  24. Teaching Faculty. New York, NY: AIUM Hip Ultrasound Hands-On Workshop; March 19, 2016.

  25. Ultrasound of Athletic Pubalgia. Cleveland, OH: Cleveland Clinic MSK Alumni Course; Cleveland Clinic; May 21, 2016.

  26. Teaching Faculty. Portland, ME: AMSSM Ultrasound-Guided Injections: Intermediate/Advanced Level Hands-on Course; June 17-19, 2016.

  27. Nerve Sonoanatomy. Portland, ME: AMSSM Ultrasound-Guided Injections: Intermediate/Advanced Level Hands-on Course; June 17-19, 2016.

  28. Teaching Faculty. San Francisco, CA: Ultrasound Guided Intervention and Orthopedic Cellular Therapy Training Course; Aug 18-20, 2016.

  29. Chronic Musculoskeletal Injury: Ultrasound of Scar. San Francisco, CA: Ultrasound Guided Intervention and Orthopedic Cellular Therapy Training Course; Aug 18-20, 2016.

  30. Ultrasound of Peripheral Nerves. San Francisco, CA: Ultrasound Guided Intervention and Orthopedic Cellular Therapy Training Course; Aug 18-20, 2016.

  31. Teaching Faculty. Ibiza, Spain: Musculoskeletal Ultrasound Society Annual Meeting; Oct 8-12, 2016.

  32. Teaching Faculty. Orlando, FL: AIUM Hands-On Shoulder Ultrasound for Advanced Sonographers; March 28, 2017.

  33. Rotator cuff characterization: muscle evaluation and non-cuff pathology around the shoulder: an overview. Orlando, FL: AIUM; March 28, 2017.

  34. Visiting Professor. Ultrasound of Peripheral Nerves. Worcester, MA: University of Massachusetts Department of Sports Medicine; May 17, 2017.

  35. Examiner and Faculty. Chicago, IL: American Society of Regional Anesthesia Meeting; June 9-11, 2017.

  36. Basics of Ultrasound. Chicago, IL: American Society of Regional Anesthesia Meeting; June 10-11, 2017.

  37. Ultrasound of Wrist and Elbow. Chicago, IL: American Society of Regional Anesthesia Meeting; June 10-11, 2017.

  38. Musculoskeletal Ultrasound: What does it add? Akron, OH: Grand Rounds Crystal Clinic Orthopedics; Dec 8, 2017.

  39. Teaching Faculty. Fort Lauderdale, FL, PRISM Hands-on Ultrasound of Peripheral Joints; Jan 27, 2018.

  40. Teaching Faculty. New York, NY: AIUM Hands-On Shoulder Ultrasound for Beginner Sonographers; March 27, 2018.

  41. Program Moderator. New York, NY: AIUM Hands-On Shoulder Ultrasound for Advanced Sonographers; March 27, 2018.

  42. Rotator cuff characterization: muscle evaluation and non-cuff pathology around the shoulder: an overview. New York City, NY: AIUM; March 28, 2018.

  43. Teaching Faculty. New York, NY: AIUM Hands-On Wrist Ultrasound; March 28, 2018.

  44. Ultrasound of the Hip: Beginners. Cleveland, OH; Cleveland Clinic Teaching Cadaver Lab; April 13, 2018.

  45. Ultrasound of Elbow Pathology. Gulf Breeze, FL: Andrews Institute/AIUM Course; May 17, 2018.

  46. MSK US Case Presentations. Gulf Breeze, FL: Andrews Institute/AIUM Course; May 19, 2018.

  47. Teaching Faculty. Gulf Breeze, FL: Andrews Institute/AIUM Course; May 17-20, 2018.

  48. Ultrasound Indicators of Fat Pad Impingement. Cleveland, OH: Annual MSK Alumnae Meeting; Cleveland Clinic; June 2, 2018.

  49. Ultrasound of the Shoulder. Cleveland, OH; Cleveland Clinic Teaching Cadaver Lab; September 14, 2018.

  50. Groin Pain and Hernias: Diagnosis, Post-Operative Complications and What Does Ultrasound Add?. Cleveland, OH: Cleveland Clinic Radiology Grand Rounds; Nov 14, 2018.

  51. Program Moderator. Orlando, FL: AIUM “At the Cutting Edge”; April 7, 2019.

  52. Nerve entrapment and hydrodissection. AIUM Orlando, FL: AIUM; April 7, 2019.

  53. Teaching Faculty Orlando, FL: AIUM Hands-On Shoulder Ultrasound for Beginner Sonographers; April 8, 2019.

  54. Teaching Faculty. Orlando, FL: AIUM Hands-On Shoulder Ultrasound for Advanced Sonographers; April 9, 2019.

  55. Ultrasound of Elbow Pathology. Gulf Breeze, FL: Andrews Institute/AIUM Course; May 30, 2019.

  56. MSK US Case Presentations. Gulf Breeze, FL: Andrews Institute/AIUM Course; June 1, 2019.

  57. Teaching Faculty. Gulf Breeze, FL: Andrews Institute/AIUM Course; May 30-June 2, 2019.

  58. PRiSM Musculoskeletal Ultrasound Research Interest Group: Ongoing Research Project Summary. Phoenix, AZ: PRiSM Annual Meeting; January 24, 2020.

  59. Radiology Session Ultrasound Correlation Case Conference. Phoenix, AZ: PRiSM Annual Meeting; January 24, 2020.

  60. Ultrasound Findings of Popliteal Artery Entrapment and Ultrasound-guided Hydrodissection of Patellar Retinacular Scar. Akron, OH: Annual Sports Medicine Update: Building Young Athlete Safe and Healthy XIV; March 6, 2020.