Hip MRI: How Useful Is Intraarticular Contrast Material for Evaluating Surgically Proven Lesions of the Labrum and Articular Cartilage?

Sutter, Reto; Zubler, Veronika; Hoffmann, Adrienne; Mamisch-Saupe, Nadja; Dora, Claudio; Kalberer, Fabian; Zanetti, M.; Hodler, Juerg; Pfirrmann, Christian W. A.

doi:10.2214/ajr.12.10266

Cited by 144 publications

(94 citation statements)

References 21 publications

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“…However, although several studies have reported a higher accuracy for MR arthrography in the detection of chondrolabral lesions [17,30,31], the use of intraarticular contrast might not be logistically feasible in a larger study trial and/or in clinical [32], and, more importantly, for the majority of these studies, a 1.5-T MRI system was used. In this context, recent studies have shown that the use of a high-resolution, nonarthrographic 3-T MRI is capable of detecting chondral and labral abnormalities with high accuracy [20,33,34] and therefore may obviate the need for intraarticular contrast.…”

Section: Discussionmentioning

confidence: 99%

Validation of scoring hip osteoarthritis with MRI (SHOMRI) scores using hip arthroscopy as a standard of reference

et al. 2018

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Purpose To validate SHOMRI gradings in preoperative hip magnetic resonance imaging (MRI) with intra-arthroscopic evaluation of intraarticular hip abnormalities. Methods Preoperative non-arthrographic 3.0-T MRIs of 40 hips in 39 patients (1 patient with bilateral hip surgery) with femoroacetabular impingement (FAI) syndrome (mean age, 34.7 years ± 9.0; n = 16 females), refractory to conservative measures, that underwent hip arthroscopy were retrospectively assessed by two radiologists for chondrolabral abnormalities and compared with intra-arthroscopic findings as the standard of reference. Arthroscopically accessible regions were compared with the corresponding SHOMRI subregions and assessed for the presence and grade of cartilaginous pathologies in the acetabulum and femoral head. The acetabular labrum was assessed for the presence or absence of labral tears. For the statistical analysis sensitivity and specificity as well as intraclass correlation (ICC) for interobserver agreement were calculated. Results Regarding chondral abnormalities, 58.8% of the surgical cases showed chondral defects. SHOMRI scoring showed a sensitivity of 95.7% and specificity of 84.8% in detecting cartilage lesions. Moreover, all cases with fullthickness defects (n = 9) were identified correctly, and in n = 6 cases (out of n = 36 with partial-thickness defects) the defective cartilage was identified but the actual depth overestimated. Labral tears were present in all cases and the MR readers identified 92.5% correctly. ICC showed a good interobserver agreement with 86.3% (95% CI 80.0, 90.6%) Conclusion Using arthroscopic correlation, SHOMRI grading of the hip proves to be a reliable and precise method to assess chondrolabral hip joint abnormalities. Key Points • Assessment of hip abnormalities using MRI with surgical correlation.• Comparing surgery and MRI by creating a hybrid anatomic map that covers both modalities.• Non-arthrographic use of 3.0-T MRI provides detailed information on cartilage and labral abnormalities in hip joints.

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Section: Discussionmentioning

confidence: 99%

Validation of scoring hip osteoarthritis with MRI (SHOMRI) scores using hip arthroscopy as a standard of reference

et al. 2018

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“…3). 78,79 The detection of defects of the articular cartilage is often more difficult than the detection of labral tears, as the cartilage layers are very thin and have a spherical morphology. 80 Most cartilage defects are found at the anterosuperior portion of the acetabulum.…”

Section: Mri Arthrography Of Femoroacetabular Impingementmentioning

confidence: 99%

Internal Derangements of Joints—Past, Present, and Future

Sutter¹,

Stoel

Buck

et al. 2015

Investigative Radiology

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The past 50 years have transformed imaging of the joints. Whereas musculoskeletal imaging consisted predominantly of conventional radiography when Investigative Radiology was founded as a journal, the arrival of new imaging modalities, and above all, the introduction of magnetic resonance imaging, resulted in a paradigm shift: In addition to visualizing osseous structures, now the detailed depiction of soft tissue structures became part of routine clinical imaging and had a major impact on understanding pathophysiology and patient treatment. This article analyzes the patterns of innovation that were essential for the transformation of musculoskeletal radiology. Furthermore, state-of-the-art joint imaging is described through 9 key concepts, including both cutting-edge clinical applications as well as topics at the forefront of musculoskeletal research. Eventually, emerging trends are outlined that will likely shape musculoskeletal radiology in the next decades. The past 50 years have transformed imaging of the joints. Whereas musculoskeletal imaging consisted predominantly of conventional radiography when Investigative Radiology was founded as a journal, the arrival of new imaging modalities, and above all, the introduction of magnetic resonance imaging, resulted in a paradigm shift: In addition to visualizing osseous structures, now the detailed depiction of soft tissue structures became part of routine clinical imaging and had a major impact on understanding pathophysiology and patient treatment. This article analyzes the patterns of innovation that were essential for the transformation of musculoskeletal radiology. Furthermore, state-of-the-art joint imaging is described through 9 key concepts, including both cutting-edge clinical applications as well as topics at the forefront of musculoskeletal research. Eventually, emerging trends are outlined that will likely shape musculoskeletal radiology in the next decades.

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“…Although that study advocated MR arthrography as being the superior diagnostic technique, the patient numbers were relatively low and scanning was performed at 1.5 T. A more recent study by Sutter et al [40] compared MRI and MR arthrography in detecting cartilage lesions separately of the acetabulum and femoral head. Using standard MRI with FS intermediate-weighted FSE and DESS sequences, they reported sensitivity for acetabular cartilage lesions of 58% (reader 1) and 83% (reader 2) (specificity, 100% and 50%, respectively) and sensitivity for femoral cartilage defects of 50% (reader 1) and 83% (reader 2) (specificity, 100% and 59%).…”

Section: Mr Arthrographymentioning

confidence: 99%

Regional Articular Cartilage Abnormalities of the Hip

Link

Schwaiger

Zhang

2015

American Journal of Roentgenology

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Hip MRI: How Useful Is Intraarticular Contrast Material for Evaluating Surgically Proven Lesions of the Labrum and Articular Cartilage?

Abstract: MR arthrography was superior to conventional MRI for detecting labral tears and acetabular cartilage defects and showed a higher interobserver agreement. For femoral cartilage lesions, both modalities yielded comparable results.

Cited by 144 publications

References 21 publications

Validation of scoring hip osteoarthritis with MRI (SHOMRI) scores using hip arthroscopy as a standard of reference

Validation of scoring hip osteoarthritis with MRI (SHOMRI) scores using hip arthroscopy as a standard of reference

Internal Derangements of Joints—Past, Present, and Future

Regional Articular Cartilage Abnormalities of the Hip

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