Comparison of 2D, 3D, and radially reformatted MR images in the detection of labral tears and acetabular cartilage injury in young patients.
Cartilage injury
Hip
Imaging
Labral tear
Journal
Skeletal radiology
ISSN: 1432-2161
Titre abrégé: Skeletal Radiol
Pays: Germany
ID NLM: 7701953
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
21
05
2020
accepted:
27
07
2020
revised:
24
07
2020
pubmed:
11
8
2020
medline:
25
6
2021
entrez:
11
8
2020
Statut:
ppublish
Résumé
The purpose of this study was to compare the utility of two-dimensional high-resolution (2D), 3-dimensional with multiplanar reconstruction (3D MPR), and radially reformatted (RR) MRIs when evaluating the complexities of the hip joint in patients with femoroacetabular impingement (FAI). We hypothesized RR would be superior in detecting labral pathology and 2D would be superior in detecting transition zone and acetabular cartilage injury. 2D, 3D MPR, and RR MRIs of 33 patients, who later underwent surgical treatment for FAI, were evaluated for sensitivity, specificity, and accuracy. Bland-Altman methods were used to estimate agreement between each method and the gold-standard, arthroscopic visualization of the hip joint, regarding the percentage of the hip joint affected by each injury type. 3D MPR and RR groupings were associated with the highest sensitivity and accuracy for labral injury. 3D MPR demonstrated the smallest bias in assessing the percentage of joint affected by labral injury and was the most accurate in identifying acetabular cartilage injury, whereas RR had the smallest mean difference in assessing the percentage of joint affected by acetabular cartilage injury. 2D was the most accurate in identifying transition zone injuries, while RR was superior in assessing the percentage of the joint affected by transition zone injury. Our results suggest that including both 3D MPR and RR MRI groupings is favorable for accurate joint visualization and well-informed treatment planning, especially given that labral injury is a main source of pain and dysfunction for FAI patients.
Identifiants
pubmed: 32772127
doi: 10.1007/s00256-020-03566-x
pii: 10.1007/s00256-020-03566-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
381-388Références
Crespo-Rodriquez AM, de Lucas Villarrubia JC, Pastrana-Ledesma MA, Millan SI, Padron M. Diagnosis of lesions of the acetabular labrum, of the labral-chondral transition zone, and of the cartilage in femoroacetabular impingement: correlation between direct magnetic resonance arthrography and hip arthroscopy. Radiologia. 2015;57(2):131–41.
doi: 10.1016/j.rx.2013.11.002
James SL, Ali K, Malara F, Young D, O’Donnell J, Connell DA. MRI findings of femoroacetabular impingement. AJR Am J Roentgenol. 2006;187(6):1412–9.
doi: 10.2214/AJR.05.1415
Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.
Bittersohl B, Hosalkar HS, Apprich S, Werlen SA, Siebenrock KA, Mamisch TC. Comparison of pre-operative dGEMRIC imaging with intra-operative findings in femoroacetabular impingement: preliminary findings. Skelet Radiol. 2011;40(5):553–61.
doi: 10.1007/s00256-010-1038-6
Naraghi A, White LM. MRI of labral and chondral lesions of the hip. Am J Roentgenol. 2015;205(3):479–90.
doi: 10.2214/AJR.14.12581
Rakhra KS. Magnetic resonance imaging of acetabular labral tears. J Bone Joint Surg Am. 2011;93(Suppl 2):28–34.
doi: 10.2106/JBJS.J.01722
Potter HG, Schachar J. High resolution noncontrast MRI of the hip. J Magn Reson Imaging. 2010;31(2):268–78.
doi: 10.1002/jmri.22025
Omar IM, Blount KJ. Magnetic resonance imaging of the hip. Top Magn Reson Imaging. 2015;24(4):165–81.
doi: 10.1097/RMR.0000000000000057
Li AE, Jawetz ST, Greditzer HG, Burge AJ, Nawabi DH, Potter HG. MRI for the preoperative evaluation of femoroacetabular impingement. Insights Imaging. 2016;7(2):187–98.
doi: 10.1007/s13244-015-0459-0
Ziegert AJ, Blankenbaker DG, De Smet AA, Keene JS, Shinki K, Fine JP. Comparison of standard hip MR arthrographic imaging planes and sequences for detection of arthroscopically proven labral tear. AJR Am J Roentgenol. 2009;192(5):1397–400.
doi: 10.2214/AJR.08.1609
Petchprapa CN, Dunham KS, Lattanzi R, Recht MP. Demystifying radial imaging of the hip. RadioGraphics. 2013 May;33(3):E97–112.
doi: 10.1148/rg.333125030
Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87(7):1012–8.
doi: 10.1302/0301-620X.87B7.15203
Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br. 1961;43B(4):752–7.
doi: 10.1302/0301-620X.43B4.752
Blankenbaker DG, De Smet AA, Keene JS, Fine JP. Classification and localization of acetabular labral tears. Skelet Radiol. 2007;36(5):391–7.
doi: 10.1007/s00256-006-0240-z
Philippon MJ, Michalski MP, Campbell KJ, Goldsmith MT, Devitt BM, Wijdicks CA, et al. An anatomical study of the acetabulum with clinical applications to hip arthroscopy. J Bone Joint Surg Am. 2014 Oct 15;96(20):1673–82.
doi: 10.2106/JBJS.M.01502
Philippon MJ, Stubbs AJ, Schenker ML, Maxwell RB, Ganz R, Leunig M. Arthroscopic management of femoroacetabular impingement: osteoplasty technique and literature review. Am J Sports Med. 2007;35(9):1571–80.
doi: 10.1177/0363546507300258
Byrd JW, Jones KS, Gwathmey FW. Femoroacetabular impingement in adolescent athletes: outcomes of arthroscopic management. Am J Sports Med. 2016;44(8):2106–11.
doi: 10.1177/0363546516648325
Crespo-Rodríguez AM, de Lucas-Villarrubia JC, Pastrana-Ledesma M, Hualde-Juvera A, Méndez-Alonso S, Padron M. The diagnostic performance of non-contrast 3-tesla magnetic resonance imaging (3-T MRI) versus 1.5-tesla magnetic resonance arthrography (1.5-T MRA) in femoro-acetabular impingement. Eur J Radiol. 2017 Mar;88:109–16.
doi: 10.1016/j.ejrad.2016.12.031
Linda DD, Naraghi A, Murnaghan L, Whelan D, White LM. Accuracy of non-arthrographic 3T MR imaging in evaluation of intra-articular pathology of the hip in femoroacetabular impingement. Skelet Radiol. 2017;46(3):299–308.
doi: 10.1007/s00256-016-2551-z
Magee T. Comparison of 3.0-T MR vs 3.0-T MR arthrography of the hip for detection of acetabular labral tears and chondral defects in the same patient population. Br J Radiol. 2015;88(1053):20140817.
doi: 10.1259/bjr.20140817
Sutter R, Zubler V, Hoffmann A, Mamisch-Saupe N, Dora C, Kalberer F, et al. Hip MRI: how useful is intraarticular contrast material for evaluating surgically proven lesions of the labrum and articular cartilage? AJR Am J Roentgenol. 2014;202:160–9.
doi: 10.2214/AJR.12.10266
Tian CY, Wang JQ, Zheng ZZ, Ren AH. 3.0 T conventional hip MR and hip MR arthrography for the acetabular labral tears confirmed by arthroscopy. Eur J Radiol. 2014;83:1822–7.
doi: 10.1016/j.ejrad.2014.05.034