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Labral and cartilage abnormalities in young patients with hip pain: accuracy of 3-Tesla indirect MR arthrography

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Abstract

Objective

Assess the diagnostic accuracy of 3-T indirect magnetic resonance arthrography (iMRA) for hip cartilage and labral pathology detection using arthroscopy as the reference standard and compare it to the published performance of direct magnetic resonance arthrography (dMRA).

Materials and methods

Between 2009 and 2011, 290 patients suspected of having femoroacetabular impingement underwent iMRA. Our study group consisted of 41 of these patients (17 males, mean age 35 years; 24 females, mean age 33 years) who did not have a prior history of hip surgery and who subsequently underwent arthroscopy. Two experienced musculoskeletal radiologists separately evaluated the randomized and anonymized studies for the presence and quadrant location of labral and cartilage pathology. These recorded data were compared to arthroscopic reports.

Results

Forty-one patients had labral pathology, 34 patients had acetabular and 5 patients had femoral cartilage pathology at arthroscopy. Sensitivity, specificity, accuracy, negative- and positive-predictive values for labral lesion detection were respectively 98, 99, 99, 99 and 98 %; for acetabular cartilage lesion detection they were 69, 98, 89, 87 and 95 %; for femoral cartilage lesion detection they were 69, 95, 93 and 39 %. Sensitivities of iMRA by quadrant (anteroinferior, anterosuperior, posteroinferior, posterosuperior) for the labrum were 100.0, 95.0, NA and 85.7 %, for acetabular cartilage were NA, 58.8, NA and 39.5 % and for femoral cartilage were 50.0, 33.3, 75.0 and 75.0 %). NA indicates results not available because of the absence of findings in those quadrants. Specificities of iMRA by quadrant (anteroinferior, anterosuperior, posteroinferior, posterosuperior) for the labrum (95.0, 100.0, 95.1, 67.5 %), acetabular (100.0, 85.7, 92.6, 79.5 %) and femoral cartilage (100.0, 94.7, 96.2, 85.9 %).

Conclusion

iMRA at 3 T is accurate in detecting labral pathology suggesting that it is a viable alternative to dMRA.

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Aknowledgments

The authors thank James Babb for providing his statistical expertise.

Conflicts of interest

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Authors and Affiliations

  1. Department of Radiology, NYU Langone Medical Center-Hospital for Joint Diseases, 301 East 17th Street, New York, NY, 10003, USA

    Catherine N. Petchprapa & Leon D. Rybak

  2. Department of Radiology, NYU Langone Medical Center, 560 1st Avenue, New York, NY, 10016, USA

    Kevin S. Dunham & Michael P. Recht

  3. The Bernard and Irene Schwartz Center for Biomedical Imaging, NYU Langone Medical Center, 660 1st Avenue, New York, NY, 10016, USA

    Riccardo Lattanzi

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  1. Catherine N. Petchprapa
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  2. Leon D. Rybak
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Correspondence to Catherine N. Petchprapa.

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Petchprapa, C.N., Rybak, L.D., Dunham, K.S. et al. Labral and cartilage abnormalities in young patients with hip pain: accuracy of 3-Tesla indirect MR arthrography. Skeletal Radiol 44, 97–105 (2015). https://doi.org/10.1007/s00256-014-2013-4

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