Skip to main content
SpringerLink
Log in

MR arthrography of the hip: evaluation of isotropic 3D intermediate-weighted FSE and hybrid GRE T1-weighted sequences

  • MUSCULOSKELETAL RADIOLOGY
  • Published:
La radiologia medica Aims and scope Submit manuscript

Abstract

Purpose

To compare the diagnostic performance of three-dimensional (3D) intermediate-weighted FSE (IW-3D) and 3D hybrid T1-weighted sequences (Hy-3D) and 2D fast-spin-echo sequences (FSE) in diagnosing chondral and labral lesions at 1.5 Tesla hip MR arthrography (MRA).

Materials and methods

Institutional review board approval was obtained and informed consent was waived. Ninety-two consecutive patients were evaluated. Chondral and labral lesions were retrospectively and independently evaluated by two radiologists. Intra-operative findings were used as the reference standard (arthroscopy = 73, open surgery = 19). Sensitivity (Se), specificity (Sp), and accuracy (Acc) values that obtained were compared using McNemar test. A value of p < 0.05 was considered statistically significant. Inter-observer agreement was calculated using kappa statistics.

Results

Surgeons revealed 81 labrum and 44 chondral lesions, respectively. The highest Se, Sp, and Acc for Reader 1 were 96.3, 90.9, and 95.6%, respectively, in evaluating labral lesions (by reading 2D data set) and 90.9, 100, and 95.7% in evaluating chondral lesions (by reading IW-3D images). The highest Se, Sp, and Acc for Reader 2 were 93.8, 81.8, and 92.4% in evaluating labral lesions (using 2D images) and 88.6, 97.9, and 93.5%, respectively, in evaluating chondral lesions (using Hy-3D). The difference of diagnostic accuracy achieved was not significant (p > 0.05). A near-perfect inter-observer agreement was achieved by reading 2D data set (k = 0.88) and Hy-3D (k = 0.83) and IW-3D (k = 0.85).

Conclusions

At 1.5 Tesla hip MRA, the accuracy of IW-3D and Hy-3D images was not significantly higher than the 2D sequences in evaluating acetabular labrum and chondral lesions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Naraghi A, White LM (2015) MRI of labral and chondral lesions of the hip. AJR Am J Roentgenol 205(3):479–490

    Article  PubMed  Google Scholar 

  2. Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 417:112–120

    Google Scholar 

  3. Aliprandi A, Di Pietto F, Minafra P, Zappia M, Pozza S, Sconfienza LM (2014) Femoro-acetabular impingement: what the general radiologist should know. Radiol Med 119(2):103–112

    Article  PubMed  Google Scholar 

  4. Tanzer M, Noiseux N (2004) Osseous abnormalities and early osteoarthritis: the role of hip impingement. Clin Orthop Relat Res 429:170–177

    Article  Google Scholar 

  5. Bardakos NV, Villar RN (2009) Predictors of progression of osteoarthritis in femoroacetabular impingement: a radiological study with a minimum of ten years follow-up. J Bone Joint Surg Br 91(2):162–169

    Article  CAS  PubMed  Google Scholar 

  6. Bredella MA, Ulbrich EJ, Stoller DW, Anderson SE (2013) Femoroacetabular impingement. Magn Reson Imaging Clin N Am 21(1):45–64

    Article  PubMed  Google Scholar 

  7. Robinson P (2012) Conventional 3-T MRI and 1.5-T MR arthrography of femoroacetabular impingement. AJR Am J Roentgenol 199(3):509–515

    Article  PubMed  Google Scholar 

  8. Rubin DA (2013) Femoroacetabular impingement: fact, fiction, or fantasy? AJR Am J Roentgenol 201(3):526–534

    Article  PubMed  Google Scholar 

  9. Rakhra KS (2011) Magnetic resonance imaging of acetabular labral tears. J Bone Joint Surg Am 93(2):28–34

    Article  PubMed  Google Scholar 

  10. Petersilge CA (2000) Chronic adult hip pain: MR arthrography of the hip. Radiographics 20(suppl_1):S43–S52

    Article  PubMed  Google Scholar 

  11. Toomayan GA, Holman WR, Major NM, Kozlowicz SM, Vail TP (2006) Sensitivity of MR arthrography in the evaluation of acetabular labral tears. AJR Am J Roentgenol 186(2):449–453

    Article  PubMed  Google Scholar 

  12. Czerny C, Hoffman S, Newhold A et al (1996) Lesions of the acetabular labrum: accuracy of MR imaging and MR arthrography in detection and staging. Radiology 200(1):225–230

    Article  CAS  PubMed  Google Scholar 

  13. Studler U, Kalberer F, Leunig M et al (2008) MR arthrography of the hip: differentiation between an anterior sublabral recess as a normal variant and a labral tear. Radiology 249(3):947–954

    Article  PubMed  Google Scholar 

  14. Blankenbaker DG, Tuite MJ (2013) Acetabular Labrum. Magn Reson Imaging Clin N Am 21(1):21–33

    Article  PubMed  Google Scholar 

  15. Thomas JD, Li Z, Agur AM, Robinson P (2013) Imaging of the acetabular labrum. Semin Musculoskelet Radiol 17(3):248–257

    Article  PubMed  Google Scholar 

  16. Sutter R, Zubler V, Hoffmann A et al (2014) Hip MRI: how useful is intraarticular contrast material for evaluating surgically proven lesions of the labrum and articular cartilage? AJR Am J Roentgenol 202(1):160–169

    Article  PubMed  Google Scholar 

  17. Kijowski R, Davis KW, Woods MA et al (2009) Knee joint: comprehensive assessment with 3D isotropic resolution fast spin-echo MR imaging—diagnostic performance compared with that of conventional MR imaging at 3.0 T. Radiology 252(2):486–495

    Article  PubMed  Google Scholar 

  18. Kwon JW, Yoon YC, Choi SH (2012) Three-dimensional isotropic T2-weighted cervical MRI at 3T: comparison with two-dimensional T2-weighted sequences. Clin Radiol 67(2):106–113

    Article  CAS  PubMed  Google Scholar 

  19. Stevens KJ, Wallace CG, Chen W, Rosenberg JK, Gold GE (2011) Imaging of the wrist at 1.5 Tesla using isotropic three-dimensional fast spin echo cube. J Magn Reson Imaging 33(4):908–915

    Article  PubMed  PubMed Central  Google Scholar 

  20. Abraham CL, Bangerter NK, McGavin LS et al (2015) Accuracy of 3D dual echo steady state (DESS) MR arthrography to quantify acetabular cartilage thickness. J Magn Reson Imaging 42(5):1329–1338

    Article  PubMed  PubMed Central  Google Scholar 

  21. Rakhra KS, Sheikh AM, Allen D, Beaule PE (2009) Comparison of MRI alpha angle measurement planes in femoroacetabular impingement. Clin Orthop Relat Res 467(3):660–665

    Article  PubMed  Google Scholar 

  22. Nishii T, Sugano N, Sato Y, Tanaka H, Miki H, Yoshikawa H (2004) Three-dimensional distribution of acetabular cartilage thickness in patients with hip dysplasia: a fully automated computational analysis of MR imaging. Osteoarthr Cartil 12(8):650–657

    Article  PubMed  Google Scholar 

  23. Knuesel PR, Pfirrmann CW, Noetzli HP et al (2004) MR arthrography of the hip: diagnostic performance of a dedicated water-excitation 3D double-echo steady-state sequence to detect cartilage lesions. AJR Am J Roentgenol 183(6):1729–1735

    Article  PubMed  Google Scholar 

  24. Park SY, Park JS, Jin W, Rhyu KH, Ryu KN (2013) Diagnosis of acetabular labral tears: comparison of three-dimensional intermediate-weighted fast spin-echo MR arthrography with two-dimensional MR arthrography at 3.0 T. Acta Radiol 54(1):75–82

    Article  PubMed  Google Scholar 

  25. Foti G, Avanzi P, Mantovani W, et al (2017) MR arthrography of the shoulder: evaluation of isotropic 3D intermediate-weighted FSE and hybrid GRE T1-weighted sequences. Radiol Med. doi: 10.1007/s11547-017-0728-8. [Epub ahead of print]

  26. Ziegert AJ, Blankenbaker DG, De Smet AA, Keene JS, Shinki K, Fine JP (2009) Comparison of standard hip MR arthrographic imaging planes and sequences for detection of arthroscopically proven labral tear. AJR Am J Roentgenol 192(5):1397–1400

    Article  PubMed  Google Scholar 

  27. Magee T (1053) 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):20140817

    Google Scholar 

  28. Montgomery SR, Ngo SS, Hobson T et al (2013) Trends and demographics in hip arthroscopy in the United States. Arthroscopy 29(4):661–665

    Article  PubMed  Google Scholar 

  29. Viera AJ, Garrett JM (2005) Understanding interobserver agreement: the kappa statistic. Fam Med 37(5):360–363

    PubMed  Google Scholar 

  30. Kijowski R, Gold GE (2011) Routine 3D magnetic resonance imaging of joints. J Magn Reson Imaging 33(4):758–771

    Article  PubMed  Google Scholar 

  31. Jung JY, Yoon YC, Kwon JW, Ahn JH, Choe BK (2009) Diagnosis of internal derangement of the knee at 3.0-T MR imaging: 3D isotropic intermediate-weighted versus 2D sequences. Radiology 253(3):780–787

    Article  PubMed  Google Scholar 

  32. Gold GE, Busse RF, Beehler C et al (2007) Isotropic MRI of the knee with 3D fast spin-echo extended echo-train acquisition (XETA): initial experience. AJR Am J Roentgenol 188(5):1287–1293

    Article  PubMed  Google Scholar 

  33. Notohamiprodjo M, Horng A, Pietschmann MF et al (2009) MRI of the knee at 3T: first clinical results with an isotropic PDfs-weighted 3D-TSE-sequence. Invest Radiol 44(4):585–597

    Article  PubMed  Google Scholar 

  34. Di Pietto F, Chianca V, De Ritis R et al (2017) Postoperative imaging in arthroscopic hip surgery. Musculoskelet Surg. 101(1):43–49

    Article  PubMed  Google Scholar 

  35. Messina C, Banfi G, Aliprandi A et al (2016) Ultrasound guidance to perform intra-articular injection of gadolinium-based contrast material for magnetic resonance arthrography as an alternative to fluoroscopy: the time is now. Eur Radiol 26(5):1221–1225

    Article  PubMed  Google Scholar 

  36. Pozzi G, Lanza E, Parra CG, Merli I, Sconfienza LM, Zerbi A (2017) Incidence of greater trochanteric pain syndrome in patients suspected for femoroacetabular impingement evaluated using magnetic resonance arthrography of the hip. Radiol Med 122(3):208–214

    Article  PubMed  Google Scholar 

  37. Schmaranzer F, Klauser A, Kogler M et al (2015) Diagnostic performance of direct traction MR arthrography of the hip: detection of chondral and labral lesions with arthroscopic comparison. Eur Radiol 25(6):1721–1730

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Sacro Cuore Hospital, Negrar, Italy

    Giovanni Foti & Giovanni Carbognin

  2. Department of Orthopedic Surgery, Sacro Cuore Hospital, Negrar, Italy

    Antonio Campacci, Michele Conati & Claudio Zorzi

  3. Department of Radiology, Borgo Roma Hospital, Verona, Italy

    Mirko Trentadue

Authors
  1. Giovanni Foti
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Antonio Campacci
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michele Conati
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mirko Trentadue
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Claudio Zorzi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Giovanni Carbognin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Giovanni Foti.

Ethics declarations

Disclosure

The scientific guarantor, corresponding author of this publication, is Dr. Giovanni Foti. The authors of this manuscript declare no relationships with any companies. The authors state that this work has not received any funding. One of the authors has significant statistical expertise. In addition, none study subjects or cohorts have been previously published.

conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Since this was a retrospective study, formal consent was not required. Institutional Review Board approval was obtained and written informed consent was waived by the Institutional Review Board for this single institution retrospective study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Foti, G., Campacci, A., Conati, M. et al. MR arthrography of the hip: evaluation of isotropic 3D intermediate-weighted FSE and hybrid GRE T1-weighted sequences. Radiol med 122, 774–784 (2017). https://doi.org/10.1007/s11547-017-0780-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11547-017-0780-4

Keywords

Search

Navigation