3D double-echo steady-state sequence assessment of hip joint cartilage and labrum at 3 Tesla: comparative analysis of magnetic resonance imaging and intraoperative data

• Published in: European radiology 2017-10, Vol.27 (10), p.4360-4371
• Main Authors: Schleich, Christoph, Hesper, Tobias, Hosalkar, Harish S., Rettegi, Fanni, Zilkens, Christoph, Krauspe, Rüdiger, Antoch, Gerald, Bittersohl, Bernd
• Format: Article
• Language: English
• Subjects: Accuracy; Acetabulum; Acetabulum - diagnostic imaging; Acetabulum - pathology; Adolescent; Adult; Aged; Arthroscopy; Biomedical materials; Cartilage; Cartilage, Articular - diagnostic imaging; Cartilage, Articular - pathology; Comparative analysis; Diagnostic Radiology; Diagnostic systems; Female; Femur; Femur Head - diagnostic imaging; Femur Head - pathology; High resolution; Hip; Hip joint; Hip Joint - diagnostic imaging; Hip Joint - pathology; Humans; Imaging; Imaging, Three-Dimensional; Internal Medicine; Interventional Radiology; Knee; Labrum; Lesions; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Male; Medicine; Medicine & Public Health; Middle Aged; Musculoskeletal; Neuroradiology; NMR; Nuclear magnetic resonance; Pain; Patients; Radiology; Resonance; Sensitivity; Sensitivity analysis; Sensitivity and Specificity; Steady state; Surgical implants; Ultrasound; Young Adult
• ISSN: 0938-7994; 1432-1084
• DOI: 10.1007/s00330-017-4834-8

Objectives To assess the diagnostic accuracy of a high-resolution, three-dimensional (3D) double-echo steady-state (DESS) sequence with radial imaging at 3 Tesla (T) for evaluating cartilage and labral alterations in the hip. Methods Magnetic resonance imaging (MRI) data obtained at 3 T, including radially reformatted DESS images and intraoperative data of 45 patients (mean age 42 ± 13.7 years) who underwent hip arthroscopy, were compared. The acetabular cartilage and labrum of the upper hemisphere of the acetabulum and the central femoral head cartilage were evaluated. Sensitivity, specificity, accuracy, and negative and positive predictive values were determined. Results Sensitivity, specificity and accuracy of the DESS technique were 96.7%, 75% and 93.7% for detecting cartilage lesions and 98%, 76.2% and 95.9% for detecting labral lesions. The positive and negative predictive values for detecting or ruling out cartilage lesions were 96% and 78.9%. For labral lesions, the positive and negative predictive values were 97.5% and 80%. Conclusion A high-resolution, 3D DESS technique with radial imaging at 3 T demonstrated high accuracy for detecting hip cartilage and labral lesions with excellent interobserver agreement and moderate correlation between MRI and intraoperative assessment. Key points • High-resolution, 3D DESS with radial imaging allows accurate cartilage and labrum evaluation. • DESS demonstrated high sensitivity, specificity, accuracy for detecting cartilage and labral lesions. • Highly accurate sequence may influence treatment decisions in patients with hip pain.