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Bone marrow edema pattern in advanced hip osteoarthritis: quantitative assessment with magnetic resonance imaging and correlation with clinical examination, radiographic findings, and histopathology

Objective To correlate the amount of bone marrow edema (BME) calculated by magnetic resonance imaging(MRI) with clinical findings, histopathology, and radiographic findings, in patients with advanced hip osteoarthritis(OA). Materials and methods The study was approved by The Institutional Human Subj...

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Published in:Skeletal radiology 2008-05, Vol.37 (5), p.423-431
Main Authors: Taljanovic, Mihra S., Graham, Anna R., Benjamin, James B., Gmitro, Arthur F., Krupinski, Elizabeth A., Schwartz, Stephanie A., Hunter, Tim B., Resnick, Donald L.
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cited_by cdi_FETCH-LOGICAL-c399t-4b9825eb33cff3c7bd534caebf6ad3200906d7438592e76f3bd54ba9665a594f3
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container_end_page 431
container_issue 5
container_start_page 423
container_title Skeletal radiology
container_volume 37
creator Taljanovic, Mihra S.
Graham, Anna R.
Benjamin, James B.
Gmitro, Arthur F.
Krupinski, Elizabeth A.
Schwartz, Stephanie A.
Hunter, Tim B.
Resnick, Donald L.
description Objective To correlate the amount of bone marrow edema (BME) calculated by magnetic resonance imaging(MRI) with clinical findings, histopathology, and radiographic findings, in patients with advanced hip osteoarthritis(OA). Materials and methods The study was approved by The Institutional Human Subject Protection Committee. Coronal MRI of hips was acquired in 19 patients who underwent hip replacement. A spin echo (SE) sequence with four echoes and separate fast spin echo (FSE) proton density (PD)-weighted SE sequences of fat (F) and water (W) were acquired with water and fat suppression, respectively. T2 and water:fat ratio calculations were made for the outlined regions of interest. The calculated MRI values were correlated with the clinical, radiographic, and histopathologic findings. Results Analyses of variance were done on the MRI data for W/(W + F) and for T2 values (total and focal values) for the symptomatic and contralateral hips. The values were significantly higher in the study group. Statistically significant correlations were found between pain and total W/(W + F), pain and focal T2 values, and the number of microfractures and calculated BME for the focal W/(W + F) in the proximal femora. Statistically significant correlations were found between the radiographic findings and MRI values for total W/(W + F), focal W/(W + F) and focal T2 and among the radiographic findings, pain, and hip movement. On histopathology, only a small amount of BME was seen in eight proximal femora. Conclusion The amount of BME in the OA hip, as measured by MRI, correlates with the severity of pain, radiographic findings, and number of microfractures.
doi_str_mv 10.1007/s00256-008-0446-3
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Materials and methods The study was approved by The Institutional Human Subject Protection Committee. Coronal MRI of hips was acquired in 19 patients who underwent hip replacement. A spin echo (SE) sequence with four echoes and separate fast spin echo (FSE) proton density (PD)-weighted SE sequences of fat (F) and water (W) were acquired with water and fat suppression, respectively. T2 and water:fat ratio calculations were made for the outlined regions of interest. The calculated MRI values were correlated with the clinical, radiographic, and histopathologic findings. Results Analyses of variance were done on the MRI data for W/(W + F) and for T2 values (total and focal values) for the symptomatic and contralateral hips. The values were significantly higher in the study group. Statistically significant correlations were found between pain and total W/(W + F), pain and focal T2 values, and the number of microfractures and calculated BME for the focal W/(W + F) in the proximal femora. Statistically significant correlations were found between the radiographic findings and MRI values for total W/(W + F), focal W/(W + F) and focal T2 and among the radiographic findings, pain, and hip movement. On histopathology, only a small amount of BME was seen in eight proximal femora. Conclusion The amount of BME in the OA hip, as measured by MRI, correlates with the severity of pain, radiographic findings, and number of microfractures.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-008-0446-3</identifier><identifier>PMID: 18274742</identifier><identifier>CODEN: SKRADI</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Biological and medical sciences ; Bone Marrow Diseases - diagnostic imaging ; Bone Marrow Diseases - etiology ; Bone Marrow Diseases - pathology ; Diseases of the osteoarticular system ; Edema - diagnostic imaging ; Edema - etiology ; Edema - pathology ; Female ; Humans ; Imaging ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Medicine &amp; Public Health ; Miscellaneous. Osteoarticular involvement in other diseases ; Nuclear Medicine ; Orthopedics ; Osteoarthritis ; Osteoarthritis, Hip - complications ; Osteoarthritis, Hip - diagnosis ; Osteoarthritis, Hip - physiopathology ; Osteoarticular system. Muscles ; Pain Measurement ; Pathology ; Predictive Value of Tests ; Radiodiagnosis. Nmr imagery. 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Materials and methods The study was approved by The Institutional Human Subject Protection Committee. Coronal MRI of hips was acquired in 19 patients who underwent hip replacement. A spin echo (SE) sequence with four echoes and separate fast spin echo (FSE) proton density (PD)-weighted SE sequences of fat (F) and water (W) were acquired with water and fat suppression, respectively. T2 and water:fat ratio calculations were made for the outlined regions of interest. The calculated MRI values were correlated with the clinical, radiographic, and histopathologic findings. Results Analyses of variance were done on the MRI data for W/(W + F) and for T2 values (total and focal values) for the symptomatic and contralateral hips. The values were significantly higher in the study group. Statistically significant correlations were found between pain and total W/(W + F), pain and focal T2 values, and the number of microfractures and calculated BME for the focal W/(W + F) in the proximal femora. Statistically significant correlations were found between the radiographic findings and MRI values for total W/(W + F), focal W/(W + F) and focal T2 and among the radiographic findings, pain, and hip movement. On histopathology, only a small amount of BME was seen in eight proximal femora. Conclusion The amount of BME in the OA hip, as measured by MRI, correlates with the severity of pain, radiographic findings, and number of microfractures.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bone Marrow Diseases - diagnostic imaging</subject><subject>Bone Marrow Diseases - etiology</subject><subject>Bone Marrow Diseases - pathology</subject><subject>Diseases of the osteoarticular system</subject><subject>Edema - diagnostic imaging</subject><subject>Edema - etiology</subject><subject>Edema - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine &amp; Public Health</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Hip - complications</subject><subject>Osteoarthritis, Hip - diagnosis</subject><subject>Osteoarthritis, Hip - physiopathology</subject><subject>Osteoarticular system. Muscles</subject><subject>Pain Measurement</subject><subject>Pathology</subject><subject>Predictive Value of Tests</subject><subject>Radiodiagnosis. Nmr imagery. 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Osteoarticular involvement in other diseases</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Hip - complications</topic><topic>Osteoarthritis, Hip - diagnosis</topic><topic>Osteoarthritis, Hip - physiopathology</topic><topic>Osteoarticular system. Muscles</topic><topic>Pain Measurement</topic><topic>Pathology</topic><topic>Predictive Value of Tests</topic><topic>Radiodiagnosis. Nmr imagery. 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Materials and methods The study was approved by The Institutional Human Subject Protection Committee. Coronal MRI of hips was acquired in 19 patients who underwent hip replacement. A spin echo (SE) sequence with four echoes and separate fast spin echo (FSE) proton density (PD)-weighted SE sequences of fat (F) and water (W) were acquired with water and fat suppression, respectively. T2 and water:fat ratio calculations were made for the outlined regions of interest. The calculated MRI values were correlated with the clinical, radiographic, and histopathologic findings. Results Analyses of variance were done on the MRI data for W/(W + F) and for T2 values (total and focal values) for the symptomatic and contralateral hips. The values were significantly higher in the study group. Statistically significant correlations were found between pain and total W/(W + F), pain and focal T2 values, and the number of microfractures and calculated BME for the focal W/(W + F) in the proximal femora. Statistically significant correlations were found between the radiographic findings and MRI values for total W/(W + F), focal W/(W + F) and focal T2 and among the radiographic findings, pain, and hip movement. On histopathology, only a small amount of BME was seen in eight proximal femora. Conclusion The amount of BME in the OA hip, as measured by MRI, correlates with the severity of pain, radiographic findings, and number of microfractures.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>18274742</pmid><doi>10.1007/s00256-008-0446-3</doi><tpages>9</tpages></addata></record>
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subjects Aged
Biological and medical sciences
Bone Marrow Diseases - diagnostic imaging
Bone Marrow Diseases - etiology
Bone Marrow Diseases - pathology
Diseases of the osteoarticular system
Edema - diagnostic imaging
Edema - etiology
Edema - pathology
Female
Humans
Imaging
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Male
Medical sciences
Medicine & Public Health
Miscellaneous. Osteoarticular involvement in other diseases
Nuclear Medicine
Orthopedics
Osteoarthritis
Osteoarthritis, Hip - complications
Osteoarthritis, Hip - diagnosis
Osteoarthritis, Hip - physiopathology
Osteoarticular system. Muscles
Pain Measurement
Pathology
Predictive Value of Tests
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radiography
Radiology
Range of Motion, Articular
Scientific Article
Severity of Illness Index
title Bone marrow edema pattern in advanced hip osteoarthritis: quantitative assessment with magnetic resonance imaging and correlation with clinical examination, radiographic findings, and histopathology
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