Schedel H, Buchner H, Ziegler L, Vogl T, Hilbertz T, Lissner J
Radiologische Klinik und Poliklinik, Ludwig-Maximilians-Universität München.
Rofo. 1992 May;156(5):415-9. doi: 10.1055/s-2008-1032912.
46 patients with avascular necrosis of the femoral head were examined by T2- and T1-weighted MR before and after infusion of Gd-DTPA. Both sides were involved in 12 cases. The classification was done according to Ficat. In early stages and in postoperative studies a correlation of signal intensity after infusion of Gd-DTPA and clinical symptoms was found. Hyperintensity of the avascular area or of the implanted material was assumed to be vascularised or vital components in 4 cases of Ficat I and in 15 postoperative studies. Contrariwise, we found in 5 patients with severe postoperative symptoms, low signal intensity areas due to avascular regions.
