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Bony abnormalities of the hip joint: a new comprehensive, reliable and radiation-free measurement method using magnetic resonance imaging.

作者信息

Harris-Hayes Marcie, Commean Paul K, Patterson Jacqueline D, Clohisy John C, Hillen Travis J

机构信息

Program in Physical Therapy and Department of Orthopaedic Surgery, Washington University School of Medicine, 4444 Forest Park, Campus Box 8502, St. Louis, MO 63108, United States, .

Electronic Radiology Lab in Mallinckrodt Institute of Radiology, Washington University School of Medicine, Campus Box 8131, St Louis, 63110, MO United States.

出版信息

J Hip Preserv Surg. 2014;1(2):62-70. doi: 10.1093/jhps/hnu009.


DOI:10.1093/jhps/hnu009
PMID:25558377
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4280561/
Abstract

OBJECTIVES: To develop comprehensive and reliable radiation-free methods to quantify femoral and acetabular morphology using MRI. METHODS: 32 hips (16 subjects, 6 with intra-articular hip disorder (IAHD); 10 controls) were included. A 1.5T magnetic resonance system was used to obtain 3D fat suppressed gradient echo images at the pelvis and distal femora. After acquisition, pelvic images were post-processed to correct for coronal, axial and sagittal rotation. Measurements performed included acetabular version (AV), femoral version (FV), lateral center edge angle (LCEA), femoral neck angle (FNA) and alpha angle (AA) at 3, 2, 1 and 12 o'clock. Two experienced raters, a musculoskeletal radiologist and an orthopaedic physical therapist, and a novice rater, a research assistant, completed reliability testing. Raters measured all hips twice with minimum 2 weeks between sessions. Intraclass Correlation Coefficients were used to determine rater reliability; standard error of measurements was reported to estimate the reasonable limits of the expected error in the different raters' scores. RESULTS: Interrater reliability was good to excellent for all raters for AV, FV, FNA, and LCEA (ICCs: 0.82-0.98); good to excellent between experienced raters (ICCs: 0.78-0.86) and poor to good between novice and experienced raters (ICCs: 0.23-0.78) for AA. Intrarater reliability was good to excellent for all raters for AV, FV and FNA (ICCs: 0.93-0.99); for one experienced and novice rater for LCEA (ICCs: 0.84-0.89); moderate to excellent for the experienced raters for AA (ICCs: 0.72-0.89). Intrarater reliability was poor for the second experienced rater for LCEA (ICC: 0.56), due to a single measurement error and for the novice rater for AA (ICCs: 0.17-0.38). CONCLUSION: We described MRI methods to comprehensively assess femoral and acetabular morphology. Measurements such as AV, FV and FNA and the LCEA can be made reliably by both experienced and novice raters, however the AA measurement was reliable only among experienced raters.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/8fbdf793e499/hnu009f5p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/ccfe17b36736/hnu009f1p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/d622578241ee/hnu009f2p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/0a8bbd61d3a5/hnu009f3p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/4226145c1dba/hnu009f4p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/8fbdf793e499/hnu009f5p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/ccfe17b36736/hnu009f1p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/d622578241ee/hnu009f2p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/0a8bbd61d3a5/hnu009f3p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/4226145c1dba/hnu009f4p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c447/4765289/8fbdf793e499/hnu009f5p.jpg

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Bony abnormalities of the hip joint: a new comprehensive, reliable and radiation-free measurement method using magnetic resonance imaging.

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[6]
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[8]
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本文引用的文献

[1]
The influence of pelvic tilt on acetabular orientation and cover: a three-dimensional computerised tomography analysis.

Hip Int. 2013

[2]
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Acta Orthop. 2013-1-23

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Hip Int. 2012

[4]
Can radiographic morphometric parameters for the hip be assessed on MRI?

Clin Orthop Relat Res. 2012-10-26

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How useful is the alpha angle for discriminating between symptomatic patients with cam-type femoroacetabular impingement and asymptomatic volunteers?

Radiology. 2012-5-31

[6]
Femoral anteversion in the hip: comparison of measurement by computed tomography, magnetic resonance imaging, and physical examination.

Arthroscopy. 2012-2-1

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PM R. 2011-11

[8]
A quantitative method to assess focal acetabular overcoverage resulting from pincer deformity using CT data.

Clin Orthop Relat Res. 2011-7-12

[9]
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Int Orthop. 2011-7-1

[10]
Pelvic positioning creates error in CT acetabular measurements.

Clin Orthop Relat Res. 2011-3-2

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