Naraghi Ali, White Lawrence M
1 Both authors: Joint Department of Medical Imaging, University Health Network, Mount Sinai and Women's College Hospitals, University of Toronto, 585 University Ave, 1-PMB 284, Toronto, ON M5G 2N2, Canada.
AJR Am J Roentgenol. 2015 Sep;205(3):479-90. doi: 10.2214/AJR.14.12581.
Unenhanced MRI, indirect MR arthrography, and direct MR arthrography have been used in the radiologic evaluation of patients with suspected labral tears and chondral lesions of the hip. The purpose of this article is to examine the existing evidence for the use of these techniques in patients with hip pain and suspected labral or chondral abnormalities.
Evidence from a review of the radiologic literature supports the use of direct MR arthrography over unenhanced MRI and indirect MR arthrography for the detection of labral and cartilage abnormalities in the hip. Although high-resolution unenhanced 3-T MRI appears promising, limited information in the literature supports its use in the detection and characterization of chondrolabral lesions.
未增强磁共振成像(MRI)、间接磁共振关节造影及直接磁共振关节造影已用于对疑似髋关节盂唇撕裂和软骨损伤患者的放射学评估。本文旨在探讨在髋关节疼痛且疑似盂唇或软骨异常的患者中使用这些技术的现有证据。
放射学文献综述的证据支持,在检测髋关节盂唇和软骨异常方面,直接磁共振关节造影优于未增强MRI和间接磁共振关节造影。尽管高分辨率未增强3-T MRI似乎很有前景,但文献中的信息有限,支持其用于检测和鉴别软骨盂唇损伤。