Validity of magnetic resonance arthrography as a diagnostic tool in femoroacetabular impingement syndrome

Gil, A.; Blanco, Rafael; Rada, P. Díaz de

doi:10.1016/j.recote.2015.04.009

Cited by 8 publications

(16 citation statements)

References 16 publications

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“…Only 12 studies were included in the quantitative meta-analysis, five studies were excluded because there was no available data as regard TP, TN, FP, FN [ 21 , 27 – 30 ] (Table 3 ). To decrease heterogeneity of data, another 4 studies were excluded because it wasn’t suitable to pool their results with another studies, one study didn’t show the used MR field-strength [ 17 ], another study used MR field-strength scanner 1 T [ 15 ] and two studies used MR field-strength scanner 3 T (one used cMRI [ 14 ] and the other used dMRA [ 31 ]) (Fig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Of these, one study used a 3-Tesla (T) field strength magnet [ 14 ], while the other 4 studies evaluated MRI using a 1.5-T magnet [ 12 , 13 , 29 , 35 ]. Fifteen studies evaluated the diagnostic test accuracy of dMRA, this was done with a 1.0-T magnet in 1 study [ 15 ], 1.5-T magnet in 11 studies [ 12 , 13 , 16 , 30 , 32 – 34 , 36 – 39 ] and 3 T magnet in 2 studies [ 14 , 31 ] and the field strength of the MRI machine was not stated in one study [ 17 ]. Five studies assessed the diagnostic test accuracy of iMRA one with 3 T magnet [ 21 ] and the others with 1.5 T magnet [ 27 , 28 , 35 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…B. 2015 [ 31 ] Spain 36 39 dMRA – 3 T Acetabular chondral lesions 78.78 81.81 11 4 3 18 Femoral head chondral lesions 71.43 72.72 10 6 4 16 Labral lesions 86.95 76.92 20 3 3 10 James, S. L. 2006 [ 29 ] United Kingdom, Australia 46 32.3 cMRI – 1.5 T Acetabular chondral lesions 94 100 N/S N/S N/S N/S Femoral head chondral lesions 100 94 N/S N/S N/S N/S Labral lesions 100 100 N/S N/S N/S N/S McGuire, C. M. 2012 [ 13 ] Ireland 61 32 dMRA – 1.5 T (31 cases) Acetabular chondral lesions 86 50 25 1 4 1 Femoral head chondral lesions 85 44 12 8 3 8 Labral lesions 96 33 25 4 1 1 cMRI – 1.5 T (30 cases) Acetabular chondral lesions 78 33 21 2 ...…”

Section: Resultsmentioning

confidence: 99%

“…Only one study used 1 T magnet [ 15 ], this low field strength may be not appropriate hip because it is large and deep joint. Three studies used 3 T magnet [ 14 , 21 , 31 ] but it was not possible to get pooled data from them because each study used different MRI type. So all the 12 studies included in the meta-analysis used 1.5 T magnetic field strength.…”

Section: Discussionmentioning

confidence: 99%

“…Gonzalez et al [ 31 ] found 87% sensitivity and 77% specificity for the diagnosis of labral lesions using dMRA. For the chondral lesions they found lower values in both locations, acetabular and femoral.…”

Section: Discussionmentioning

confidence: 99%

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Accuracy of magnetic resonance studies in the detection of chondral and labral lesions in femoroacetabular impingement: systematic review and meta-analysis

Saied

Redant

El-batouty

et al. 2017

BMC Musculoskelet Disord

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BackgroundSeveral types of Magnetic resonance imaging (MRI) are commonly used in imaging of femoroacetabular impingement (FAI), however till now there are no clear protocols and recommendations for each type. The aim of this meta-analysis is to detect the accuracy of conventional magnetic resonance imaging (cMRI), direct magnetic resonance arthrography (dMRA) and indirect magnetic resonance arthrography (iMRA) in the diagnosis of chondral and labral lesions in femoroacetabular impingement (FAI).MethodsA literature search was finalized on the 17th of May 2016 to collect all studies identifying the accuracy of cMRI, dMRA and iMRA in diagnosing chondral and labral lesions associated with FAI using surgical results (arthroscopic or open) as a reference test. Pooled sensitivity and specificity with 95% confidence intervals using a random-effects meta-analysis for MRI, dMRA and iMRA were calculated also area under receiver operating characteristic (ROC) curve (AUC) was retrieved whenever possible where AUC is equivocal to diagnostic accuracy.ResultsThe search yielded 192 publications which were reviewed according inclusion and exclusion criteria then 21 studies fulfilled the eligibility criteria for the qualitative analysis with a total number of 828 cases, lastly 12 studies were included in the quantitative meta-analysis.Meta-analysis showed that as regard labral lesions the pooled sensitivity, specificity and AUC for cMRI were 0.864, 0.833 and 0.88 and for dMRA were 0.91, 0.58 and 0.92. While in chondral lesions the pooled sensitivity, specificity and AUC for cMRI were 0.76, 0.72 and 0.75 and for dMRA were 0.75, 0.79 and 0.83, while for iMRA were sensitivity of 0.722 and specificity of 0.917.ConclusionsThe present meta-analysis showed that the diagnostic test accuracy was superior for dMRA when compared with cMRI for detection of labral and chondral lesions.The diagnostic test accuracy was superior for labral lesions when compared with chondral lesions in both cMRI and dMRA. Promising results are obtained concerning iMRA but further studies still needed to fully assess its diagnostic accuracy.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-017-1443-2) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Accuracy of magnetic resonance studies in the detection of chondral and labral lesions in femoroacetabular impingement: systematic review and meta-analysis

Saied

Redant

El-batouty

et al. 2017

BMC Musculoskelet Disord

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Heterogeneity of Lipid and Protein Cartilage Profiles Associated with Human Osteoarthritis with or without Type 2 Diabetes Mellitus

et al. 2021

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Osteoarthritis (OA) is a multifactorial pathology and comprises a wide range of distinct phenotypes. In this context, the characterization of the different molecular profiles associated with each phenotype can improve the classification of OA. In particular, OA can coexist with type 2 diabetes mellitus (T2DM). This study investigates lipidomic and proteomic differences between human OA/T2DM − and OA/T2DM + cartilage through a multimodal mass spectrometry approach. Human cartilage samples were obtained after total knee replacement from OA/T2DM − and OA/T2DM + patients. Label-free proteomics was employed to study differences in protein abundance and matrix-assisted laser desorption/ionization (MALDI) mass spectrometry imaging (MSI) for spatially resolved-lipid analysis. Label-free proteomic analysis showed differences between OA/T2DM − and OA/T2DM + phenotypes in several metabolic pathways such as lipid regulation. Interestingly, phospholipase A2 protein was found increased within the OA/ T2DM + cohort. In addition, MALDI-MSI experiments revealed that phosphatidylcholine and sphingomyelin species were characteristic of the OA/T2DM − group, whereas lysolipids were more characteristic of the OA/T2DM + phenotype. The data also pointed out differences in phospholipid content between superficial and deep layers of the cartilage. Our study shows distinctively different lipid and protein profiles between OA/T2DM − and OA/T2DM + human cartilage, demonstrating the importance of subclassification of the OA disease for better personalized treatments.

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Diagnostic Accuracy of Magnetic Resonance Arthrography in Detecting Intra-articular Pathology Associated with Femoroacetabular Impingement

Carulli

Tonelli

Melani

et al. 2018

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Purpose The aim of this study was to assess the diagnostic accuracy of magnetic resonance arthrography (MRA) in the detection of intra-articular lesions of the hip in patients affected by femoroacetabular impingement (FAI) by using arthroscopy as reference standard. Methods Twenty-nine consecutive hip arthroscopies performed in 24 patients were considered for the study. Patients had a mean age of 38.3 years. Ultrasound-guided 1.5-T MRA was performed with precontrast short tau inversion recovery, T1-weighted and PD coronal, T1-weighted, and T2-weighted axial with 3-mm-thick slice sequences, and postcontrast T1-weighted fat saturation MRA (Fat-SAT) axial, coronal and oblique sagittal, and T1-weighted Vibe 3D coronal sequences with MPR sagittal, axial, and radial reconstructions with 2-mm-thick slice and coronal density protonil (DP) Fat-SAT. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of MRA were evaluated by comparison arthroscopy for the following intra-articular findings: acetabular and femoral chondral lesions, labral degeneration, labral tears, synovitis, ligamentum teres (LT) tears, CAM lesions, pincer lesions, loose bodies, and osteophytes. Results An absolute per cent agreement (100%) was observed for all the variables in the assessment of CAM lesions. Sensitivity, specificity, PPV, and NPV of MRA were 100, 68.4, 72.7, and 100%, respectively, for acetabular chondral lesions; 100, 50, 47.3, and 100%, respectively, for femoral chondral lesions; 33, 85, 20, and 91.6%, respectively, for labral tears; 95, 71, 91.3, and 83.3%, respectively, for labral degeneration; 100, 88, 57.1, and 100%, respectively, for LT tears; 33.3, 85, 50, and 73.9%, respectively, for pincer lesions; 50, 96, 66.6, and 92.3%, respectively, for intra-articular loose bodies; and 100, 73.9, 50, and 100%, respectively, for osteophytes. Conclusion MRA may play an important role in detecting intra-articular lesions associated with FAI. This might be helpful for the preoperative planning before hip arthroscopy. Level of Evidence This is a Level 2, diagnostic accuracy study compared with gold standard.

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Validity of magnetic resonance arthrography as a diagnostic tool in femoroacetabular impingement syndrome

Cited by 8 publications

References 16 publications

Accuracy of magnetic resonance studies in the detection of chondral and labral lesions in femoroacetabular impingement: systematic review and meta-analysis

Accuracy of magnetic resonance studies in the detection of chondral and labral lesions in femoroacetabular impingement: systematic review and meta-analysis

Heterogeneity of Lipid and Protein Cartilage Profiles Associated with Human Osteoarthritis with or without Type 2 Diabetes Mellitus

Diagnostic Accuracy of Magnetic Resonance Arthrography in Detecting Intra-articular Pathology Associated with Femoroacetabular Impingement

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