Evidence map›Paper›PMID 28432505›Full record

ArticleEuropean radiology2017

3D double-echo steady-state sequence assessment of hip joint cartilage and labrum at 3 Tesla: comparative analysis of magnetic resonance imaging and intraoperative data.

Christoph Schleich, Tobias Hesper, Harish S Hosalkar, Fanni Rettegi, Christoph Zilkens, Rüdiger Krauspe, Gerald Antoch, Bernd Bittersohl

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Best Practices: Hip Femoroacetabular Impingement.AJR. American journal of roentgenology · 2021
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
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  7. The imaging evaluation of acetabular labral lesions.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021
    Review
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  9. Article
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Christoph SchleichDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University of Dusseldorf, Düsseldorf, Germany.
Tobias HesperDepartment of Orthopedic Surgery, Medical Faculty, University of Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany. tobias.hesper@med.uni-duesseldorf.de.
Harish S HosalkarJoint Preservation and Deformity Correction, Paradise Valley Hospital, San Diego, CA, USA.
Fanni RettegiDepartment of Orthopedic Surgery, Medical Faculty, University of Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
Christoph ZilkensDepartment of Orthopedic Surgery, Medical Faculty, University of Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
Rüdiger KrauspeDepartment of Orthopedic Surgery, Medical Faculty, University of Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
Gerald AntochDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University of Dusseldorf, Düsseldorf, Germany.
Bernd BittersohlDepartment of Orthopedic Surgery, Medical Faculty, University of Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.

Funding

none none
6 · The paper itself

Abstract

objectivesTo assess the diagnostic accuracy of a high-resolution, three-dimensional (3D) double-echo steady-state (DESS) sequence with radial imaging at 3 Tesla (T) for evaluating cartilage and labral alterations in the hip.

methodsMagnetic resonance imaging (MRI) data obtained at 3 T, including radially reformatted DESS images and intraoperative data of 45 patients (mean age 42 ± 13.7 years) who underwent hip arthroscopy, were compared. The acetabular cartilage and labrum of the upper hemisphere of the acetabulum and the central femoral head cartilage were evaluated. Sensitivity, specificity, accuracy, and negative and positive predictive values were determined.

resultsSensitivity, specificity and accuracy of the DESS technique were 96.7%, 75% and 93.7% for detecting cartilage lesions and 98%, 76.2% and 95.9% for detecting labral lesions. The positive and negative predictive values for detecting or ruling out cartilage lesions were 96% and 78.9%. For labral lesions, the positive and negative predictive values were 97.5% and 80%.

conclusionA high-resolution, 3D DESS technique with radial imaging at 3 T demonstrated high accuracy for detecting hip cartilage and labral lesions with excellent interobserver agreement and moderate correlation between MRI and intraoperative assessment. KEY POINTS: • High-resolution, 3D DESS with radial imaging allows accurate cartilage and labrum evaluation. • DESS demonstrated high sensitivity, specificity, accuracy for detecting cartilage and labral lesions. • Highly accurate sequence may influence treatment decisions in patients with hip pain.

Indexed as

AcetabulumAdolescentAdultAgedArthroscopyCartilage, ArticularFemaleFemur HeadHip JointHumansImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle AgedSensitivity and SpecificityYoung Adult3D DESSAcetabular labrumHip arthroscopyHip cartilageMagnetic resonance imaging

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.