1. T1-weighted MRI images accurately represent the volume and surface of architectural mineral damage of osteonecrosis of the femoral head: comparison with high-resolution computed tomography
- Author
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Laurène Norberciak, Thomas Colard, Greet Kerckhofs, Bernard Cortet, Pierre Marchandise, Julien Girard, Raphael Coursier, Sophie Putman, Tristan Pascart, J. Legrand, Julien Paccou, Jérôme Delattre, Jean-François Budzik, Guillaume Penel, Service de rhumatologie[Lille], Hôpital Roger Salengro [Lille]-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Marrow Adiposity & Bone Lab - Adiposité Médullaire et Os - ULR 4490 (MABLab (ex-pmoi)), Université du Littoral Côte d'Opale (ULCO)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Service de rhumatologie, Centre Hospitalier Universitaire de Nice (CHU Nice)-Hôpital l'Archet, Hôpital Saint Philibert [Lomme], Groupement des Hôpitaux de l'Institut Catholique de Lille (GHICL), Université catholique de Lille (UCL)-Université catholique de Lille (UCL), Evaluation des technologies de santé et des pratiques médicales - ULR 2694 (METRICS), Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Catholic University of Leuven - Katholieke Universiteit Leuven (KU Leuven), UCL - SST/IMMC/MEED - Mechatronic, Electrical Energy, and Dynamics Systems, and UCL - SSS/IREC - Institut de recherche expérimentale et clinique
- Subjects
Male ,0301 basic medicine ,High-resolution computed tomography ,Histology ,Necrosis ,X-ray microtomography ,Physiology ,Endocrinology, Diabetes and Metabolism ,[SDV]Life Sciences [q-bio] ,030209 endocrinology & metabolism ,03 medical and health sciences ,Femoral head ,Mri image ,Endocrinology ,0302 clinical medicine ,Magnetic resonance imaging ,T1 weighted ,Humans ,Medicine ,Femur head necrosis ,Minerals ,medicine.diagnostic_test ,business.industry ,Osteonecrosis ,Femur Head ,Diabetes and Metabolism ,030104 developmental biology ,medicine.anatomical_structure ,medicine.symptom ,Tomography, X-Ray Computed ,business ,Nuclear medicine ,Volume (compression) - Abstract
The potency of magnetic resonance imaging (MRI) to measure the exact extent of osteonecrosis of the femoral head (ONFH) remains uncertain. The objective of this study was to determine if the volume of necrosis assessed with MRI accurately reflects the volume of architectural mineral alterations in osteonecrosis of the femoral head by comparison with high-resolution microfocus X-ray computed tomography (HR-μCT). Fourteen male patients aged 53 years [46.2;59.0] suffering from ONFH were prospectively enrolled to undergo preoperative MRI and ex vivo analysis using HR-μCT. The necrotic zone on T1-weighted MRI scans was defined as total necrosis (delimited by the low-signal peripheral band) or dark necrosis (low-signal lesions only). The HR-μCT scans delimited outer necrosis and inner necrosis by including or excluding the sclerotic zone. The intra-class correlation coefficient (ICC) was calculated to compare the agreement of surface areas and volumes of necrosis measurements with the two techniques. There was an overall excellent agreement between MRI dark necrosis volume and HR-μCT outer necrosis volume (ICC=0.91[0.54;0.98]) while the MRI total necrosis volume showed poor agreement with both HR-μCT delimitations of necrosis volume. For surface area, agreement between MRI dark necrosis and HR-μCT delimitations was good for inner necrosis (ICC=0.70[0.21;0.9]) and moderate for outer necrosis (ICC=0.58[0.07;0.85]). This study demonstrates that measurement of the MRI lesions provides a reliable assessment of the extent of ONFH-related architectural damage. ispartof: Bone vol:130 ispartof: location:United States status: Published online
- Published
- 2019