The Role of MR Imaging in Avascular Necrosis of the Femoral Head

被引:68
作者
Karantanas, Apostolos H. [1 ]
Drakonaki, Eleni E. [1 ]
机构
[1] Univ Crete, Dept Radiol, Iraklion, Greece
关键词
MR imaging/diagnosis; hip joint; osteonecrosis; avascular necrosis; bone marrow/ischemia; vascularized grafts/osteonecrosis; BONE-MARROW EDEMA; CALVE-PERTHES-DISEASE; DOUBLE-LINE SIGN; NONTRAUMATIC OSTEONECROSIS; CHEMICAL-SHIFT; CORE DECOMPRESSION; HIP; EXTENT; ABNORMALITIES; APPEARANCE;
D O I
10.1055/s-0031-1278427
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
100231 [临床病理学]; 100902 [航空航天医学];
摘要
Due to the pattern of its blood supply, the femoral head is particularly vulnerable to avascular necrosis (AVN). Nontraumatic AVN is a devastating disorder affecting young patients, and despite treatment it normally follows a progressive course toward a destructive osteoarthropathy. Magnetic resonance (MR) imaging is currently used in major classification systems solely for early detection of femoral head AVN when plain radiographs are normal. More recent data have shown that MR imaging may improve staging, investigate radiologically occult collapse, depict other causes of disability and pain, assess prognosis, and evaluate treatment. This article reviews the established and evolving role of MR imaging in patients at risk or with known femoral head AVN.
引用
收藏
页码:281 / 300
页数:20
相关论文
共 78 条
[1]
Assouline-Dayan Y, 2002, SEMIN ARTHRITIS RHEU, V32, P94, DOI 10.1053/sarh.2002.33724
[2]
BARKER DJP, 1986, CLIN ORTHOP RELAT R, P89
[3]
Femoral head osteonecrosis: Volumetric MRI assessment and outcome [J].
Bassounas, Athanasios E. ;
Karantanas, Apostolos H. ;
Fotiadis, Dimitrios I. ;
Malizos, Konstantinos N. .
EUROPEAN JOURNAL OF RADIOLOGY, 2007, 63 (01) :10-15
[4]
Whole-body MR imaging in children with suspected osteonecrosis after intensive chemotherapy: Preliminary results [J].
Beer, M. ;
Stenzel, M. ;
Girschick, H. ;
Schlegel, P. -G. ;
Dargel, K. .
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 2008, 180 (03) :238-245
[5]
CORE DECOMPRESSION FOR AVASCULAR NECROSIS OF THE FEMORAL-HEAD - CORRELATION BETWEEN LONG-TERM RESULTS AND PREOPERATIVE MR STAGING [J].
BELTRAN, J ;
KNIGHT, CT ;
ZUELZER, WA ;
MORGAN, JP ;
SHWENDEMAN, LJ ;
CHANDNANI, VP ;
MOSURE, JC ;
SHAFFER, PB .
RADIOLOGY, 1990, 175 (02) :533-536
[6]
FEMORAL-HEAD AVASCULAR NECROSIS - MR IMAGING WITH CLINICAL-PATHOLOGIC AND RADIONUCLIDE CORRELATION [J].
BELTRAN, J ;
HERMAN, LJ ;
BURK, JM ;
ZUELZER, WA ;
CLARK, RN ;
LUCAS, JG ;
WEISS, LD ;
YANG, A .
RADIOLOGY, 1988, 166 (01) :215-220
[7]
AVASCULAR NECROSIS OF THE FEMORAL-HEAD - EARLY MRI DETECTION AND RADIOLOGICAL CORRELATION [J].
BELTRAN, J ;
BURK, JM ;
HERMAN, LJ ;
CLARK, RN ;
ZUELZER, WA ;
FREEDY, MR ;
SIMON, S .
MAGNETIC RESONANCE IMAGING, 1987, 5 (06) :431-442
[8]
Idiopathic bone marrow edema lesions of the femoral head: Predictive value of MR imaging findings [J].
Berg, BCV ;
Malghem, JJ ;
Lecouvet, FE ;
Jamart, J ;
Maldague, BE .
RADIOLOGY, 1999, 212 (02) :527-535
[9]
Detection of multifocal osteonecrosis in an adolescent with dermatomyositis using whole-body MRI [J].
Castro, Tania C. M. ;
Lederman, Henrique ;
Terreri, Maria Teresa A. ;
Kaste, Sue C. ;
Hilario, Maria Odete E. .
PEDIATRIC RADIOLOGY, 2010, 40 (09) :1566-1568
[10]
Genetic background of nontraumatic osteonecrosis of the femoral head in the Korean population [J].
Chang, Jun-Dong ;
Hur, Mina ;
Lee, Sang-Soo ;
Yoo, Je-Hyun ;
Lee, Kyu Man .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2008, 466 (05) :1041-1046