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• W2022139617 abstract "The objective of our study was to assess the diagnostic performance of two abbreviated hip MRI protocols--coronal STIR images only and coronal STIR with coronal T1-weighted images--as compared with a full hip MRI protocol in patients presenting to the emergency department (ED) with hip pain and negative radiographic findings.The cohort included 385 patients (277 females, 108 males; mean age, 61 years; age range, 16-99 years) who underwent MRI within 1 month of negative radiographs obtained for ED evaluation of hip pain between January 2000 and March 2009. MR examinations were graded independently by two musculoskeletal fellowship-trained emergency radiologists for detection of fracture, avascular necrosis (AVN), and muscle injury in three subsets: coronal STIR images only; coronal STIR images and coronal T1-weighted images; and the full examination.MRI detected findings suspicious for fracture in 42% (162/385) of patients, for AVN in 9% (33/385), and for muscle injury in 35% (134/385). The sensitivity and specificity of STIR alone in raising concern for fracture was 99% (220/223) for both readers, with small incremental benefits of adding coronal T1-weighted images. For AVN, specificity was 100% (28/28) with STIR alone, but the addition of coronal T1-weighted images provided substantial benefit by increasing sensitivity from 85% (28/33) to 97% (32/33). For muscle injury, sensitivity and specificity exceeded 95% (128/134) for both abbreviated examinations.An abbreviated MRI protocol including coronal STIR and coronal T1-weighted images has high sensitivity and specificity for fracture, AVN, and muscle injury in ED patients presenting with hip pain and negative radiographs." @default.
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• W2022139617 date "2012-06-01" @default.
• W2022139617 modified "2023-09-30" @default.
• W2022139617 title "Abbreviated MRI for Patients Presenting to the Emergency Department With Hip Pain" @default.
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• W2022139617 doi "https://doi.org/10.2214/ajr.11.7258" @default.
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