Yıl: 2016 Cilt: 23 Sayı: 1 Sayfa Aralığı: 70 - 76 Metin Dili: İngilizce DOI: 10.5455/jtomc.2016.01.08 İndeks Tarihi: 03-06-2020

Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography

Öz:
Aim: To compare computed tomography arthrography (CTA) and magnetic resonancearthrography (MRA) in the evaluation of intra-artcular hip lesions.Material and Methods: 42 CTA and MRA procedures were performed for 41 patients whohave arthrography indications after standard hip MR examinations. All imaging findings wereevaluated by a single musculoskeletal radiologist. Data regarding the presence of labral tear,paralabral cyst, cartilage damage, the femoral head-neck morphology and the acetabularretroversion were noted for each examination. Eight patients were operated. The McNemarchi-square test was used to compare radiological examinations.Results: Labral tears and cartilage damages were the most common findings. Labral tears werevisualized at 23 of 42 (%55) hips on MRA and most common site of location was anterosuperiorquadrant (21/23, %91.3), on the other hand they were visualized at 17 of 42 (%40) hips on CTAwith the most common site as anterosuperior quadrant (15/17, %88.2). Cartilage lesions werevisualized 10 of 42 (%24.80) hips on MRA while 11 (%26.19) cartilage lesions were shown onCTA. %9.5 (4/42) patients have acetabular cartilage lesions and %14.3 (6/42) patients haveboth acetabular and femoral cartilage lesions on MRA. Meanwhile %11.9 (5/42) patients haveacetabular cartilage lesions, %2.4 (1/42) patients has femoral cartilage lesions alone, and also%11.9 (5/42) patients have both acetabular and femoral cartilage lesions on CTA. Statisticalanalysis shows that CTA and MRA are compatible with each other for the evaluation ofintraarticular hip lesions (p>0.05).Conclusion: CTA can be used as an alternative imaging method to MRA for the detection ofintra-articular pathologies in appropriate patients especially who have imaging challenges dueto surgical hardwares and contraindications of the MRI procedure.
Anahtar Kelime:

Kalça İntraartiküler Patolojilerinin Değerlendirilmesinde BT Artrografisi ve MR Artrografisinin Karşılaştırılması

Öz:
Amaç: Kalçada eklem içi ve eklem ile ilişkili patolojik durumlarda bilgisayarlı tomografi artrografisini (BTA) manyetik rezonans artrografisi (MRA) ile karşılaştırmak. Gereç ve Yöntem: Standart MRG incelemesinin sonrasında artrografi endikasyonu bulunan 41 olguda BTA ve MRA incelemeleri (42 işlem) yapıldı. Görüntüler tek bir radyolog tarafından değerlendirilerek labral yırtık, paralabral kist, kıkırdak hasarı, femur baş-boyun bileşkesinde kemik çıkıntı ve asetabuler retroversiyon varlığı her bir inceleme için not edildi. Bu olgulardan 8 tanesi opere oldu. Radyolojik tetkiklerin karşılaştırmaları için Mc Nemar ki-kare testi uygulandı. Bulgular: En sık saptanan bulgular labral yırtık ve kıkırdak hasarı idi. Labral yırtık bulgusu MRA tetkikinde 42 kalçanın 23’ünde (%55) ve en sık anterosüperior kadranda (21/23, %91.3), BTA tetkikinde ise 17’sinde (%40) ve en sık anterosüperior kadranda (15/17, %88.2) tespit edildi. Kıkırdak lezyonları MRA tetkikinde 42 kalçanın 10’unda (%24.80), BTA tetkikinde ise 11’inde (%26.19) tespit edilmiştir. Bu lezyonlar MRA’da %9.5 (4/42) olguda asetabular, %14.3 (6/42) olguda asetabular ve femoral tarafta birlikte, BTA’da ise %11.9 (5/42) olguda asetabular %11.9 (5/42) olguda asetabular ve femoral tarafta birlikte, %2.4 (1/42) olguda ise femoral tarafta tespit edildi. İstatiksel değerlendirmeye göre kalçada eklem içi ve eklem ile ilişkili lezyonların tanısında BTA ve MRA’nın birbirleri ile uyumlu olduğu (p>0.05) sonucuna ulaşıldı. Sonuç: Öncelikle MR kontrendikasyonu bulunan veya cerrahi donanıma bağlı görüntüleme zorlukları yaşanacak olgularda olmak üzere, uygun hastalarda eklem ve eklemle bağlantılı lezyonların değerlendirilmesinde BTA, MRA’ya alternatif bir görüntüleme yöntemi olarak kullanılabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA MARAŞ ÖZDEMİR Z, OZAYDOGDU CİMEN A, GÖRMELİ C, SAĞIR KAHRAMAN A, YILDIRIM İ, GÖRMELİ G (2016). Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. , 70 - 76. 10.5455/jtomc.2016.01.08
Chicago MARAŞ ÖZDEMİR Zeynep,OZAYDOGDU CİMEN Ayla,GÖRMELİ Cemile Ayşe,SAĞIR KAHRAMAN Ayşegül,YILDIRIM İsmail Okan,GÖRMELİ Gökay Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. (2016): 70 - 76. 10.5455/jtomc.2016.01.08
MLA MARAŞ ÖZDEMİR Zeynep,OZAYDOGDU CİMEN Ayla,GÖRMELİ Cemile Ayşe,SAĞIR KAHRAMAN Ayşegül,YILDIRIM İsmail Okan,GÖRMELİ Gökay Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. , 2016, ss.70 - 76. 10.5455/jtomc.2016.01.08
AMA MARAŞ ÖZDEMİR Z,OZAYDOGDU CİMEN A,GÖRMELİ C,SAĞIR KAHRAMAN A,YILDIRIM İ,GÖRMELİ G Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. . 2016; 70 - 76. 10.5455/jtomc.2016.01.08
Vancouver MARAŞ ÖZDEMİR Z,OZAYDOGDU CİMEN A,GÖRMELİ C,SAĞIR KAHRAMAN A,YILDIRIM İ,GÖRMELİ G Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. . 2016; 70 - 76. 10.5455/jtomc.2016.01.08
IEEE MARAŞ ÖZDEMİR Z,OZAYDOGDU CİMEN A,GÖRMELİ C,SAĞIR KAHRAMAN A,YILDIRIM İ,GÖRMELİ G "Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography." , ss.70 - 76, 2016. 10.5455/jtomc.2016.01.08
ISNAD MARAŞ ÖZDEMİR, Zeynep vd. "Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography". (2016), 70-76. https://doi.org/10.5455/jtomc.2016.01.08
APA MARAŞ ÖZDEMİR Z, OZAYDOGDU CİMEN A, GÖRMELİ C, SAĞIR KAHRAMAN A, YILDIRIM İ, GÖRMELİ G (2016). Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 23(1), 70 - 76. 10.5455/jtomc.2016.01.08
Chicago MARAŞ ÖZDEMİR Zeynep,OZAYDOGDU CİMEN Ayla,GÖRMELİ Cemile Ayşe,SAĞIR KAHRAMAN Ayşegül,YILDIRIM İsmail Okan,GÖRMELİ Gökay Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 23, no.1 (2016): 70 - 76. 10.5455/jtomc.2016.01.08
MLA MARAŞ ÖZDEMİR Zeynep,OZAYDOGDU CİMEN Ayla,GÖRMELİ Cemile Ayşe,SAĞIR KAHRAMAN Ayşegül,YILDIRIM İsmail Okan,GÖRMELİ Gökay Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, vol.23, no.1, 2016, ss.70 - 76. 10.5455/jtomc.2016.01.08
AMA MARAŞ ÖZDEMİR Z,OZAYDOGDU CİMEN A,GÖRMELİ C,SAĞIR KAHRAMAN A,YILDIRIM İ,GÖRMELİ G Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2016; 23(1): 70 - 76. 10.5455/jtomc.2016.01.08
Vancouver MARAŞ ÖZDEMİR Z,OZAYDOGDU CİMEN A,GÖRMELİ C,SAĞIR KAHRAMAN A,YILDIRIM İ,GÖRMELİ G Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2016; 23(1): 70 - 76. 10.5455/jtomc.2016.01.08
IEEE MARAŞ ÖZDEMİR Z,OZAYDOGDU CİMEN A,GÖRMELİ C,SAĞIR KAHRAMAN A,YILDIRIM İ,GÖRMELİ G "Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography." İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 23, ss.70 - 76, 2016. 10.5455/jtomc.2016.01.08
ISNAD MARAŞ ÖZDEMİR, Zeynep vd. "Evaluation of İntra-Articular Hip Pathology: Comparison of CT Arthrography And MR Arthrography". İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 23/1 (2016), 70-76. https://doi.org/10.5455/jtomc.2016.01.08