Head and Neck Imaging

3D Delayed Enhancement MRI Imaging (dGEMRIC) Detection of Hip Dysplasia in the Degeneration of Cartilage Valuation

Author:CHENG Zhe, LENG Xiao-ming, LI Hong, et al

affiliation:Department of Radiology, Zhumadian Central Hospital, Zhumadian 463000, Henan Province, China

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Abstract

Objective 3D imaging using delayed enhancement MRI (dGEMRIC) to detect changes in the composition of cartilage, also discussed dGEMRIC assessment of hip dysplasia in the value of the degeneration of cartilage. Methods Select the hospital in August 2012-December 2014 period confirmed by X-ray hip dysplasia in 40 patients, as this study, a total of 70 hip. Their pain by using questionnaires and to conduct routine MR sequences and 3D-dGEMRIC scanning checks. Measured on the outside of the central X-ray - edge angle, and then combined with X-ray and MRI performed on patients with hip osteoarthritis (OA) Toniss classification. Early OA group: Toniss 1; normal group: patients with no pain and Toniss is 0. This study using MR scanner to complete hip 3D-dGEMRIC data acquisition and restructuring radial selected patients hip 6 position to measure its cartilage dGEMRIC index. Results The study found that, Toniss 0 level dGEMRIC index average (579.6±25.6)ms, Toniss an average (500.2±18.9)ms, Toniss2 grade average (438.9±17.6)ms; Toniss 2 level was significantly lower than Toniss 1, P<0.05; and Toniss1 level significantly lower than Toniss 0 grade, P<0.05. Early OA group, its front and the front upper and front portion of the upper cartilage dGEMRIC index was significantly lower than the control group, P<0.05; normal group, patients with joint front portion of dGEMRIC index was significantly lower than the upper region, P <0.05 ; early OA group, in addition to the upper front, the front portion of dGEMRIC index was significantly lower than in other regions, P<0.05. Conclusion DGEMRIC detection may facilitate the clinical diagnosis of hip dysplasia and degenerative cartilage lesions installments.

【Keyword】3D Delayed Enhancement MRI Imaging; Hip; Dysplasia; Degeneration of Cartilage

【Chart number】R445.2 ;R681.1

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2016.03.037