Volume 21 Issue 2
Feb.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(2): 283-287
ZHOU Rong-hua, ZHANG Hai-long, CHENG Xiao-guang, LIANG Wei, JIANG Wen. Value of proton density weighted image in evaluating acetabular labrum tears[J]. Chinese Journal of General Practice, 2023, 21(2): 283-287. doi: 10.16766/j.cnki.issn.1674-4152.002865
Citation: ZHOU Rong-hua, ZHANG Hai-long, CHENG Xiao-guang, LIANG Wei, JIANG Wen. Value of proton density weighted image in evaluating acetabular labrum tears[J]. Chinese Journal of General Practice, 2023, 21(2): 283-287. doi: 10.16766/j.cnki.issn.1674-4152.002865
shu

Value of proton density weighted image in evaluating acetabular labrum tears

doi: 10.16766/j.cnki.issn.1674-4152.002865
  • 1.

    Department of Radiology, Beijing Jishuitan Hospital, Beijing 100035, China

Funds:

 ZYLX202107

  • Received Date: 2022-02-06
    Available Online: 2023-04-20
    Abstract
  •   Objective  To explore the reliability of proton density weighted image (PD-WI) in evaluating acetabular labrum tears.  Methods  Forty trauma hip pain out-patients (20 males and 20 females, age range: 27-65 years, mean age: 40 years) without obvious or slight trauma in Beijing Jishuitan Hospital from March 2019 to January 2020 were recruited and underwent acetabular labral magnetic resonance imaging scan that included PD-WI sequence to exclude acetabular labrum tears and exclude fracture, tumour, infection and other diseases in hip. The presence of acetabular labrum tear was evaluated according to PD-WI image instead of surgical outcome. Classification consisting of basal and substantial tears from previous histological studies was also determined by PD-WI image. All patients underwent surgery in 3 months after scanning. According to surgical outcome, the sensitivity, specificity and accuracy of PD-WI to evaluate acetabular labrum tears and kappa consistency test to evaluate tears and classification were acquired.  Results  The sensitivity, specificity and accuracy of PD-WI to evaluate anterior and lateral-superior acetabular labrum tears were 96.88% and 90.00%, 62.50% and 93.33%, 90.00% and 92.50%, respectively. The PD-WI diagnosis of acetabular labial tears and tear classification was in good agreement with the surgical results (anterior labrum tears: Kappa=0.655, P < 0.001; lateral-superior labrum tears: Kappa=0.806, P < 0.001; all types of tear: Kappa>0.75, P < 0.0001).  Conclusion  PD-WI could be regarded as a reliable imaging method to evaluate acetabular labrum tears and could be helpful for diagnosis and treatment option.

     

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