CT versus MRI in diagnosis of early avascular necrosis of femoral head

HU Shanwen; WANG Lei; HOU Xiaoli; WANG Jigui; LUO Xinhui

doi:10.7619/jcmp.201907011

Journal of Clinical Medicine in Practice > 2019 > 23(7): 40-43. > DOI: 10.7619/jcmp.201907011

HU Shanwen, WANG Lei, HOU Xiaoli, WANG Jigui, LUO Xinhui. CT versus MRI in diagnosis of early avascular necrosis of femoral head[J]. Journal of Clinical Medicine in Practice, 2019, 23(7): 40-43. DOI: 10.7619/jcmp.201907011

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CT versus MRI in diagnosis of early avascular necrosis of femoral head

1.
CT and MRI Room, Yangxian County People's Hospital, Yangxian, Shaanxi, 723300
2.
CT Room, Wugong County People′s Hospital, Xianyang, Shaanxi, 712200
3.
Department of Imaging, Ningqiang Tianjin Hospital, Hanzhong, Shaanxi, 724400

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Received Date: December 19, 2018
Accepted Date: February 08, 2019
Available Online: September 09, 2020
Published Date: April 14, 2019

Graphical Abstract

Abstract

Abstract

Objective To compare the value of computed tomography (CT) and magnetic resonance imaging (MRI) in the diagnosis of early avascular necrosis of femoral head.
Methods Totally 36 patients (47 hips) with avascular necrosis of femoral head were selected and diagnosed by surgical pathological examination. All the patients underwent CT and MRI examinations respectively, and the results of surgery were used as the standard to judge the efficacy of CT and MRI in the diagnosis of early avascular necrosis of femoral head.
Results In this study, 29 patients with early avascular necrosis of femoral head (38 hips) were confirmed by surgical pathology. The positive detection rate, sensitivity and specificity of MRI for early avascular necrosis of femoral head were 97.37%, 97.30% and 80.00% respectively, which were higher than 78.95%, 76.67% and 11.76% of CT (χ²=4.537, 4.887, 9.815, P=0.033, 0.027, 0.001).
Conclusion CT and MRI have their own advantages and disadvantages in the diagnosis of early avascular necrosis of femoral head. Compared with CT, MRI has higher positive detection rate, sensitivity and specificity.
- avascular necrosis of femoral head,
- diagnosis,
- computed tomography,
- magnetic resonance imaging,
- sensitivity,
- specificity

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References (18)

References

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