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Validation of scoring hip osteoarthritis with MRI (SHOMRI) scores using hip arthroscopy as a standard of reference

  • Neumann, Jan1
  • Zhang, Alan L.2
  • Schwaiger, Benedikt J.1, 3
  • Samaan, Michael A.1
  • Souza, Richard1, 4
  • Foreman, Sarah C.1
  • Joseph, Gabby B.1
  • Grace, Trevor2
  • Majumdar, Sharmila1
  • Link, Thomas M.1
  • 1 University of California San Francisco, Musculoskeletal Quantitative Imaging Research Group, Department of Radiology & Biomedical Imaging, 185 Berry St, Suite 350, San Francisco, CA, 94107, USA , San Francisco (United States)
  • 2 University of California, Department of Orthopedic Surgery, San Francisco, CA, USA , San Francisco (United States)
  • 3 Technical University of Munich, Department of Diagnostic and Interventional Radiology, Munich, Germany , Munich (Germany)
  • 4 University of California, Department of Physical Therapy & Rehabilitation Science, San Francisco, CA, USA , San Francisco (United States)
Published Article
European Radiology
Publication Date
Jul 09, 2018
DOI: 10.1007/s00330-018-5623-8
Springer Nature


PurposeTo validate SHOMRI gradings in preoperative hip magnetic resonance imaging (MRI) with intra-arthroscopic evaluation of intraarticular hip abnormalities.MethodsPreoperative non-arthrographic 3.0-T MRIs of 40 hips in 39 patients (1 patient with bilateral hip surgery) with femoroacetabular impingement (FAI) syndrome (mean age, 34.7 years ± 9.0; n = 16 females), refractory to conservative measures, that underwent hip arthroscopy were retrospectively assessed by two radiologists for chondrolabral abnormalities and compared with intra-arthroscopic findings as the standard of reference. Arthroscopically accessible regions were compared with the corresponding SHOMRI subregions and assessed for the presence and grade of cartilaginous pathologies in the acetabulum and femoral head. The acetabular labrum was assessed for the presence or absence of labral tears. For the statistical analysis sensitivity and specificity as well as intraclass correlation (ICC) for interobserver agreement were calculated.ResultsRegarding chondral abnormalities, 58.8% of the surgical cases showed chondral defects. SHOMRI scoring showed a sensitivity of 95.7% and specificity of 84.8% in detecting cartilage lesions. Moreover, all cases with full-thickness defects (n = 9) were identified correctly, and in n = 6 cases (out of n = 36 with partial-thickness defects) the defective cartilage was identified but the actual depth overestimated. Labral tears were present in all cases and the MR readers identified 92.5% correctly. ICC showed a good interobserver agreement with 86.3% (95% CI 80.0, 90.6%)ConclusionUsing arthroscopic correlation, SHOMRI grading of the hip proves to be a reliable and precise method to assess chondrolabral hip joint abnormalities.Key Points• Assessment of hip abnormalities using MRI with surgical correlation.• Comparing surgery and MRI by creating a hybrid anatomic map that covers both modalities.• Non-arthrographic use of 3.0-T MRI provides detailed information on cartilage and labral abnormalities in hip joints.

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