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Mr imaging of avascular femoral head necrosis: pre- and postoperative studies

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Abstract

Forty-six patients with suspected avascular necrosis of the femoral head were examined by T2- and T1-weighted sequences before and after intravenous infusion of Gd-DTPA. Both sides were involved in 12 cases. The classification was done according to Ficat [1]. In early stages and in postoperative studies a correlation of signal intensity increase after infusion of Gd-DTPA and clinical symptoms was found. Contrast enhancement of the plain low signal intensity area or of the implanted graft on T1-weighted images was assumed vascularized or vital components in seven cases of Ficat I and in 13 postoperative studies. Contrawise, in seven patients with severe postoperative symptoms we found no contrast enhancement indicating avascular regions.

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References

  1. Ficat RP and Arlet J (1980) Ischemia and necrosis of the bone (Hungerford DS ed.) Baltimore: Williams & Wilkins pp. 1–199.

    Google Scholar 

  2. Beltran J, Herman LJ, Burk JM, Zuelzer WA, Clark RN, Lucas JG, Weiss LD and Yang A (1988)Radiology 166 215.

    PubMed  Google Scholar 

  3. Coleman BG, Kressel HY, Dalinka MK, Scheibler ML, Burk DL and Cohen EK (1988)Radiology 168 525.

    PubMed  Google Scholar 

  4. Genez BM, Wilson MR, Houk RW, Weiland FL, Unger HR, Shields NN and Rugh KS (1988)Radiology 168 521.

    PubMed  Google Scholar 

  5. Hauzeur JP, Pasteels JL, Schoutens A, Hinsenkamp M, Appelboom T, Cochrad I and Perlmutter N (1989)J Bone Joint Surg 71A 641.

    Google Scholar 

  6. Lang P, Jergesen HE, Moseley ME, Block JE, Chefez NI and Genant HK (1988)Radiology 169 517.

    PubMed  Google Scholar 

  7. Markisz JA, Knowles JR, Altcheck DW, Schneider R, Whalen JP and Cahell PT (1987)Radiology 162 717.

    PubMed  Google Scholar 

  8. Mitchell DG, Rao VM, Dalinka MK, Spritzer CE, Alavi A, Steinberg ME, Fallon M and Kressel HY (1984)Radiology 162 709.

    Google Scholar 

  9. Totty WG, Murphy WA, Ganz WI, Kumar B, Daum WJ and Siegel BA (1984)Am J Roentgenol 143 1273.

    Google Scholar 

  10. Turner DA, Templeton AC, Selzer PM, Rosenberg AG and Petasnick JP (1989)Radiology 171 135.

    PubMed  Google Scholar 

  11. Manaster BJ, Coleman DA and Bell DA (1990)Radiology 176 161.

    PubMed  Google Scholar 

  12. Schratter M, Kramer J, Kropej D, Ritschl P and Imhof H (1990)Röntgenstr. 153 283.

    Google Scholar 

  13. Wilson AJ, Murphy WA, Hardy DC and Totty WG (1988)Radiology 167 757.

    PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Strahlenklinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Freie Universität Berlin, Berlin, Germany

    H. Schedel, I. Mäurer, N. Hosten, L. Wicht, Th. Vogl & R. Felix

  2. Orthopädische Klinik und Poliklinik Oskar-Helene-Heim, Freie Universität Berlin, Germany

    H. Mellerowicz

Authors
  1. H. Schedel
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  2. I. Mäurer
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  3. H. Mellerowicz
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  4. N. Hosten
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  5. L. Wicht
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  6. Th. Vogl
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  7. R. Felix
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Schedel, H., Mäurer, I., Mellerowicz, H. et al. Mr imaging of avascular femoral head necrosis: pre- and postoperative studies. MAGMA 1, 114–118 (1993). https://doi.org/10.1007/BF01769411

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  • DOI: https://doi.org/10.1007/BF01769411

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