MRI-based hip cartilage measures in osteoarthritic and non-osteoarthritic individuals: a systematic review
Osteoarthritis is a common hip joint disease, involving loss of articular cartilage. The prevalence and prognosis of hip osteoarthritis have been difficult to determine, with various clinical and radiological methods used to derive epidemiological estimates exhibiting significant heterogeneity. MRI-...
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BMJ Publishing Group
2017-03-01
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| Series: | RMD Open |
| Online Access: | https://rmdopen.bmj.com/content/3/1/e000358.full |
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| author | Jacob L Jaremko Hector N Aguilar Michele C Battié |
| author_facet | Jacob L Jaremko Hector N Aguilar Michele C Battié |
| author_sort | Jacob L Jaremko |
| collection | DOAJ |
| description | Osteoarthritis is a common hip joint disease, involving loss of articular cartilage. The prevalence and prognosis of hip osteoarthritis have been difficult to determine, with various clinical and radiological methods used to derive epidemiological estimates exhibiting significant heterogeneity. MRI-based methods directly visualise hip joint cartilage, and offer potential to more reliably define presence and severity of osteoarthritis, but have been underused. We performed a systematic review of MRI-based estimates of hip articular cartilage in the general population and in patients with established osteoarthritis, using MEDLINE, EMBASE and SCOPUS current to June 2016, with search terms such as ‘hip’, ‘femoral head’, ‘cartilage’, ‘volume’, ‘thickness’, ‘MRI’, etc. Ultimately, 11 studies were found appropriate for inclusion, but they were heterogeneous in osteoarthritis assessment methodology and composition. Overall, the studies consistently demonstrate the reliability and potential clinical utility of MRI-based estimates. However, no longitudinal data or reference values for hip cartilage thickness or volume have been published, limiting the ability of MRI to define or risk-stratify hip osteoarthritis. MRI-based techniques are available to quantify articular cartilage signal, volume, thickness and defects, which could establish the sequence and rate of articular cartilage changes at the hip that yield symptomatic osteoarthritis. However, prevalence and rates of progression of hip osteoarthritis have not been established in any MRI studies in the general population. Future investigations could fill this important knowledge gap using robust MRI methods in population-based cross-sectional and longitudinal studies. |
| format | Article |
| id | doaj-art-60b2b84a2bb149b69b39682264a9fd99 |
| institution | Kabale University |
| issn | 2056-5933 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | BMJ Publishing Group |
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| spelling | doaj-art-60b2b84a2bb149b69b39682264a9fd992025-02-08T05:55:09ZengBMJ Publishing GroupRMD Open2056-59332017-03-013110.1136/rmdopen-2016-000358MRI-based hip cartilage measures in osteoarthritic and non-osteoarthritic individuals: a systematic reviewJacob L Jaremko0Hector N Aguilar1Michele C Battié2Faculty of Medicine and Dentistry, Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, CanadaFaculty of Medicine and Dentistry, Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, CanadaFaculty of Rehabilitation Medicine, Department of Physical Therapy, University of Alberta, Edmonton, Alberta, CanadaOsteoarthritis is a common hip joint disease, involving loss of articular cartilage. The prevalence and prognosis of hip osteoarthritis have been difficult to determine, with various clinical and radiological methods used to derive epidemiological estimates exhibiting significant heterogeneity. MRI-based methods directly visualise hip joint cartilage, and offer potential to more reliably define presence and severity of osteoarthritis, but have been underused. We performed a systematic review of MRI-based estimates of hip articular cartilage in the general population and in patients with established osteoarthritis, using MEDLINE, EMBASE and SCOPUS current to June 2016, with search terms such as ‘hip’, ‘femoral head’, ‘cartilage’, ‘volume’, ‘thickness’, ‘MRI’, etc. Ultimately, 11 studies were found appropriate for inclusion, but they were heterogeneous in osteoarthritis assessment methodology and composition. Overall, the studies consistently demonstrate the reliability and potential clinical utility of MRI-based estimates. However, no longitudinal data or reference values for hip cartilage thickness or volume have been published, limiting the ability of MRI to define or risk-stratify hip osteoarthritis. MRI-based techniques are available to quantify articular cartilage signal, volume, thickness and defects, which could establish the sequence and rate of articular cartilage changes at the hip that yield symptomatic osteoarthritis. However, prevalence and rates of progression of hip osteoarthritis have not been established in any MRI studies in the general population. Future investigations could fill this important knowledge gap using robust MRI methods in population-based cross-sectional and longitudinal studies.https://rmdopen.bmj.com/content/3/1/e000358.full |
| spellingShingle | Jacob L Jaremko Hector N Aguilar Michele C Battié MRI-based hip cartilage measures in osteoarthritic and non-osteoarthritic individuals: a systematic review RMD Open |
| title | MRI-based hip cartilage measures in osteoarthritic and non-osteoarthritic individuals: a systematic review |
| title_full | MRI-based hip cartilage measures in osteoarthritic and non-osteoarthritic individuals: a systematic review |
| title_fullStr | MRI-based hip cartilage measures in osteoarthritic and non-osteoarthritic individuals: a systematic review |
| title_full_unstemmed | MRI-based hip cartilage measures in osteoarthritic and non-osteoarthritic individuals: a systematic review |
| title_short | MRI-based hip cartilage measures in osteoarthritic and non-osteoarthritic individuals: a systematic review |
| title_sort | mri based hip cartilage measures in osteoarthritic and non osteoarthritic individuals a systematic review |
| url | https://rmdopen.bmj.com/content/3/1/e000358.full |
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