Comparison of 3T MR arthrography and 3T MRI in intra-articular hip pathology: a cost-analysis.

التفاصيل البيبلوغرافية
العنوان:	Comparison of 3T MR arthrography and 3T MRI in intra-articular hip pathology: a cost-analysis.
المؤلفون:	Ryan DT; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland. davidtryan@hotmail.com., Hanley M; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland., White A; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland., Hynes JP; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland., Long NM; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland., Eustace SJ; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland., Kavanagh EC; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland.
المصدر:	Irish journal of medical science [Ir J Med Sci] 2024 May 14. Date of Electronic Publication: 2024 May 14.
Publication Model:	Ahead of Print
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Royal Academy of Medicine of Ireland Country of Publication: Ireland NLM ID: 7806864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-4362 (Electronic) Linking ISSN: 00211265 NLM ISO Abbreviation: Ir J Med Sci Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Dublin : Royal Academy of Medicine of Ireland
مستخلص:	Background: MR arthrography (MRA) has previously been the radiological gold standard for investigating labral and chondral lesions of the hip joint. In recent years, 3T MRI has demonstrated comparable accuracy, being adopted as the first-line imaging investigation in many institutions. Aims: We compare the associated increased cost and radiation dose of the fluoroscopic component of the MRA compared to MRI. Methods: In this retrospective review over 2 years, 120 patients (mean age 27.3 years ± 13.2, range 8-67) underwent 3T MRA or non-contrast 3T MRI. Three musculoskeletal radiologists reported the data independently. Primary objectives included cost-comparison between each and radiation dose of the fluoroscopic component of the MRA. Secondary objectives included comparing detection of pathology involving the acetabular labrum, femoral cartilage, and acetabular cartilage. Results: Then, 58 (48%) underwent 3T MRA and 62 (52%) patients underwent 3T MRI. The added cost of the fluoroscopic injection prior to MRA was €116.31/patient, equating to €7211.22 savings/year. MRA was associated with a small radiation dose of 0.003 mSv. Conclusions: Transitioning from 3T MRA to 3T MRI in the investigation of intra-articular hip pathology increases cost savings and reduces radiation dose. (© 2024. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.)
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فهرسة مساهمة:	Keywords: Acetabular labrum; Arthrography; Cost-comparison; Magnetic resonance imaging
تواريخ الأحداث:	Date Created: 20240514 Latest Revision: 20240514
رمز التحديث:	20240515
DOI:	10.1007/s11845-024-03708-3
PMID:	38743200
قاعدة البيانات:	MEDLINE

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تدمد:	1863-4362
DOI:	10.1007/s11845-024-03708-3