MRI PELVIS WITH BOTH HIP JOINTS (BONES)

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MRI PELVIS WITH BOTH HIP JOINTS (BONES) Image

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About The Test

  • Definition: A non-contrast or contrast-enhanced magnetic resonance imaging exam focusing on the bony pelvis, acetabulum, femoral heads, and hip joints.

  • Technology: Multi-planar, high-resolution sequences that detect marrow changes, cortical breaks, and subtle joint-space alterations.

  • Safety: Zero ionizing radiation; safe for repeated follow-ups.

List of Parameters

Parameter What We Look For
Bone marrow signal Oedema, infiltration, necrosis
Cortical integrity Stress lines, fractures
Joint space width Early arthritis, cartilage loss
Acetabular roof angle Hip dysplasia screening
Femoral head sphericity Avascular necrosis staging
Synovial effusion Inflammation or infection

Why This Test

  • Unexplained hip pain or limp lasting >2 weeks
  • Pre-operative planning for hip resurfacing or replacement
  • Staging known cancers that may spread to bone
  • Monitoring response to bisphosphonates or other bone therapies

When to Take Test

Benefits

Benefits of Taking the Test

  • Early Detection: Catch avascular necrosis before collapse.
  • No Radiation: Safe for children and pregnant patients (non-contrast).
  • Same-Day Reports: Get results fast to start treatment sooner.
  • Expert Radiologists: Sub-specialised musculoskeletal team.

Illnesses Diagnosed with MRI Pelvis with Both Hip Joints

  • Avascular necrosis (AVN) of femoral head
  • Insufficiency or stress fractures
  • Benign bone cysts and malignant tumours (e.g., chondrosarcoma)
  • Rheumatoid or psoriatic arthritis
  • Developmental hip dysplasia in adults

Preparing for test

  1. Metal check: Remove jewellery, belts, phones.
  2. Clothing: Wear metal-free attire or change into our gown.
  3. Fasting: Not required unless contrast is planned.
  4. Arrive 30 minutes early for screening questionnaire.

Pre-requisites & Eligibility

  • Doctor’s prescription with clinical indication
  • Previous X-rays/CT (bring CDs or reports)
  • Suitable for adults and children ≥8 yrs
  • Pregnancy: non-contrast scan preferred; consult our radiologist

Best Time to Schedule

  • Acute symptoms: Book within 48–72 hrs.
  • Routine follow-up: Morning slots reduce wait times.

Step-by-Step Procedure

Step What Happens
1 Screening form & metal detector check
2 Lie on MRI table; pelvic coil positioned
3 25–35 min scan—remain still, breathe normally
4 Radiologist reviews images; report ready in ≤6 hrs

Cautions Before the Test

  • Inform staff about claustrophobia—oral sedation available.
  • Discuss kidney function if gadolinium contrast is likely.

Test Results

Results and Interpretations

Finding / ObservationDescription General Interpretation / Significance
Normal bone marrow signalUniform bone marrow appearance in pelvic bones and proximal femurs across MRI sequences.Suggests healthy bone; no signs of fracture, marrow infiltration, edema, or avascular necrosis.
Femoral head signal abnormalityAltered signal (e.g., low on T1, high on T2/STIR) in the femoral head.May indicate avascular necrosis, bone bruise, edema, or lesion. Pattern and location are key for diagnosis.
Hip joint space narrowingDecreased space between the femoral head and acetabulum.Often associated with osteoarthritis. The extent of narrowing correlates with severity of degeneration.
Subchondral cysts / sclerosisFluid-filled sacs (cysts) or hardening (sclerosis) beneath joint cartilage.Seen in chronic osteoarthritis; reflect joint degeneration and bone response to stress.
Cortical breakDark line on T1Completed fracture
Hypointense lesionLow signal on all sequencesPossible enchondroma or metastasis
Joint effusionBright fluid on T2Inflammation or infection
Bone marrow oedemaHigh signal on STIREarly AVN or fracture
Sacroiliac joint inflammation (Sacroiliitis)Edema, enhancement, or erosions involving sacroiliac joints.Common in ankylosing spondylitis and other spondyloarthropathies; may explain chronic low back or pelvic pain.
Avascular necrosis (AVN) changesSpecific signal abnormalities (e.g., “double-line sign”) or collapse of femoral head cortex.Confirms AVN diagnosis. MRI staging (e.g., Ficat or ARCO) informs treatment options and prognosis.

Risks & Limitations

  • MRI incompatibility: Pacemakers, cochlear implants, certain aneurysm clips—disclose all implants.
  • Claustrophobia: Mild sedation or open-bore options are available.
  • Diagnostic limits: Very early cartilage lesions may need MRI arthrography for full detail.

FAQs

How long does the scan take?

25–35 minutes, depending on the protocol.

Is it painful?

No; you only need to stay still.

Can I eat beforehand?

Yes, for non-contrast scans.

When will I get my report?

Usually within six hours.

What if I’m claustrophobic?

We offer mild sedation or open-bore options.

How much does a combined pelvic and hip MRI cost?

The cost of combined pelvic and hip MRI can vary based on several factors, including the specifics of the scan (e.g., with or without contrast) and geographic location. For detailed pricing information regarding an MRI PELVIS WITH BOTH HIP JOINTS (BONES) at Cadabams Diagnostics, please contact our billing department directly or visit our website. We are committed to providing transparent information about our services.

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