CT Hip Without and With IV Contrast There is no relevant literature to support the use of CT hip without and with IV contrast in the evaluation of tendon or bursal pathology. CT Hip Without IV Contrast CT hip without IV contrast is of limited use in the evaluation of extra-articular soft tissue pathology because of the inherent poor soft tissue contrast of CT [18]. Within the limitation of the contrast resolution of CT, some extra- articular pathologic entities, such as a large, distended bursa may be evident on CT. Tendinous pathology is not well evaluated on CT. Fluoride PET/CT Skull Base to Mid-Thigh There is no relevant literature to support the use of fluoride PET/CT skull base to mid-thigh in the evaluation of chronic hip pain thought to be due to a noninfectious extra-articular abnormality. MR Arthrography Hip There is no relevant literature to support the use of MR arthrography in the evaluation of extra-articular soft tissue pathology. MRI Hip Without and With IV Contrast There is no relevant literature to support administration of IV contrast (gadolinium chelate agents) for routine MRI of the hip. MRI Hip Without IV Contrast MRI without IV contrast is useful for evaluating soft tissues given its high soft tissue contrast resolution [23]. Numerous studies have demonstrated that MRI is both highly sensitive and specific for evaluation of the articular and periarticular soft tissues [24]. As such, noncontrast MRI should be considered as the next imaging test following radiographic evaluation of the hip joint [25-34]. Trochanteric, iliopsoas, ischial, and subiliacus bursitis are well demonstrated on noncontrast MRI, as are abductor and adductor tendinosis and tears, hamstring injuries, athletic pubalgia, and calcific tendinosis. Large field-of-view images obtained as part of a hip MRI can also sometimes Chronic Hip Pain US Hip The literature indicates that US is useful for the evaluation of extra-articular soft tissues in the region of the hip [23].
Chronic Hip Pain PCAs. CT Hip Without and With IV Contrast There is no relevant literature to support the use of CT hip without and with IV contrast in the evaluation of tendon or bursal pathology. CT Hip Without IV Contrast CT hip without IV contrast is of limited use in the evaluation of extra-articular soft tissue pathology because of the inherent poor soft tissue contrast of CT [18]. Within the limitation of the contrast resolution of CT, some extra- articular pathologic entities, such as a large, distended bursa may be evident on CT. Tendinous pathology is not well evaluated on CT. Fluoride PET/CT Skull Base to Mid-Thigh There is no relevant literature to support the use of fluoride PET/CT skull base to mid-thigh in the evaluation of chronic hip pain thought to be due to a noninfectious extra-articular abnormality. MR Arthrography Hip There is no relevant literature to support the use of MR arthrography in the evaluation of extra-articular soft tissue pathology. MRI Hip Without and With IV Contrast There is no relevant literature to support administration of IV contrast (gadolinium chelate agents) for routine MRI of the hip. MRI Hip Without IV Contrast MRI without IV contrast is useful for evaluating soft tissues given its high soft tissue contrast resolution [23]. Numerous studies have demonstrated that MRI is both highly sensitive and specific for evaluation of the articular and periarticular soft tissues [24]. As such, noncontrast MRI should be considered as the next imaging test following radiographic evaluation of the hip joint [25-34]. Trochanteric, iliopsoas, ischial, and subiliacus bursitis are well demonstrated on noncontrast MRI, as are abductor and adductor tendinosis and tears, hamstring injuries, athletic pubalgia, and calcific tendinosis. Large field-of-view images obtained as part of a hip MRI can also sometimes Chronic Hip Pain US Hip The literature indicates that US is useful for the evaluation of extra-articular soft tissues in the region of the hip [23].