Evaluate articular cartilage integrity. Next imaging study. Bone Scan Hip There is no relevant literature to support the use of bone scan of the hip in the assessment of the extent of cartilage damage in a patient with chronic hip pain. CT Arthrography Hip Direct visualization of articular cartilage is possible using those imaging techniques that provide either intrinsic contrast (MRI and US) or extrinsic contrast (any type of arthrography) [89]. Hip cartilage abnormalities can be successfully evaluated by high-resolution CT arthrography [18,90-93], thus allowing for improved assessment of the degree of cartilage loss when compared with the initial radiographs. CT Hip With IV Contrast Because of its inherent poor soft tissue contrast resolution, there is no relevant literature to support the use of CT hip with IV contrast in the assessment of the extent of cartilage damage in a patient with chronic hip pain. CT Hip Without and With IV Contrast Because of its inherent poor soft tissue contrast resolution, there is no relevant literature to support the use of CT hip without and with IV contrast in the assessment of the extent of cartilage damage in a patient with chronic hip pain. CT Hip Without IV Contrast Because of its inherent poor soft tissue contrast resolution, there is no relevant literature to support the use of CT hip without IV contrast in the assessment of the extent of cartilage damage in a patient with chronic hip pain. 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 assessment of the extent of cartilage damage in a patient with chronic hip pain. Image-Guided Anesthetic +/- Corticosteroid Injection Hip Joint or Surrounding Structures Although image-guided anesthetic and/or corticosteroid injections may be useful in the diagnosis and treatment of patients with osteoarthritis, it does not offer the possibility of evaluating the extent of cartilage damage that may exist in a joint.
Chronic Hip Pain PCAs. Evaluate articular cartilage integrity. Next imaging study. Bone Scan Hip There is no relevant literature to support the use of bone scan of the hip in the assessment of the extent of cartilage damage in a patient with chronic hip pain. CT Arthrography Hip Direct visualization of articular cartilage is possible using those imaging techniques that provide either intrinsic contrast (MRI and US) or extrinsic contrast (any type of arthrography) [89]. Hip cartilage abnormalities can be successfully evaluated by high-resolution CT arthrography [18,90-93], thus allowing for improved assessment of the degree of cartilage loss when compared with the initial radiographs. CT Hip With IV Contrast Because of its inherent poor soft tissue contrast resolution, there is no relevant literature to support the use of CT hip with IV contrast in the assessment of the extent of cartilage damage in a patient with chronic hip pain. CT Hip Without and With IV Contrast Because of its inherent poor soft tissue contrast resolution, there is no relevant literature to support the use of CT hip without and with IV contrast in the assessment of the extent of cartilage damage in a patient with chronic hip pain. CT Hip Without IV Contrast Because of its inherent poor soft tissue contrast resolution, there is no relevant literature to support the use of CT hip without IV contrast in the assessment of the extent of cartilage damage in a patient with chronic hip pain. 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 assessment of the extent of cartilage damage in a patient with chronic hip pain. Image-Guided Anesthetic +/- Corticosteroid Injection Hip Joint or Surrounding Structures Although image-guided anesthetic and/or corticosteroid injections may be useful in the diagnosis and treatment of patients with osteoarthritis, it does not offer the possibility of evaluating the extent of cartilage damage that may exist in a joint.