Iliopsoas Tendinopathy Detection

Purpose

Iliopsoas tendinopathy detection

Tag(s)

 

Panel

Musculoskeletal Panel

Define-AI ID

19050023

Originator

Woojin Kim
Lead Woojin Kim

Panel Chair

Jay Patti

Panel Reviewers

Musculoskeletal Panel

License

Creative Commons 4.0 
Status Public Commenting
RadElement Set  RDES84
                               

Clinical Implementation


Value Proposition 

Snapping hip syndrome, also known as coxa saltans or dancer’s hip, is a condition where a patient experiences a snapping sensation with certain hip motions, such as flexion and extension. This snapping sensation can be accompanied by a popping noise and can be associated with pain. There are various causes of snapping hip syndrome, and one of the causes is iliopsoas tendinopathy, where friction over the iliopectineal eminence can cause inflammation. This condition is easily missed on MRI as the imaging findings are often subtle and are limited to only a few slices.

Narrative(s)

A 28-year-old female presents with pain and clicking in the left groin area. Radiologists can easily miss iliopsoas tendinopathy on MRI and would benefit from an algorithm that can detect and alert the radiologists.

Workflow Description


Images obtained from the MRI are sent to the PACS/viewer and the AI model. The AI model analyzes the images. The model identifies the presence of iliopsoas tendinopathy (unilateral or bilateral), such as signal abnormality (e.g. increased/high signal intensity on T2-weighted image) within the tendon and/or adjacent to it (i.e. peritendinitis). A message is sent to both the PACS/viewer and the reporting solution from the model with this information.

Considerations for Dataset Development



Procedures(s)

{MRI: Pelvis, Hip}

View(s)

{Coronal, Axial}

Sex at Birth

{Male, Female}

Age

[15, 60]

Technical Specifications


Inputs

 

DICOM Study

Procedure

MRI Pelvis, Hip

Views

Coronal, Axial

Data Type

DICOM

Modality

MRI

Body Region

Pelvis

Anatomic Focus

Hip



Primary Outputs


Iliopsoas Tendinopathy Detection

RadElement ID

RDE479

Definition

Iliopsoas tendinopathy detection

Data Type

Categorical

Value Set

  • Absent
  • Present
  • Unknown

Units

N/A


Iliopsoas Tendinopathy Laterality

RadElement ID

RDE480

Definition

Iliopsoas tendinopathy laterality

Data Type

Categorical

Value Set

  • Unknown
  • Right
  • Left
  • Bilateral

Units

N/A

Future Development Ideas


  • Asymmetry compared to the contralateral side if unilateral.
  • Degree and possibly quantification of thickening of the tendon and any change over time.
  • Presence or lack of tenosynovitis and any change over time
  • Presence or lack of iliopsoas bursitis
  • Presence or lack of (partial) tear(s), and its extent in the CC dimension