Iliopsoas Tendinopathy Detection

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

Related Datasets

No known related public datasets at this time,  please us alert us if you know of any.