biostudies-literatureSchmaranzer FSwiss National Science Foundation184https://www.ebi.ac.uk/biostudies/studies/S-EPMC11294319biostudies-literatureUnknown15(1)To compare the prevalence of femoral head decentration (FHD) on different MR imaging planes in patients undergoing direct/indirect hip MR arthrography (MRA) with asymptomatic controls and to evaluate its association with osseous deformities. IRB-approved retrospective single-center study of symptomatic hips undergoing direct or indirect hip MRA at 3 T. Asymptomatic participants underwent non-contrast hip MRI at 3 T. FHD was defined as a continuous fluid layer between the acetabulum and femoral head and assessed on axial, sagittal and radial images. The association of intra-articular/intra-venous contrast agents and the prevalence of FHD was evaluated. The association of FHD with osseous deformities and joint damage was assessed using multiple logistic regression analysis. Three-hundred ninInsights into imagingFemoral head decentration on hip MRI: comparison between imaging planes, methods of contrast administration, and hip deformities.PMC11294319205091Roshardt JSchmaranzer FSchwab JMHeimann AFTannast MLerch TDBecker TAMurphy SBSteppacher SDfalseFemoral head decentration on hip MRI: comparison between imaging planes, methods of contrast administration, and hip deformities.To compare the prevalence of femoral head decentration (FHD) on different MR imaging planes in patients undergoing direct/indirect hip MR arthrography (MRA) with asymptomatic controls and to evaluate its association with osseous deformities. IRB-approved retrospective single-center study of symptomatic hips undergoing direct or indirect hip MRA at 3 T. Asymptomatic participants underwent non-contrast hip MRI at 3 T. FHD was defined as a continuous fluid layer between the acetabulum and femoral head and assessed on axial, sagittal and radial images. The association of intra-articular/intra-venous contrast agents and the prevalence of FHD was evaluated. The association of FHD with osseous deformities and joint damage was assessed using multiple logistic regression analysis. Three-hundred nin2024-01-01T00:00:00Z2024 Aug2025-04-19T20:46:04.076Z2025-02-19T02:28:10.966ZS-EPMC112943193909035010.1186/s13244-024-01777-7