Table 1. The 2019 revised ARCO staging for osteonecrosis of the femoral head.
ARCO stage | Image findings | ||
---|---|---|---|
I | X-ray: normal | ||
MRI: low-signal band on T1-weighted MRI | |||
II | X-ray: abnormal | ||
MRI: abnormal | |||
III | Subchondral fracture on X-ray or CT | ||
IIIA (early) | Femoral head depression ≤ 2 mm | ||
IIIB (late) | Femoral head depression > 2 mm | ||
IV | X-ray: osteoarthritis |
ARCO = Association Research Circulation Osseous, MRI = magnetic resonance imaging, CT = computed tomography.