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. 2021 May 28;36(24):e177. doi: 10.3346/jkms.2021.36.e177

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.