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MR images were evaluated by two readers and included grading of pulvinar signal abnormalities (normal, grade 1:\u2009&lt;\u200950% fat replacement, grade 2:\u2009&gt;\u200950% fat replacement), LT signal abnormality, LT thickening, and LT tear. Ordinal variables were dichotomized for further analysis. Group differences were analyzed using logistic regression models. Inter-reader agreement was assessed using kappa statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Pulvinar signal abnormalities were significantly associated with a higher odds ratio (OR) of hip pain (OR, 4.28; 95% CI, 1.81\u201311.49;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). No significant group differences were found for LT signal increase, LT thickening, or LT tear (\n                      <jats:italic>p<\/jats:italic>\n                      -value range\u2009=\u20090.43\u20130.71). Inter-reader and intra-reader agreement for pulvinar signal abnormalities grading were almost perfect (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.85 [95% CI, 0.76\u20130.93] and\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.92 [95% CI, 0.64\u20131.00]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with atraumatic hip pain undergoing MRI demonstrated a significantly higher prevalence of pulvinar signal abnormalities in the absence of other relevant structural pathology. These results underscore the importance of systematically evaluating the pulvinar during hip MRI interpretation. Furthermore, a grading system for pulvinar signal abnormalities was introduced.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00256-026-05169-4","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T03:28:13Z","timestamp":1771558093000},"page":"1375-1383","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pulvinar signal abnormalities on MRI are associated with atraumatic hip pain"],"prefix":"10.1007","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7334-0757","authenticated-orcid":false,"given":"Adrian A.","family":"Marth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Tangsombatvisit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zehra","family":"Akkaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabby B.","family":"Joseph","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan L.","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard B.","family":"Souza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas M.","family":"Link","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"key":"5169_CR1","doi-asserted-by":"publisher","unstructured":"Reiman MP, Agricola R, Kemp JL, Heerey JJ, Weir A, Klij P, et al. 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