Arthrography of painful hips following arthroplasty: digital versus plain film subtraction
Digital and manual subtraction images obtained during the arthrographic evaluation of 78 painful hip prostheses were reviewed retrospectively. Revision arthroplasty was performed in 53 of these cases, and the arthrographic and surgical findings were correlated. The digital and manual subtraction ima...
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Published in | Skeletal radiology Vol. 20; no. 6; p. 403 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Germany
01.01.1991
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Abstract | Digital and manual subtraction images obtained during the arthrographic evaluation of 78 painful hip prostheses were reviewed retrospectively. Revision arthroplasty was performed in 53 of these cases, and the arthrographic and surgical findings were correlated. The digital and manual subtraction images were evaluated without knowledge of the surgical results using established criteria for component loosening. Digital subtraction arthrography of the femoral component demonstrated a 96% sensitivity and 100% specificity for the diagnosis of component loosening. Sensitivity and specificity for acetabular component loosening were 83% and 80%, respectively. Plain film subtraction of the femoral component demonstrated a 79% sensitivity and 100% specificity; the sensitivity and specificity for the acetabular component were 75% and 80%, respectively. The difference between detection of femoral component loosening on digital as opposed to manual subtraction images was statistically significant (P less than 0.05). This study demonstrate that digital subtraction improves the evaluation of femoral component loosening in painful hip prostheses. |
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AbstractList | Digital and manual subtraction images obtained during the arthrographic evaluation of 78 painful hip prostheses were reviewed retrospectively. Revision arthroplasty was performed in 53 of these cases, and the arthrographic and surgical findings were correlated. The digital and manual subtraction images were evaluated without knowledge of the surgical results using established criteria for component loosening. Digital subtraction arthrography of the femoral component demonstrated a 96% sensitivity and 100% specificity for the diagnosis of component loosening. Sensitivity and specificity for acetabular component loosening were 83% and 80%, respectively. Plain film subtraction of the femoral component demonstrated a 79% sensitivity and 100% specificity; the sensitivity and specificity for the acetabular component were 75% and 80%, respectively. The difference between detection of femoral component loosening on digital as opposed to manual subtraction images was statistically significant (P less than 0.05). This study demonstrate that digital subtraction improves the evaluation of femoral component loosening in painful hip prostheses. |
Author | Collins, D N Walker, C W Dalrymple, G V FitzRandolph, R L |
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CitedBy_id | crossref_primary_10_1016_j_arth_2006_08_004 crossref_primary_10_1016_S0009_9260_05_82986_1 crossref_primary_10_1016_S0883_5403_03_00108_6 crossref_primary_10_1302_0301_620X_87B6_15625 crossref_primary_10_1016_S0720_048X_97_01168_6 crossref_primary_10_1016_j_jradio_2011_04_007 crossref_primary_10_1067_j_cpradiol_2017_09_008 crossref_primary_10_1016_j_ejrad_2005_02_008 |
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Snippet | Digital and manual subtraction images obtained during the arthrographic evaluation of 78 painful hip prostheses were reviewed retrospectively. Revision... |
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SubjectTerms | Arthrography - methods Female Hip Joint - diagnostic imaging Hip Prosthesis Humans Male Middle Aged Pain - etiology Prosthesis Failure Radiographic Image Enhancement Reoperation Sensitivity and Specificity Subtraction Technique |
Title | Arthrography of painful hips following arthroplasty: digital versus plain film subtraction |
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