ArticleEuropean radiology2019
Comparison of radiographs, tomosynthesis and CT with metal artifact reduction for the detection of hip prosthetic loosening.
Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 25 citations in OpenAlex.
- Reduction of metallic artifacts from the novel leadless pacemaker using single-energy metal artifact reduction algorithm in coronary CT angiography.BMC medical imaging · 2025Article
- Short-term results of a hybrid ingrowth glenoid in anatomic total shoulder arthroplasty: a radiographic analysis for radiolucent lines and osteointegration using tomosynthesis.JSES international · 2025Article
- Imaging evaluation of periprosthetic loosening: A primer for the general radiologist.World journal of radiology · 2025Review
- The Management Modality of Aseptic Loosening for Acetabular Components Along With Femur Prostheses Following Primary Hip Arthroplasty: A Reports of Four Cases.International medical case reports journal · 2025Article
- Femoral defects in revision hip arthroplasty: a therapy-oriented classification.Archives of orthopaedic and trauma surgery · 2023Article
- Advances in Bone Joint Imaging-Metal Artifact Reduction.Diagnostics (Basel, Switzerland) · 2022Review
- Imaging in Hip Arthroplasty Management-Part 1: Templating: Past, Present and Future.Journal of clinical medicine · 2022Review
- Imaging in Hip Arthroplasty Management Part 2: Postoperative Diagnostic Imaging Strategy.Journal of clinical medicine · 2022Review
- Digital Tomosynthesis versus Conventional Radiography for Evaluating Osteonecrosis of the Femoral Head.Korean journal of radiology · 2021Article
- New Evaluation Method for Bone Formation around a Fully Hydroxyapatite-Coated Stem Using Digital Tomosynthesis: A Retrospective Cross-Sectional Study.Diagnostics (Basel, Switzerland) · 2021Article
- Clinical value of digital tomographic fusion imaging in the diagnosis of avascular necrosis of the femoral head in adults.Irish journal of medical science · 2021Article
- Additive values of pelvic tomosynthesis in comparison to pelvic radiography alone for the diagnosis of sacroiliitis in patients with suspected axial spondyloarthritis.Skeletal radiology · 2021Article
- Radiographic assessment of radiolucent lines around a highly porous titanium cup (Tritanium) using digital tomosynthesis, after total hip arthroplasty.Journal of orthopaedic surgery and research · 2021Article
- Tomosynthesis Is Equivalent to Computed Tomography for Evaluating Osseous Integration After Anterior Cruciate Ligament Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2020Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the diagnostic performance of digital tomosynthesis (DTS) for the diagnosis of hip prosthesis loosening (PL) compared with conventional radiographs and CT with metal artifact reduction (CT-MAR).
methodsForty-nine patients with painful hip prosthesis were prospectively included and underwent anteroposterior and lateral radiographs, anteroposterior DTS and CT-MAR of the hip. This study was approved by the local ethics committee, and all patients signed an informed consent form. Images were evaluated independently by two radiologists. Periprosthetic radiolucent lines wider than 2 mm found in two or more Gruen or De Lee and Charnley zones were considered diagnostic of PL. All cases of PL were confirmed surgically. Patients with a stable radiological follow-up for at least 1 year with an alternative cause for the symptoms or with no surgical evidence of PL were considered PL negative.
resultsThere were 21 cases of PL, 9 unilateral and 12 bilateral. For both the acetabular and femoral sides, DTS had a specificity for PL detection similar to that of conventional radiographs and CT-MAR (98.5-100%, 96.9%-100% and 96.9-95.4% respectively for both readers) and a sensitivity similar to conventional radiographs (39.9-45.4% versus 33.3-51.5% for both readers) but lower than CT-MAR (84.85% for both readers). The interobserver agreement was 0.84 for CT-MAR, 0.53 for DTS and 0.39 for conventional radiographs.
conclusionDTS has a similar diagnostic performance to radiographs for the diagnosis of PL with a better interobserver agreement. The sensitivity however remains lower than that of CT-MAR. KEY POINTS: • Plain radiograph is still the first imaging step when hip prosthesis loosening is suspected. • Interobserver agreement is better with digital tomosynthesis than radiographs. • Sensitivity of CT with state-of-the-art metal artifact reduction is superior to that of digital tomosynthesis.
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