SynthesisActa orthopaedica2025
The accuracy and precision of CT-RSA in arthroplasty: a systematic review and meta-analysis.
Synthesis in Acta orthopaedica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- CT-based micromotion analysis for tracking fracture displacement and fragment movement in trochanteric hip fractures: an agreement study.Acta orthopaedica · 2026Article
- Article
- Synthetic Implant Migration Generation for Accuracy and Precision Evaluation of AI-Based CT-RSA in Total Hip Arthroplasty.Diagnostics (Basel, Switzerland) · 2026Article
- Inducible displacement CT for implant loosening detection: a scoping review on methods, validation, and challenges.Acta orthopaedica · 2026Article
- Precision, Accuracy, and Observer Reliability of Computed Tomography-Based Radiostereometric Analysis in Measuring Femoral Stem Migration In Vitro.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Radiostereometric analysis for evaluating inducible fracture micromotion: a scoping review.Acta orthopaedica · 2025Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeComputed tomography-based radiostereometric analysis (CT-RSA) is an alternative to conventional radiostereometric analysis (RSA) in measuring implant migration, circumventing the need for operative insertion of tantalum markers. The accuracy and precision of different CT-RSA techniques in various joints are still unclear, and the effective radiation dose (ED) of CT-RSA is usually higher than RSA. In this systematic literature review, we aimed to provide an overview of the accuracy, precision, clinical precision, and ED of CT-RSA techniques.
methodsWe performed a systematic search in PubMed, Cochrane, and Embase databases. Main search items were "arthroplasty" AND "migration" AND "computed tomography." We included full-text English papers, using CT for migration analysis (CT-RSA) in human, animal, or synthetic models with arthroplasties, reporting accuracy and/or precision. Eligible studies were screened and reviewed by 2 authors independently. Main outcomes were accuracy, precision, and clinical precision of CT-RSA in 6 degrees of freedom. Secondary outcome was the mean ED. A meta-analysis on (clinical) precision of CT-RSA was performed.
results23 studies were included involving 163 patients, 20 human cadaveric, 3 porcine cadaveric, and 7 synthetic models. 6 different CT-RSA techniques were used to study 6 different joint components in cervical disc replacement and shoulder, hip, and knee arthroplasty. CT-RSA accuracy ranged between 0.02 and 0.71 mm and 0.03° and 1.00°. CT-RSA precision ranged between 0.00 and 0.47 mm and 0.00° and 1.09°. Mean precision was 0.15 mm (95% confidence interval [CI] 0.05-0.25) in the acetabulum, 0.13 mm (CI 0.00-0.28) and 0.24° (CI 0.00-0.51) in the proximal femur, and 0.04 mm (CI 0.00-0.08) and 0.07° (CI 0.00-0.15) in the proximal tibia. CT-RSA clinical precision ranged between 0.03 and 1.36 mm and 0.06° and 2.25°. Mean clinical precision was 0.13 mm (CI 0.11-0.16) and 0.26° (CI 0.20-0.32) in the acetabulum. The mean ED of CT-RSA ranged between 0.02 and 5.80 mSv.
conclusionCT-RSA shows comparable accuracy and precision to standard RSA. CT-RSA seems to be a promising alternative to RSA.
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