The Accuracy of Single Photon Emission Computed Tomography/Computed Tomography Arthrography in Evaluating Aseptic Loosening of Hip and Knee Prostheses

被引：23

作者：

Abele, Jonathan T. ^{[1
]}

Swami, Vimarsha G. ^{[2
]}

Russell, Gordon ^{[3
]}

Masson, Edward C. O. ^{[3
]}

Flemming, Jeffrey P. ^{[1
]}

机构：

[1] Univ Alberta, Dept Radiol & Diagnost Imaging, Edmonton, AB T6G 2B7, Canada

[2] Univ Alberta, Fac Med, Edmonton, AB T6G 2B7, Canada

[3] Univ Alberta, Dept Surg, Div Orthoped Surg, Edmonton, AB T6G 2B7, Canada

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 09期

关键词：

SPECT/CT; arthrography; nuclear medicine; prosthesis; aseptic loosening; SUBTRACTION ARTHROGRAPHY; NUCLEAR ARTHROGRAPHY; BONE-SCINTIGRAPHY; PLAIN RADIOGRAPHY; UNITED-STATES; ARTHROPLASTY; COMPONENT; DIAGNOSIS;

D O I：

10.1016/j.arth.2015.03.033

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Aseptic loosening represents the most common complication associated with hip and knee arthroplasty and is a common indication for surgical revision in the post-arthroplasty population. The optimal imaging methodology in evaluating clinical suspected loosening is not well-defined. Our study retrospectively evaluated nuclear medicine arthrography with hybrid single photon emission computed tomography/computed tomography (SPECT/CT) in 38 patients (21 hip, 17 knee) compared with reference standards of surgical evaluation, spontaneous resolution of symptoms without revision, or a minimum of 1 year clinical and radiographic follow-up. Our study demonstrated a sensitivity of 100%, specificity of 96.0%, PPV of 92.9%, NPV of 100%, and accuracy of 97.4% with this imaging technique suggesting utility of nuclear medicine arthrography with SPECT/CT in the clinical evaluation of suspected aseptic loosening. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1647 / 1651

页数：5

共 14 条

[1] Postoperative imaging of the hip
Beall, Douglas P.
Martin, Hal D.
Ly, Justin Q.
Campbell, Scot E.
Anderson, Suzanne
Tannast, Moritz
[J]. RADIOLOGIC CLINICS OF NORTH AMERICA, 2006, 44 (03) : 343 - +
[2] Review of periprosthetic osteolysis in total joint arthroplasty: An emphasis on host factors and future directions
Beck, Ryan T.
Illingworth, Kenneth D.
Saleh, Khaled J.
[J]. JOURNAL OF ORTHOPAEDIC RESEARCH, 2012, 30 (04) : 541 - 546
[3] Canadian Institute for Health Information, 2013, HIP KNEE REPL CAN CA
[4] Radionuclide arthrogram with SPECT/CT for the evaluation of mechanical loosening of hip and knee prostheses
Chew, Chong Ghee
Lewis, Peter
Middleton, Fiona
van den Wijngaard, Rene
Deshaies, Annie
[J]. ANNALS OF NUCLEAR MEDICINE, 2010, 24 (10) : 735 - 743
[5] The Diagnostic Accuracy of Radionuclide Arthrography for Prosthetic Loosening in Hip and Knee Arthroplasty
French, Timothy H.
Russell, Nicholas
Pillai, Anand
[J]. BIOMED RESEARCH INTERNATIONAL, 2013, 2013
[6] Assessment of radionuclide arthrography in the evaluation of loosening of knee prostheses
Kitchener, Michael I.
Coats, Emma
Keene, Gregory
Paterson, Roger
[J]. KNEE, 2006, 13 (03) : 220 - 225
[7] Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030
Kurtz, Steven
Ong, Kevin
Lau, Edmund
Mowat, Fionna
Halpern, Michael
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (04) : 780 - 785
[8] Imaging of hip arthroplasty
Miller, Theodore T.
[J]. EUROPEAN JOURNAL OF RADIOLOGY, 2012, 81 (12) : 3802 - 3812
[9] The Impact of Osteoarthritis in the United States: A Population-Health Perspective
Murphy, Louise
Helmick, Charles G.
[J]. AMERICAN JOURNAL OF NURSING, 2012, 112 : S13 - S19
[10] Painful prosthesis: approaching the patient with persistent pain following total hip and knee arthroplasty
Piscitelli, Prisco
Iolascon, Giovanni
Innocenti, Massimo
Civinini, Roberto
Rubinacci, Alessandro
Muratore, Maurizio
D'Arienzo, Michele
Leali, Paolo Tranquilli
Carossino, Anna Maria
Brandi, Maria Luisa
[J]. CLINICAL CASES IN MINERAL AND BONE METABOLISM, 2013, 10 (02) : 97 - 110

← 1 2 →