Is Ultrasound As Useful As Metal Artifact Reduction Sequence Magnetic Resonance Imaging in Longitudinal Surveillance of Metal-on-Metal Hip Arthroplasty Patients?

The Journal of Arthroplasty
Young-Min KwonGuoan Li

Abstract

Current guidelines recommend longitudinal monitoring of at-risk metal-on-metal (MoM) arthroplasty patients with cross-sectional imaging such as metal artifact reduction sequence (MARS) magnetic resonance imaging (MRI) or ultrasound. During follow-up evaluations, the clinical focus is on the relative interval changes in symptoms, radiographs, laboratory tests, and cross-sectional imaging modalities. Although MRI has the capacity for the detection of adverse local soft tissue reactions (ALTRs), the potential disadvantages of MARS MRI include the obscuration of periprosthetic tissues by metal artifacts and the cost. The aim of this study was to evaluate the diagnostic accuracy of ultrasound in comparison with MARS MRI in detecting ALTR in MoM patients during consecutive follow-up. Thirty-five MoM patients (42 hips) were recruited prospectively to evaluate the sensitivity and specificity of the ultrasound for detecting ALTR in relation to MARS MRI during 2 longitudinal follow-up scans. The agreement between ultrasound and MARS MRI in ALTR grade, size, and size change was calculated. At the initial evaluation and at the subsequent follow-up, ultrasound had a sensitivity of 81% and 86% and a specificity of 92% and 88%, respectively. ...Continue Reading

References

Jun 2, 2009·The Journal of Bone and Joint Surgery. British Volume·A J HartJ A Skinner
Jul 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Kevin J BozicDaniel J Berry
Mar 26, 2011·The Orthopedic Clinics of North America·Catherine L HayterEdwin P Su
Mar 16, 2012·Lancet·Alison J SmithUNKNOWN National Joint Registry of England and Wales
May 23, 2012·The Journal of Arthroplasty·Young-Min KwonAdolph V Lombardi
Nov 9, 2012·The Journal of Bone and Joint Surgery. British Volume·A V LombardiT P Schmalzried
Nov 22, 2012·Magnetic Resonance Imaging Clinics of North America·Carson B Campe, William E Palmer
Jul 23, 2013·Clinical Orthopaedics and Related Research·Donald S GarbuzBruce B Forster

❮ Previous
Next ❯

Citations

Jul 28, 2016·Diagnostic and Interventional Imaging·A BlumD Molé
Oct 21, 2016·International Orthopaedics·Ming Han Lincoln Liow, Young-Min Kwon
Nov 7, 2017·Acta Orthopaedica·Gulraj S MatharuHemant G Pandit
Mar 28, 2017·Journal of Magnetic Resonance Imaging : JMRI·Pia M JungmannReto Sutter
Dec 17, 2020·AJR. American Journal of Roentgenology·Jonelle M Petscavage-Thomas, Alice Ha
Jun 23, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Tahsin M RahmanCraig D Silverton
Nov 5, 2021·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Esperanza NaredoDaniela Fodor

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.