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髋关节置换术中使用的成像方法进展:一种诊断算法。

Developments in imaging methods used in hip arthroplasty: A diagnostic algorithm.

作者信息

Blum A, Gondim-Teixeira P, Gabiache E, Roche O, Sirveaux F, Olivier P, Coudane H, Raymond A, Louis M, Grandhaye M, Meyer J-B, Mainard D, Molé D

机构信息

Service d'imagerie Guilloz, CHU de Nancy, avenue de Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France.

Service de médecine nucléaire, CHU de Nancy, rue du Morvan, 54511 Vandœuvre-lès-Nancy cedex, France.

出版信息

Diagn Interv Imaging. 2016 Jul-Aug;97(7-8):735-47. doi: 10.1016/j.diii.2016.07.001. Epub 2016 Jul 22.

Abstract

BACKGROUND

Several imaging modalities can be used to diagnose complications of hip prosthesis placement. Despite progress in these imaging techniques, there are, as yet, no guidelines as to their respective indications.

METHODS

We formed a panel of experts in fields related to prosthesis imaging (radiology, nuclear medicine, orthopedic surgery) and conducted a review of the literature to determine the value of each modality for diagnosing complications following hip replacement.

RESULTS

Few recent studies have investigated the benefits related to the use of the latest technical developments, and studies comparing different methods are extremely rare.

CONCLUSIONS

We have developed a diagnostic tree based on the characteristics of each imaging technique and recommend its use. Computed topography was found to be the most versatile and cost-effective imaging solution and therefore a key tool for diagnosing the complications of hip replacement surgery.

摘要

背景

几种成像方式可用于诊断髋关节假体植入的并发症。尽管这些成像技术取得了进展,但对于它们各自的适应症尚无指南。

方法

我们组建了一个由假体成像相关领域(放射学、核医学、骨外科)的专家组成的小组,并对文献进行了综述,以确定每种成像方式在诊断髋关节置换术后并发症方面的价值。

结果

近期很少有研究调查使用最新技术发展的益处,且比较不同方法的研究极为罕见。

结论

我们根据每种成像技术的特点制定了一个诊断树并推荐使用。计算机断层扫描被发现是最通用且性价比最高的成像解决方案,因此是诊断髋关节置换手术并发症的关键工具。

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