A Comparative Study of Indium-111 DTPA Radionuclide and Iothalamate Meglumine Roentgenographic Arthrography in the Evaluation of Painful Total Hip Arthroplasty
Autor: | Harry R. Maxon, E.H. Miller, D.E. Von Stein, J.G. Kereiakes, Harold J. Schneider, R.M. McDevitt, C.N. Hopson, D.D. Cummings |
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Rok vydání: | 1989 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Meglumine business.industry General Medicine Single-photon emission computed tomography Isotopes of technetium medicine.anatomical_structure Technetium-99 Medicine Orthopedics and Sports Medicine Surgery Arthrogram Radiology business Nuclear medicine Pelvis Emission computed tomography medicine.drug Total hip arthroplasty |
Zdroj: | Clinical Orthopaedics and Related Research. 245:156 |
ISSN: | 0009-921X |
DOI: | 10.1097/00003086-198908000-00024 |
Popis: | Fifteen patients with painful total hip prostheses were referred for nuclear medicine and roentgenographic arthrography studies to exclude loosening of the acetabular and/or the femoral component. A new radioisotopic technique suitable for the evaluation of both components was developed using dual-isotope single-photon tomography with {sup 99m}technetium methylene diphosphonate bone imaging and indium-111 diethylenetriaminepentacetic acid arthrography. Thirteen of the 15 subjects were subsequently treated with additional surgery. The surgical findings were compared with the nuclear medicine and roentgenographic results. The overall diagnostic accuracy of both arthrographic procedures was approximately 80%, but the roentgenographic arthrogram was more sensitive and the radionuclide arthrogram was more specific. |
Databáze: | OpenAIRE |
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