Cargando…

Longitudinal Radiographic Bone Density Measurement in Revision Hip Arthroplasty and Its Correlation with Clinical Outcome

The subjective analysis of conventional radiography represents the principal method for bone diagnostics in endoprosthetics. Alternative objective quantitative methods are described but not commonly used. Therefore, semi-quantitative methods are tested using digital computation and artificial intell...

Descripción completa

Detalles Bibliográficos
Autores principales: Roessler, Philip P., Eich, Jakob, Wirtz, Dieter C., Schildberg, Frank A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10145842/
https://www.ncbi.nlm.nih.gov/pubmed/37109132
http://dx.doi.org/10.3390/jcm12082795
_version_ 1785034435027009536
author Roessler, Philip P.
Eich, Jakob
Wirtz, Dieter C.
Schildberg, Frank A.
author_facet Roessler, Philip P.
Eich, Jakob
Wirtz, Dieter C.
Schildberg, Frank A.
author_sort Roessler, Philip P.
collection PubMed
description The subjective analysis of conventional radiography represents the principal method for bone diagnostics in endoprosthetics. Alternative objective quantitative methods are described but not commonly used. Therefore, semi-quantitative methods are tested using digital computation and artificial intelligence to standardize, simplify, and ultimately improve the assessment. This study aimed to evaluate the correlation between relative density progressions and clinical outcomes. Radiographs and clinical examinations before and 24 and 48 weeks after surgery were obtained from sixty-eight patients with a modular hip stem. For the calculation of the relative bone density, the modal gray values of the Gruen zones were measured using ImageJ and were normalized by gray values of the highest and lowest ROI. The clinical outcomes were measured according to the Harris hip score before evaluating them for correlations. Analyses were performed separately for subgroups and bone regions. The Harris hip score increased from 44.15 ± 15.00 pre-operatively to 66.20 ± 13.87 at the latest follow-up. The relative bone density adjustment of Gruen zone 7 showed a significant correlation to its clinical outcome. Other bone adaptations could be realistically reproduced and differences by regional zones and patients’ histories visualized. Next to the simplicity and that no additional examination is required, the method provides good semi-quantitative results and visualizes adaptations, which make it suitable for use.
format Online
Article
Text
id pubmed-10145842
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-101458422023-04-29 Longitudinal Radiographic Bone Density Measurement in Revision Hip Arthroplasty and Its Correlation with Clinical Outcome Roessler, Philip P. Eich, Jakob Wirtz, Dieter C. Schildberg, Frank A. J Clin Med Article The subjective analysis of conventional radiography represents the principal method for bone diagnostics in endoprosthetics. Alternative objective quantitative methods are described but not commonly used. Therefore, semi-quantitative methods are tested using digital computation and artificial intelligence to standardize, simplify, and ultimately improve the assessment. This study aimed to evaluate the correlation between relative density progressions and clinical outcomes. Radiographs and clinical examinations before and 24 and 48 weeks after surgery were obtained from sixty-eight patients with a modular hip stem. For the calculation of the relative bone density, the modal gray values of the Gruen zones were measured using ImageJ and were normalized by gray values of the highest and lowest ROI. The clinical outcomes were measured according to the Harris hip score before evaluating them for correlations. Analyses were performed separately for subgroups and bone regions. The Harris hip score increased from 44.15 ± 15.00 pre-operatively to 66.20 ± 13.87 at the latest follow-up. The relative bone density adjustment of Gruen zone 7 showed a significant correlation to its clinical outcome. Other bone adaptations could be realistically reproduced and differences by regional zones and patients’ histories visualized. Next to the simplicity and that no additional examination is required, the method provides good semi-quantitative results and visualizes adaptations, which make it suitable for use. MDPI 2023-04-10 /pmc/articles/PMC10145842/ /pubmed/37109132 http://dx.doi.org/10.3390/jcm12082795 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Roessler, Philip P.
Eich, Jakob
Wirtz, Dieter C.
Schildberg, Frank A.
Longitudinal Radiographic Bone Density Measurement in Revision Hip Arthroplasty and Its Correlation with Clinical Outcome
title Longitudinal Radiographic Bone Density Measurement in Revision Hip Arthroplasty and Its Correlation with Clinical Outcome
title_full Longitudinal Radiographic Bone Density Measurement in Revision Hip Arthroplasty and Its Correlation with Clinical Outcome
title_fullStr Longitudinal Radiographic Bone Density Measurement in Revision Hip Arthroplasty and Its Correlation with Clinical Outcome
title_full_unstemmed Longitudinal Radiographic Bone Density Measurement in Revision Hip Arthroplasty and Its Correlation with Clinical Outcome
title_short Longitudinal Radiographic Bone Density Measurement in Revision Hip Arthroplasty and Its Correlation with Clinical Outcome
title_sort longitudinal radiographic bone density measurement in revision hip arthroplasty and its correlation with clinical outcome
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10145842/
https://www.ncbi.nlm.nih.gov/pubmed/37109132
http://dx.doi.org/10.3390/jcm12082795
work_keys_str_mv AT roesslerphilipp longitudinalradiographicbonedensitymeasurementinrevisionhiparthroplastyanditscorrelationwithclinicaloutcome
AT eichjakob longitudinalradiographicbonedensitymeasurementinrevisionhiparthroplastyanditscorrelationwithclinicaloutcome
AT wirtzdieterc longitudinalradiographicbonedensitymeasurementinrevisionhiparthroplastyanditscorrelationwithclinicaloutcome
AT schildbergfranka longitudinalradiographicbonedensitymeasurementinrevisionhiparthroplastyanditscorrelationwithclinicaloutcome