Evaluation of radiolucency condition in total hip arthroplasty: a statistical comparison of the diagnostic capability of digitised image vs. conventional X-ray film.

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Title: Evaluation of radiolucency condition in total hip arthroplasty: a statistical comparison of the diagnostic capability of digitised image vs. conventional X-ray film.
Authors: Testoni, M.1, Baruffaldi, F.1, Mattioli, P.1, Sudanese, A.2, Terzi, S.1, Barbanti-Brodano, G.2, Toni, A.2
Source: European Radiology. Apr2000, Vol. 10 Issue 4, p601-608. 8p.
Subjects: Total hip replacement, Radiographic films, Diagnostic imaging, Prosthetics, Medical protocols, Preventive medicine, Radiography, Evaluation research, Receiver operating characteristic curves, Research evaluation, Hip joint, Surgical complications, Research bias, Artificial joints, Computer-aided diagnosis, Research methodology, Research, Comparative studies, Sensitivity & specificity (Statistics)
Abstract: This work analyses the diagnostic capability of radiographic images taken from patients with total hip arthroplasty and visualised on monitor. Images were obtained with digital acquisition of conventional X-ray films. The investigated pathology is the absence of direct contact between bone and prosthesis (radiolucency). Three senior orthopaedists defined the diagnostic "truth" on well-defined regions of interest on 22 conventional X-ray films of total hip arthroplasty, obtaining a total of 110 reference ratings. Films were digitised by use of an X-ray scanner. Four readers evaluated the X-ray images, applying conventional and monitor visualisation. To show any difference between ratings on film and ratings on monitor a sensitivity, specificity and accuracy study jointly with a receiver operating characteristics (ROC) study were performed for each reader and for all combined readings. The intra-observer reproducibility of the radiographic protocol was equal to 87% and the inter-observer one was in the range 85-92%. The sensitivity, specificity and accuracy study together with the ROC analysis did not show significant differences between the two evaluation modes. The evaluation of radiolucency from digitised X-ray films visualised on a monitor resulted statistically comparable with the conventional evaluation on X-ray films. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Evaluation of radiolucency condition in total hip arthroplasty: a statistical comparison of the diagnostic capability of digitised image vs. conventional X-ray film.
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Apr2000, Vol. 10 Issue 4, p601-608. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Total+hip+replacement%22">Total hip replacement</searchLink><br /><searchLink fieldCode="DE" term="%22Radiographic+films%22">Radiographic films</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+imaging%22">Diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Prosthetics%22">Prosthetics</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Preventive+medicine%22">Preventive medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Radiography%22">Radiography</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br /><searchLink fieldCode="DE" term="%22Receiver+operating+characteristic+curves%22">Receiver operating characteristic curves</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Hip+joint%22">Hip joint</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+complications%22">Surgical complications</searchLink><br /><searchLink fieldCode="DE" term="%22Research+bias%22">Research bias</searchLink><br /><searchLink fieldCode="DE" term="%22Artificial+joints%22">Artificial joints</searchLink><br /><searchLink fieldCode="DE" term="%22Computer-aided+diagnosis%22">Computer-aided diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Sensitivity+%26+specificity+%28Statistics%29%22">Sensitivity & specificity (Statistics)</searchLink>
– Name: Abstract
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  Data: This work analyses the diagnostic capability of radiographic images taken from patients with total hip arthroplasty and visualised on monitor. Images were obtained with digital acquisition of conventional X-ray films. The investigated pathology is the absence of direct contact between bone and prosthesis (radiolucency). Three senior orthopaedists defined the diagnostic "truth" on well-defined regions of interest on 22 conventional X-ray films of total hip arthroplasty, obtaining a total of 110 reference ratings. Films were digitised by use of an X-ray scanner. Four readers evaluated the X-ray images, applying conventional and monitor visualisation. To show any difference between ratings on film and ratings on monitor a sensitivity, specificity and accuracy study jointly with a receiver operating characteristics (ROC) study were performed for each reader and for all combined readings. The intra-observer reproducibility of the radiographic protocol was equal to 87% and the inter-observer one was in the range 85-92%. The sensitivity, specificity and accuracy study together with the ROC analysis did not show significant differences between the two evaluation modes. The evaluation of radiolucency from digitised X-ray films visualised on a monitor resulted statistically comparable with the conventional evaluation on X-ray films. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s003300050971
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Total hip replacement
        Type: general
      – SubjectFull: Radiographic films
        Type: general
      – SubjectFull: Diagnostic imaging
        Type: general
      – SubjectFull: Prosthetics
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Preventive medicine
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      – SubjectFull: Evaluation research
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      – SubjectFull: Receiver operating characteristic curves
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      – SubjectFull: Hip joint
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      – SubjectFull: Research bias
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      – SubjectFull: Sensitivity & specificity (Statistics)
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      – TitleFull: Evaluation of radiolucency condition in total hip arthroplasty: a statistical comparison of the diagnostic capability of digitised image vs. conventional X-ray film.
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              Text: Apr2000
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