SPECT/CT in Postoperative Painful Hip Arthroplasty
Van Den Wyngaert T, Paycha F, Strobel K, Kampen WU, Kuwert T, Van Der Bruggen W, Gnanasegaran G (2018)
Publication Type: Journal article
Publication year: 2018
Journal
Book Volume: 48
Pages Range: 425-438
Journal Issue: 5
DOI: 10.1053/j.semnuclmed.2018.05.002
Abstract
Consecutive milestones in hip arthroplasty design and surgical technique have contributed to the successful and cost-effective intervention this procedure has become today in maintaining mobility and quality of life in patients with osteoarthritis, fracture, or other hip conditions. With the increasing prevalence of hip joint replacements, the need for improved diagnostic imaging tools to guide revision surgery has risen in parallel. Over the last few years, promising data have emerged on the potential role of bone SPECT/CT imaging in the assessment of patients with recurrent pain after arthroplasty. This review summarizes the trends in hip arthroplasty surgery (partial vs total arthroplasty; cemented vs cementless arthroplasty; resurfacing arthroplasty) and prosthesis design (bearing materials; stem designs) over the last decade. In particular, the impact on the biomechanics and interpretation of bone SPECT/CT findings is discussed, with emphasis on integrative reporting in the following frequently encountered conditions: lysis/aseptic loosening, septic loosening, heterotopic ossification, periprosthetic fracture, tendinopathies, and adverse local tissue reactions. Based on the available literature data, bone SPECT/CT is increasingly being used as second-line imaging modality when conventional investigations are nondiagnostic. Further outcome research is warranted to examine whether this technique could be used earlier in patient management.
Authors with CRIS profile
Involved external institutions
Antwerp University Hospital
Belgium (BE)
Assistance Publique-Hôpitaux de Paris (AP-HP)
France (FR)
Luzerner Kantonsspital (LUKS)
Switzerland (CH)
Nuklearmedizin Spitalerhof
Germany (DE)
Slingeland Ziekenhuis
Netherlands (NL)
University College London (UCL)
United Kingdom (GB)
Belgium (BE)
Assistance Publique-Hôpitaux de Paris (AP-HP)
France (FR)
Luzerner Kantonsspital (LUKS)
Switzerland (CH)
Nuklearmedizin Spitalerhof
Germany (DE)
Slingeland Ziekenhuis
Netherlands (NL)
University College London (UCL)
United Kingdom (GB)
How to cite
APA:
Van Den Wyngaert, T., Paycha, F., Strobel, K., Kampen, W.U., Kuwert, T., Van Der Bruggen, W., & Gnanasegaran, G. (2018). SPECT/CT in Postoperative Painful Hip Arthroplasty. Seminars in Nuclear Medicine, 48(5), 425-438. https://doi.org/10.1053/j.semnuclmed.2018.05.002
MLA:
Van Den Wyngaert, Tim, et al. "SPECT/CT in Postoperative Painful Hip Arthroplasty." Seminars in Nuclear Medicine 48.5 (2018): 425-438.
BibTeX: Download