TY - JOUR
T1 - ACR Appropriateness Criteria® Imaging After Total Hip Arthroplasty
AU - Expert Panel on Musculoskeletal Imaging:
AU - Weissman, Barbara N.
AU - Palestro, Christopher J.
AU - Fox, Michael G.
AU - Bell, Angela M.
AU - Blankenbaker, Donna G.
AU - Frick, Matthew A.
AU - Jawetz, Shari T.
AU - Kuo, Phillip H.
AU - Said, Nicholas
AU - Stensby, J. Derek
AU - Subhas, Naveen
AU - Tynus, Katherine M.
AU - Walker, Eric A.
AU - Kransdorf, Mark J.
N1 - Publisher Copyright:
© 2023 American College of Radiology
PY - 2023/11
Y1 - 2023/11
N2 - This article reviews evidence for performing various imaging studies in patients with total hip prostheses. Routine follow-up is generally performed with radiography. Radiographs are also usually the initial imaging modality for patients with symptoms related to the prosthesis. Following acute injury with pain, noncontrast CT may add information to radiographic examination regarding the presence and location of a fracture, component stability, and bone stock. Image-guided joint aspiration, noncontrast MRI, and white blood cell scan and sulfur colloid scan of the hip, are usually appropriate studies for patients suspected of having periprosthetic infection. For evaluation of component loosening, wear, and/or osteolysis, noncontrast CT or MRI are usually appropriate studies. Noncontrast MRI is usually appropriate for identifying adverse reaction to metal debris related to metal-on-metal articulations. For assessing patients after hip arthroplasty, who have trochanteric pain and nondiagnostic radiographs, ultrasound, or MRI are usually appropriate studies. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
AB - This article reviews evidence for performing various imaging studies in patients with total hip prostheses. Routine follow-up is generally performed with radiography. Radiographs are also usually the initial imaging modality for patients with symptoms related to the prosthesis. Following acute injury with pain, noncontrast CT may add information to radiographic examination regarding the presence and location of a fracture, component stability, and bone stock. Image-guided joint aspiration, noncontrast MRI, and white blood cell scan and sulfur colloid scan of the hip, are usually appropriate studies for patients suspected of having periprosthetic infection. For evaluation of component loosening, wear, and/or osteolysis, noncontrast CT or MRI are usually appropriate studies. Noncontrast MRI is usually appropriate for identifying adverse reaction to metal debris related to metal-on-metal articulations. For assessing patients after hip arthroplasty, who have trochanteric pain and nondiagnostic radiographs, ultrasound, or MRI are usually appropriate studies. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
KW - ALTR (adverse local tissue reaction)
KW - ARMD (adverse reaction to metal debris)
KW - AUC
KW - Appropriateness Criteria
KW - appropriate use criteria
KW - metal artifact reduction
KW - total hip arthroplasty imaging
KW - total hip prosthesis complications
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U2 - 10.1016/j.jacr.2023.08.015
DO - 10.1016/j.jacr.2023.08.015
M3 - Article
C2 - 38040462
AN - SCOPUS:85178353505
SN - 1546-1440
VL - 20
SP - S413-S432
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 11
ER -