Scholarlink

Objectives <p>To evaluate the clinical feasibility of a camera-type X-ray system, compared with conventional portable X-ray, for intraoperative imaging during hip arthroplasty.</p> Materials and methods <p>Twenty-one patients who underwent hip arthroplasty were prospectively enrolled. Conventional portable and camera-type X-ray images were obtained intraoperatively (<i>n</i> = 42). Three reviewers (two radiologists and one orthopedic surgeon) independently assessed image quality and diagnostic confidence using 4-point Likert scales, as well as the feasibility of assessing leg length discrepancies (LLD), calculated as the difference between the transischial line and the lesser trochanter (TI-LT). Two radiologists also measured the TI-LT interval in both modalities. Image quality and diagnostic confidence were compared using the Wilcoxon rank-sum test. The feasibility of LLD assessment was analyzed using Fisher’s exact test. The agreement between camera-type and portable X-ray measurements was evaluated using intraclass correlation coefficients (ICCs).</p> Results <p>Image quality scores were significantly higher for portable X-rays than for camera-type X-rays (mean ± SD, 3.65 ± 0.44 vs. 2.57 ± 0.89; <i>p</i> &lt; 0.001). Diagnostic confidence was also higher with the portable X-rays (3.86 ± 0.27 vs. 2.95 ± 0.91; <i>p</i> &lt; 0.001). However, the feasibility of the LLD assessment did not differ significantly between the two modalities for any reviewer (all <i>p</i> &gt; 0.1). The TI-LT interval measurements demonstrated good agreement between camera-type and portable X-rays, with an ICC of 0.750 (95% CI 0.454–0.898).</p> Conclusions <p>Although conventional portable X-rays provided superior image quality and diagnostic confidence, camera-type X-rays demonstrated comparable feasibility for intraoperative evaluation of LLD and good agreement in quantitative measurements. These findings support the clinical feasibility of using camera-type X-rays for intraoperative imaging during hip arthroplasty.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Clinical feasibility of camera-type X-ray for intraoperative imaging of hip arthroplasty: a pilot study

  • 期刊论文

  • 发表日期：

    2026年8月5日

查看全文
  • Kyu-Chong Lee,
  • Joo Hui Kim,
  • Seok Ha Hong,
  • Kyung-Sik Ahn,
  • Yongwon Cho,
  • Woo Young Kang,
  • Baek Hyun Kim,
  • Euddeum Shim,
  • Seung Beom Han,
  • Chang Ho Kang

摘要

Objectives

To evaluate the clinical feasibility of a camera-type X-ray system, compared with conventional portable X-ray, for intraoperative imaging during hip arthroplasty.

Materials and methods

Twenty-one patients who underwent hip arthroplasty were prospectively enrolled. Conventional portable and camera-type X-ray images were obtained intraoperatively (n = 42). Three reviewers (two radiologists and one orthopedic surgeon) independently assessed image quality and diagnostic confidence using 4-point Likert scales, as well as the feasibility of assessing leg length discrepancies (LLD), calculated as the difference between the transischial line and the lesser trochanter (TI-LT). Two radiologists also measured the TI-LT interval in both modalities. Image quality and diagnostic confidence were compared using the Wilcoxon rank-sum test. The feasibility of LLD assessment was analyzed using Fisher’s exact test. The agreement between camera-type and portable X-ray measurements was evaluated using intraclass correlation coefficients (ICCs).

Results

Image quality scores were significantly higher for portable X-rays than for camera-type X-rays (mean ± SD, 3.65 ± 0.44 vs. 2.57 ± 0.89; p < 0.001). Diagnostic confidence was also higher with the portable X-rays (3.86 ± 0.27 vs. 2.95 ± 0.91; p < 0.001). However, the feasibility of the LLD assessment did not differ significantly between the two modalities for any reviewer (all p > 0.1). The TI-LT interval measurements demonstrated good agreement between camera-type and portable X-rays, with an ICC of 0.750 (95% CI 0.454–0.898).

Conclusions

Although conventional portable X-rays provided superior image quality and diagnostic confidence, camera-type X-rays demonstrated comparable feasibility for intraoperative evaluation of LLD and good agreement in quantitative measurements. These findings support the clinical feasibility of using camera-type X-rays for intraoperative imaging during hip arthroplasty.