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Periprosthetic DXA

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Imaging of Prosthetic Joints

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Abstract

The extraordinary advances in bone density technology since 1970s have enhanced the physician’s ability to detect and manage metabolic bone disease. In the last 25 years, due to an improvement in hardware and software of dual-energy X-ray absorptiometry (DXA), there has been increasing interest within the orthopaedic community in the noninvasive measurement of bone mineral mass and bone remodelling around metal joint prostheses in clinical practice and research. This interest has been stimulated, in part, by the recognition and understanding that the several diagnostic tools available in the clinical diagnosis of a failed arthroplasty are neither sensitive nor accurate for the diagnosis of early bone loss. Conventional X-ray imaging, although qualitatively indicating changes due to bone remodelling, has limited usefulness in quantitative evaluation of the amount of bone resorption. Using DXA technique, the amount of bone mass after joint stem implantation can be determined with high precision, minimal radiation exposure and negligible effects by metallic implants. This chapter summarizes the technical aspects and clinical applications of periprosthetic DXA in the two common and most currently well-accepted orthopaedic applications such as after total hip and total knee joints implants.

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Authors and Affiliations

  1. Department of Radiological Sciences, Oncology and Pathology, University of Rome Sapienza, Viale Regina Elena, 324, 00161, Rome, Italy

    Carlina V. Albanese

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  1. Carlina V. Albanese
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Correspondence to Carlina V. Albanese .

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Editors and Affiliations

  1. Department of Radiological Sciences, Oncology and Pathology, University of Rome Sapienza, Rome, Italy

    Carlina V. Albanese

  2. Radiodiagnostica CTO, Azienda Ospedaliera Città della Salute e della Scienza di Torino, Torino, Italy

    Carlo Faletti

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Albanese, C.V. (2014). Periprosthetic DXA. In: Albanese, C.V., Faletti, C. (eds) Imaging of Prosthetic Joints. Springer, Milano. https://doi.org/10.1007/978-88-470-5483-7_8

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  • DOI: https://doi.org/10.1007/978-88-470-5483-7_8

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5482-0

  • Online ISBN: 978-88-470-5483-7

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