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Hip

Analysis of bone mineralization on uncemented femoral stems by [18F]-fluoride-PET

A randomized clinical study of 16 hips in 8 patients

, , &
Pages 138-144 | Received 22 Aug 2011, Accepted 05 Jan 2013, Published online: 19 Mar 2013

Figures & data

Figure 1. The BetaCone stem (left) and the SL-PLUS stem (right).

Figure 1. The BetaCone stem (left) and the SL-PLUS stem (right).

Figure 2. From left to right: CT-, F-PET-, and combined PET/CT-images of pelvis and hips 4 months after surgery. BetaCone stem in the right hip and SL-PLUS in the left hip. Blue color indicates low activity and white color indicates high activity.

Figure 2. From left to right: CT-, F-PET-, and combined PET/CT-images of pelvis and hips 4 months after surgery. BetaCone stem in the right hip and SL-PLUS in the left hip. Blue color indicates low activity and white color indicates high activity.

Figure 3. The upper femur treated as a cylinder, folded out so that it becomes a disc named a Polar Map. Each of the 7 Gruen zones represents 1 ROI in the disc; 6 other ventral or dorsal ROIs complete all the regions adjacent to the stem.

Figure 3. The upper femur treated as a cylinder, folded out so that it becomes a disc named a Polar Map. Each of the 7 Gruen zones represents 1 ROI in the disc; 6 other ventral or dorsal ROIs complete all the regions adjacent to the stem.

Table 1. Mean uptake per group over time (with p-values from 2-sample t-test against reference)

Figure 4. Uptake (in SUV) for group and time. (The error bars are the standard deviations of the corresponding samples).

Figure 4. Uptake (in SUV) for group and time. (The error bars are the standard deviations of the corresponding samples).

Table 2. Differences in uptake (BC – SL) (p-value from t-test of “mean = 0”)

Figure 5. Mean activity (in SUV) for the 13 ROIs 1 year after surgery for the SL group without the case with a loosening stem (♦) and for the single case with a loosening stem (×).

Figure 5. Mean activity (in SUV) for the 13 ROIs 1 year after surgery for the SL group without the case with a loosening stem (♦) and for the single case with a loosening stem (×).

Figure 6. Uptake (in SUV) for each individual case in the BC group, for the 3 time points.

Figure 6. Uptake (in SUV) for each individual case in the BC group, for the 3 time points.

Figure 7. Uptake (in SUV) for each individual case in the SL group, for the 3 time points.

Figure 7. Uptake (in SUV) for each individual case in the SL group, for the 3 time points.

Figure 8. Postoperative radiographs of the stem that later became loose.

Figure 8. Postoperative radiographs of the stem that later became loose.

Figure 9. Maximum-detail Polar Map image of bone mineralization activity in femur adjacent to a femoral stem. The image view corresponds to looking down inside the femur from the top (the stem is invisible). Red indicates high activity and blue low.

Figure 9. Maximum-detail Polar Map image of bone mineralization activity in femur adjacent to a femoral stem. The image view corresponds to looking down inside the femur from the top (the stem is invisible). Red indicates high activity and blue low.
Supplemental material

Supplementary Material

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