Clinical Technology Jpn J Radiol Technol 1999 ;
Study of a Compensation Filter for Axial Projection of the Hip

KIMIYUKI NAKAMURA, KYOICHI KATO1), TSUGUNORI IWAI1) and YASUO NAKAZAWA1)
Department of Radiology, Showa University Hospital
(Present address: Tama Tachikawa Public Health Center)
1)Department of Radiology, Showa University Hospital
Received May 25, 1998; Revision accepted Feb. 3, 1999; Code No. 734

Summary
The number of cases of total hip replacement(THR)with artificial joint is increasing every year, and the follow-up of these cases has become extremely important. The dimension of the prosthesis from the femoral head region to the tip of the stem differs greatly, resulting in differences in x-ray absorption. Therefore, it is difficult to visualize the entire prosthesis on a single axial projection radiograph. We manufactured a density-compensating filter after measuring differences in the ratio exposure quantity at six reference points on axial projection images of the hip joint. Measured ratio exposure quantities at reference points 1-6 were 14.14, 21.42, 26.87, 30.76, 38.61, and 49.32, respectively. Accordingly, the thicknesses of the acryl component of our filter were 1.0, 3.0, 4.5, 5.0, 6.8, and 7.5 mm, respectively. With our filter, the entire artificial joint system could be visualized in an axial projection radiograph of the hip. Further, radiation could be reduced by 49.3, 61.6, 70.3, 75.8, 82.4, and 84.3% at locations 1-6, respectively.

Key words: Total hip replacement(THR), Axial projection of the hip, Compensation filter