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BACKGROUND: Accurate preoperative templating is essential for the success of hip resurfacing arthroplasty (HRA). While digital radiograph is currently considered the gold standard, stereoradiograph and CT converted 3D methods have shown promising results. However, there is no consensus in the literature regarding the preferred modality for HRA templating, and angular measurements are often overlooked. Thus, this study aimed to: (1) compare the performances of different modality in implant sizing and angle measurements, (2) evaluate the measurement reproducibility, (3) assess the impact of severe osteoarthritis on femoral head sizing, and (4) based on the analysis above, explore the optimal imaging and planning strategy for HRA. HYPOTHESIS: An optimal imaging modality exists for HRA planning regarding implant sizing and angular measurements. MATERIALS AND METHODS: Preoperative imaging data from seventy-seven HRA surgeries were collected. Three raters performed templating using digital radiograph, stereoradiograph, and CT converted 3D models. Measurements for femoral head size, neck-shaft angle, and calcar-shaft angle were obtained. The femoral head sizing was compared to the intraoperative clinical decision. The reproducibility of measurements was assessed using the intraclass correlation coefficient (ICC). Correlations were examined between sizing disagreement and osteoarthritis grade (Tonnis Classification). RESULTS: Digital radiograph, stereoradiograph, and 3D techniques predicted one size off target in 27/77 (35%), 49/70 (70%), and 75/77 (97%) of cases, respectively, corresponding to 1.8±1.6 (0 to 5.67), 0.9±0.7 (0 to 2.67), and 0.4±0.4 (0 to 1.67) sizes off target, indicating statistically significant differences among all three modalities, with p-values all below 0.01. There were no statistically significant differences among the different modalities for angular measurements. Measurements showed moderate to excellent reproducibility (ICC=0.628-0.955). High-grade osteoarthritis did not impact image sizing in any modality (r=0.08-0.22, all p>0.05). DISCUSSION: CT converted 3D models were more accurate for implant sizing in HRA, but did not significantly outperform other modalities in angular measurements. Given the high costs and increased radiation exposure associated with CT, the study recommended using CT scans selectively, particularly for precise femoral head sizing, while alternative imaging methods can be effectively used for angular measurements. LEVEL OF EVIDENCE: III; retrospective comparative diagnostic study.
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Prior work has found a negative priming effect for a sequence, and more purely time-based negative priming has also been identified. Although sequential effects have been reported with both visual and auditory stimuli, only visual stimuli have been used in experiments examining purely temporal negative priming. In this article, sequential and temporal negative priming are compared across modalities. Prime trials included random presentation of a target (auditory bird chirp or visual X), a non-target (auditory dog bark or visual O), and two neutral stimuli (auditory computer beeps or empty visual boxes). Probe trials included random presentation of the target and three neutral stimuli. Participants indicated the temporal location of the target. On 88% of the trials, participants (N = 119 in Experiment 1; N = 65 in Experiment 2) indicated the location of the non-target stimulus from the prime trial. Results showed an increase in response time when the temporal location of the probe's target was the same as the location of the non-target stimulus from the prime trial, but this only occurred when the prime was presented more slowly. Experiment 2 tested, and falsified, the hypothesis that a fixed amount of time on the prime is necessary to bind features of the non-target stimulus with temporal and sequential positions. Together, these data show that sequential and temporal negative priming effects generalise across modality and that relative rather than fixed timing is critical. Implications for theories of negative priming are discussed.