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All articles published in English. Inclusion and exclusion criteria were developed according to the Population, Intervention, Comparator, Outcome (PICO) framework. Three reviewers independently assessed the quality of included studies using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) checklist. A narrative synthesis of the articles and a meta-analysis were conducted. The heterogeneity exhibited by the effect sizes was obtained using a forest plot, the Q statistic and the I2 index. Reliability coefficients were transformed into Fisher\u2019s Z to normalise their distribution and stabilise the variances. For each meta-analysis, an effect size (average reliability coefficient) and a 95% confidence interval were calculated and presented in a forest plot. The amount of radiation dose between modalities was compared.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The search retrieved 75 articles, six of which met inclusion and exclusion criteria. The meta-analysis included five of these six studies (sample size from 20 to 90). Comparing EOS and CT, the estimated average correlation (effect size) for combined studies was significantly high (r\u2009=\u20090.84, 95% CI\u2009=\u20090.78 to 0.88, <jats:italic>p<\/jats:italic>-value\u2009&lt;\u20090.001). With respect to Pearson\u2019s correlation between EOS and CT, the estimated average correlation for combined studies was significantly high (r\u2009=\u20090.86, 95% CI\u2009=\u20090.80 to 0.90, <jats:italic>p<\/jats:italic>-value\u2009&lt;\u20090.001). Average radiation dose for EOS was 0.18\u2009\u00b1\u20090.05\u00a0mGy for the anteroposterior view (AP) and 0.45\u2009\u00b1\u20090.08\u00a0mGy for the lateral view; and for CT was 8.4 to 15.6\u00a0mGy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The EOS imaging system has a high correlation with CT for preoperative and postoperative\/prosthetic hip measurements, with considerably lower irradiation of patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00256-023-04351-2","type":"journal-article","created":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T06:02:01Z","timestamp":1687240921000},"page":"29-42","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["\u201cThe accuracy of the EOS imaging system to assess hip abnormalities in adolescents and adults:\u201d a systematic review and meta-analysis"],"prefix":"10.1007","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1734-6510","authenticated-orcid":false,"given":"Ahmed","family":"Alghamdi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2604-3810","authenticated-orcid":false,"given":"Sanjeev","family":"Madan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farag","family":"Shuweihdi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8991-5036","authenticated-orcid":false,"given":"Amaka C.","family":"Offiah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,6,20]]},"reference":[{"issue":"9","key":"4351_CR1","doi-asserted-by":"publisher","first-page":"S1045","DOI":"10.3928\/0147-7447-20050902-08","volume":"28","author":"JCJO Kudrna","year":"2005","unstructured":"Kudrna JCJO. 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Pm&r. 2011;3(11):1055\u201367.","journal-title":"Pm&r."}],"container-title":["Skeletal Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-023-04351-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00256-023-04351-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-023-04351-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T09:03:35Z","timestamp":1700471015000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00256-023-04351-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,20]]},"references-count":53,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["4351"],"URL":"https:\/\/doi.org\/10.1007\/s00256-023-04351-2","relation":{},"ISSN":["0364-2348","1432-2161"],"issn-type":[{"value":"0364-2348","type":"print"},{"value":"1432-2161","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,20]]},"assertion":[{"value":"24 February 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 April 2023","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 April 2023","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 June 2023","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Farag Shuweihdi is a research fellow and a Medical Statistician at the Leeds Institute of Health Sciences, University of Leeds, Leeds.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statistics and biometry"}},{"value":"Institutional Review Board approval was not required for this systematic review and meta-analysis.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written informed consent was not required for this systematic review and meta-analysis.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"\u2022 Systematic review.\u2022 Meta-analysis.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Methodology"}}]}}