{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T18:47:35Z","timestamp":1782154055369,"version":"3.54.5"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Konica Minolta Inc"},{"DOI":"10.13039\/100017104","name":"Yokohama City University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017104","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Journal of Orthopaedics Science"},{"name":"Journal of Orthopaedics Research"},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Yokohama Orthopaedic Research Organization"},{"name":"AUSTRALIAN INSTITUTE OF MUSCULO-SKELETAL RESEARCH"},{"name":"Journal of Arthroplasty and Journal of Orthopaedic Science"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute pulmonary thromboembolism is a serious complication of total hip arthroplasty that may be asymptomatic, underscoring the importance of early detection. Contrast-enhanced computed tomography is the standard diagnostic modality; however, its use is limited by its invasiveness, radiation exposure, contrast allergy, and renal dysfunction. Dynamic digital radiography is a novel, minimally invasive imaging technique that enables visualization of pulmonary perfusion without contrast agents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>We report a case of a 58-year-old woman who underwent primary total hip arthroplasty. Post-operatively, the patient remained asymptomatic. One week after total hip arthroplasty, follow-up dynamic digital radiography demonstrated newly developed pulmonary perfusion abnormalities, with marked signal reduction in the right middle and lower lung zones, and a mild reduction in the left upper lung zone. Subsequent contrast-enhanced computed tomography confirmed bilateral pulmonary thromboembolism corresponding to perfusion defects detected using dynamic digital radiography. Anticoagulant therapy completely resolved the thromboembolism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case highlights the potential utility of dynamic digital radiography for early detection of asymptomatic acute pulmonary thromboembolism following total hip arthroplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag427","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T16:33:32Z","timestamp":1781627612000},"source":"Crossref","is-referenced-by-count":0,"title":["Acute asymptomatic pulmonary thromboembolism detected using dynamic digital radiography following total hip arthroplasty: a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9786-0967","authenticated-orcid":false,"given":"Yuta","family":"Hieda","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Yokohama City University , 3-9 Fukuura, Kanazawa-ku, Yokohama City, Kanagawa 236-0004 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8246-1465","authenticated-orcid":false,"given":"Kazuma","family":"Miyatake","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yokohama City University , 3-9 Fukuura, Kanazawa-ku, Yokohama City, Kanagawa 236-0004 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4432-2303","authenticated-orcid":false,"given":"Hyonmin","family":"Choe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yokohama City University , 3-9 Fukuura, Kanazawa-ku, Yokohama City, Kanagawa 236-0004 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2894-624X","authenticated-orcid":false,"given":"Koki","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yokohama City University , 3-9 Fukuura, Kanazawa-ku, Yokohama City, Kanagawa 236-0004 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6676-1190","authenticated-orcid":false,"given":"Yutaka","family":"Inaba","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yokohama City University , 3-9 Fukuura, Kanazawa-ku, Yokohama City, Kanagawa 236-0004 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"2026062213523734000_ytag427-B1","doi-asserted-by":"crossref","first-page":"3453","DOI":"10.1093\/eurheartj\/ehz726","article-title":"The 2019 ESC guidelines on the diagnosis and management of acute pulmonary embolism","volume":"40","author":"Konstantinides","year":"2019","journal-title":"Eur Heart J"},{"key":"2026062213523734000_ytag427-B2","doi-asserted-by":"crossref","first-page":"176","DOI":"10.3324\/haematol.2018.196121","article-title":"Computed tomography pulmonary angiography versus ventilation\u2013perfusion lung scanning for diagnosing pulmonary embolism during pregnancy: a systematic review and meta-analysis","volume":"104","author":"Tromeur","year":"2019","journal-title":"Haematologica"},{"key":"2026062213523734000_ytag427-B3","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1001\/jama.2011.2029","article-title":"Symptomatic in-hospital deep vein thrombosis and pulmonary embolism following hip and knee arthroplasty among patients receiving recommended prophylaxis: a systematic review","volume":"307","author":"Januel","year":"2012","journal-title":"JAMA"},{"key":"2026062213523734000_ytag427-B4","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/j.arth.2011.10.019","article-title":"A pilot study of computed tomography-detected asymptomatic pulmonary filling defects after hip and knee arthroplasties","volume":"27","author":"Gandhi","year":"2012","journal-title":"J Arthroplasty"},{"key":"2026062213523734000_ytag427-B5","doi-asserted-by":"crossref","first-page":"e220908","DOI":"10.1148\/radiol.220908","article-title":"Efficacy of dynamic chest radiography for chronic thromboembolic pulmonary hypertension","volume":"306","author":"Yamasaki","year":"2023","journal-title":"Radiology"},{"key":"2026062213523734000_ytag427-B6","doi-asserted-by":"publisher","DOI":"10.1007\/s10278-025-01832-9","article-title":"A pilot study on automatic detection of pulmonary embolism using fractional pulmonary defect area derived from dynamic chest radiography","author":"Kawakubo","year":"2026","journal-title":"J Imaging Inform Med"},{"key":"2026062213523734000_ytag427-B7","doi-asserted-by":"crossref","first-page":"e264","DOI":"10.1093\/ehjci\/jeac027","article-title":"Chronic thromboembolic pulmonary hypertension after acute pulmonary thromboembolism revealed by dynamic chest radiography","volume":"23","author":"Yamasaki","year":"2022","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"2026062213523734000_ytag427-B8","doi-asserted-by":"crossref","first-page":"e220086","DOI":"10.1148\/ryct.220086","article-title":"Dynamic chest radiography of acute pulmonary thromboembolism","volume":"4","author":"Yamasaki","year":"2022","journal-title":"Radiol Cardiothorac Imaging"},{"key":"2026062213523734000_ytag427-B9","doi-asserted-by":"crossref","first-page":"ytae281","DOI":"10.1093\/ehjcr\/ytae281","article-title":"Portable dynamic radiography in pulmonary thromboembolism with renal impairment","volume":"8","author":"Haraguchi","year":"2024","journal-title":"Eur Heart J Case Rep"},{"key":"2026062213523734000_ytag427-B10","doi-asserted-by":"crossref","first-page":"634","DOI":"10.3348\/kjr.2020.1136","article-title":"Dynamic chest X-ray using a flat-panel detector system: technique and applications","volume":"22","author":"Hata","year":"2021","journal-title":"Korean J Radiol"},{"key":"2026062213523734000_ytag427-B11","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1253\/circj.CJ-20-0835","article-title":"Detection of pulmonary embolism using a novel dynamic flat-panel detector system in monkeys","volume":"85","author":"Miyatake","year":"2021","journal-title":"Circ J"},{"key":"2026062213523734000_ytag427-B12","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s12194-016-0361-6","article-title":"Dynamic chest radiography: flat-panel detector (FPD) based functional X-ray imaging","volume":"9","author":"Tanaka","year":"2016","journal-title":"Radiol Phys Technol"},{"key":"2026062213523734000_ytag427-B13","doi-asserted-by":"crossref","first-page":"100602","DOI":"10.1016\/j.ejro.2024.100602","article-title":"Diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism: a retrospective study","volume":"13","author":"Yamasaki","year":"2024","journal-title":"Eur J Radiol Open"},{"key":"2026062213523734000_ytag427-B14","doi-asserted-by":"crossref","first-page":"2429","DOI":"10.1007\/s00259-019-04450-0","article-title":"EANM guideline for ventilation\/perfusion single-photon emission computed tomography (SPECT) for diagnosis of pulmonary embolism and beyond","volume":"46","author":"Bajc","year":"2019","journal-title":"Eur J Nucl Med Mol Imaging"},{"key":"2026062213523734000_ytag427-B15","doi-asserted-by":"crossref","first-page":"74","DOI":"10.25259\/JCIS_168_2020","article-title":"Factors affecting radiation dose in computed tomography angiograms for pulmonary embolism: a retrospective cohort study","volume":"10","author":"Nagpal","year":"2020","journal-title":"J Clin Imaging Sci"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytag427\/68546024\/ytag427.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/6\/ytag427\/68546024\/ytag427.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/6\/ytag427\/68546024\/ytag427.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T17:52:44Z","timestamp":1782150764000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytag427\/8710810"}},"subtitle":[],"editor":[{"given":"Roman","family":"Komorovsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Monica","family":"Salvi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Jose Montero","family":"Cabezas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Federico B M","family":"Blasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Deepti","family":"Ranganathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,6,1]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytag427","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,6,1]]},"article-number":"ytag427"}}