{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T04:53:30Z","timestamp":1780635210286,"version":"3.54.1"},"reference-count":37,"publisher":"ASME International","issue":"4","content-domain":{"domain":["asmedigitalcollection.asme.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2009,4,1]]},"abstract":"<jats:p>Classical marker-based roentgen stereophotogrammetric analysis (RSA) is an accurate method of measuring in vivo implant migration. A disadvantage of the method is the necessity of placing tantalum markers on the implant, which constitutes additional manufacturing and certification effort. Model-based RSA (MBRSA) is a method by which pose-estimation of geometric surface-models of the implant is used to detect implant migration. The placement of prosthesis markers is thus no longer necessary. The accuracy of the pose-estimation algorithms used depends on the geometry of the prosthesis as well as the accuracy of the surface models used. The goal of this study was thus to evaluate the experimental accuracy and precision of the MBRSA method for four different, but typical prosthesis geometries, that are commonly implanted. Is there a relationship existing between the accuracy of MBRSA and prosthesis geometries? Four different prosthesis geometries were investigated: one femoral and one tibial total knee arthroplasty (TKA) component and two different femoral stem total hip arthroplasty (THA) components. An experimental phantom model was used to simulate two different implant migration protocols, whereby the implant was moved relative to the surrounding bone (relative prosthesis-bone motion (RM)), or, similar to the double-repeated measures performed to assess accuracy clinically, both the prosthesis and the surrounding bone model (zero relative prosthesis-bone motion (ZRM)) were moved. Motions were performed about three translational and three rotational axes, respectively. The maximum 95% confidence interval (CI) for MBRSA of all four prosthesis investigated was better than \u22120.034 to 0.107 mm for in-plane and \u22120.217 to 0.069 mm for out-of-plane translation, and from \u22120.038 deg to 0.162 deg for in-plane and from \u22121.316 deg to 0.071 deg for out-of-plane rotation, with no clear differences between the ZRM and RM protocols observed. Accuracy in translation was similar between TKA and THA components, whereas rotational accuracy about the long axis of the hip stem THA components was worse than the TKA components. The data suggest that accuracy and precision of MBRSA seem to be equivalent to the classical marker-based RSA method, at least for the nonsymmetric implant geometries investigated in this study. The model-based method thus allows the accurate measurement of implant migration without requiring prosthesis markers, and thus presents new opportunities for measuring implant migration where financial or geometric considerations of marker placement have thus far been prohibitive factors.<\/jats:p>","DOI":"10.1115\/1.3072892","type":"journal-article","created":{"date-parts":[[2009,3,9]],"date-time":"2009-03-09T22:55:10Z","timestamp":1236639310000},"update-policy":"https:\/\/doi.org\/10.1115\/crossmarkpolicy-asme","source":"Crossref","is-referenced-by-count":24,"title":["Experimental Analysis of Model-Based Roentgen Stereophotogrammetric Analysis (MBRSA) on Four Typical Prosthesis Components"],"prefix":"10.1115","volume":"131","author":[{"given":"Frank","family":"Seehaus","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Laboratory for Biomechanics and Biomaterials, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Emmerich","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Laboratory for Biomechanics and Biomaterials, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bart L.","family":"Kaptein","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Division of Image Processing, and Department of Radiology, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henning","family":"Windhagen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Laboratory for Biomechanics and Biomaterials, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christof","family":"Hurschler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Laboratory for Biomechanics and Biomaterials, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"33","published-online":{"date-parts":[[2009,2,2]]},"reference":[{"key":"2019100514472405500_c1","doi-asserted-by":"crossref","first-page":"491","DOI":"10.3109\/17453678909149328","article-title":"Roentgen Stereophotogrammetry. Review of Orthopedic Applications","volume":"60","author":"Karrholm","journal-title":"Acta Orthop. Scand.","ISSN":"https:\/\/id.crossref.org\/issn\/0001-6470","issn-type":"print"},{"key":"2019100514472405500_c2","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1080\/17453670610045687","article-title":"Mixing Bone Graft With OP-1 Does Not Improve Cup or Stem Fixation in Revision Surgery of the Hip: 5-Year Follow-Up of 10 Acetabular and 11 Femoral Study Cases and 40 Control Cases","volume":"77","author":"Karrholm","journal-title":"Acta Orthop.","ISSN":"https:\/\/id.crossref.org\/issn\/1745-3674","issn-type":"print"},{"key":"2019100514472405500_c3","first-page":"1","article-title":"Roentgen Stereophotogrammetry. A Method for the Study of the Kinematics of the Skeletal System","volume":"232","author":"Selvik","journal-title":"Acta Orthop. Scand. Suppl.","ISSN":"https:\/\/id.crossref.org\/issn\/0300-8827","issn-type":"print"},{"key":"2019100514472405500_c4","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/S0924-2716(02)00064-3","article-title":"The Use of Roentgen Stereophotogrammetry to Study Micromotion of Orthopaedic Implants","volume":"56","author":"Valstar","journal-title":"ISPRS J. Photogramm. Remote Sens.","ISSN":"https:\/\/id.crossref.org\/issn\/0924-2716","issn-type":"print"},{"key":"2019100514472405500_c5","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1080\/17453670510041574","article-title":"Guidelines for Standardization of Radiostereometry (RSA) of Implants","volume":"76","author":"Valstar","journal-title":"Acta Orthop.","ISSN":"https:\/\/id.crossref.org\/issn\/1745-3674","issn-type":"print"},{"key":"2019100514472405500_c6","first-page":"912","article-title":"Does Early Micromotion of Femoral Stem Prostheses Matter? 4\u20137-Year Stereoradiographic Follow-Up of 84 Cemented Prostheses","volume":"76","author":"Karrholm","journal-title":"J. Bone Joint Surg. Br.","ISSN":"https:\/\/id.crossref.org\/issn\/0301-620X","issn-type":"print"},{"key":"2019100514472405500_c7","first-page":"377","article-title":"Roentgen Stereophotogrammetric Analysis as a Predictor of Mechanical Loosening of Knee Prostheses","volume":"77","author":"Ryd","journal-title":"J. Bone Joint Surg. Br.","ISSN":"https:\/\/id.crossref.org\/issn\/0301-620X","issn-type":"print"},{"key":"2019100514472405500_c8","first-page":"432","article-title":"Early Migration and Late Aseptic Failure of Proximal Femoral Prostheses","volume":"76","author":"Freeman","journal-title":"J. Bone Joint Surg. Br.","ISSN":"https:\/\/id.crossref.org\/issn\/0301-620X","issn-type":"print"},{"key":"2019100514472405500_c9","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1302\/0301-620X.81B2.0810273","article-title":"The Prediction of Failure of the Stem in THR by Measurement of Early Migration Using EBRA-FCA. Einzel-Bild-Roentgen-Analyse-Femoral Component Analysis","volume":"81","author":"Krismer","journal-title":"J. Bone Joint Surg. Br.","ISSN":"https:\/\/id.crossref.org\/issn\/0301-620X","issn-type":"print"},{"key":"2019100514472405500_c10","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1080\/17453670610045902","article-title":"Aseptic Loosening, Not Only a Question of Wear: A Review of Different Theories","volume":"77","author":"Sundfeldt","journal-title":"Acta Orthop.","ISSN":"https:\/\/id.crossref.org\/issn\/1745-3674","issn-type":"print"},{"key":"2019100514472405500_c11","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1016\/S0021-9290(03)00002-2","article-title":"A New Model-Based RSA Method Validated Using CAD Models and Models From Reversed Engineering","volume":"36","author":"Kaptein","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c12","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/0883-5403(92)90004-A","article-title":"Measurement Accuracy in Acetabular Cup Migration. A Comparison of Four Radiologic Methods Versus Roentgen Stereophotogrammetric Analysis","volume":"7","author":"Ilchmann","journal-title":"J. Arthroplasty","ISSN":"https:\/\/id.crossref.org\/issn\/0883-5403","issn-type":"print"},{"key":"2019100514472405500_c13","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1302\/0301-620X.81B2.0810266","article-title":"Accuracy of EBRA-FCA in the Measurement of Migration of Femoral Components of Total Hip Replacement. Einzel-Bild-Roentgen-Analyse-Femoral Component Analysis","volume":"81","author":"Biedermann","journal-title":"J. Bone Joint Surg. Br.","ISSN":"https:\/\/id.crossref.org\/issn\/0301-620X","issn-type":"print"},{"key":"2019100514472405500_c14","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1302\/0301-620X.83B5.0830767","article-title":"Evaluation of Accuracy and Precision of Bone Markers for the Measurement of Migration of Hip Prostheses. A Comparison of Conventional Measurements","volume":"83","author":"Biedermann","journal-title":"J. Bone Joint Surg. Br.","ISSN":"https:\/\/id.crossref.org\/issn\/0301-620X","issn-type":"print"},{"key":"2019100514472405500_c15","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1016\/S0021-9290(01)00028-8","article-title":"Model-Based Roentgen Stereophotogrammetry of Orthopaedic Implants","volume":"34","author":"Valstar","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c16","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1002\/jor.1100150612","article-title":"Roentgen Stereophotogrammetric Analysis of Metal-Backed Hemispherical Cups Without Attached Markers","volume":"15","author":"Valstar","journal-title":"J. Orthop. Res.","ISSN":"https:\/\/id.crossref.org\/issn\/0736-0266","issn-type":"print"},{"key":"2019100514472405500_c17","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1016\/j.jbiomech.2005.05.004","article-title":"RSA Wear Measurements With or Without Markers in Total Hip Arthroplasty","volume":"39","author":"Borlin","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c18","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1097\/01.blo.0000224010.04551.14","article-title":"Model-Based RSA of a Femoral Hip Stem Using Surface and Geometrical Shape Models","volume":"448","author":"Kaptein","journal-title":"Clin. Orthop. Relat. Res.","ISSN":"https:\/\/id.crossref.org\/issn\/0009-921X","issn-type":"print"},{"key":"2019100514472405500_c19","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1243\/0954411041561036","article-title":"Evaluation of Three Pose Estimation Algorithms for Model-Based Roentgen Stereophotogrammetric Analysis","volume":"218","author":"Kaptein","journal-title":"Proc. Inst. Mech. Eng., Part H: J. Eng. Med.","ISSN":"https:\/\/id.crossref.org\/issn\/0954-4119","issn-type":"print"},{"key":"2019100514472405500_c20","first-page":"181","article-title":"Pose Estimation of Artificial Knee Implants in Fluoroscopy Images Using a Template Matching Technique","author":"Hoff"},{"key":"2019100514472405500_c21","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1016\/j.jbiomech.2004.02.025","article-title":"Effect of Segmentation Errors on 3D-to-2D Registration of Implant Models in X-Ray Images","volume":"38","author":"Mahfouz","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c22","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.jbiomech.2004.02.042","article-title":"In Vivo Determination of Normal and Anterior Cruciate Ligament-Deficient Knee Kinematics","volume":"38","author":"Dennis","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c23","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1115\/1.1933949","article-title":"Theoretical Accuracy of Model-Based Shape Matching for Measuring Natural Knee Kinematics With Single-Plane Fluoroscopy","volume":"127","author":"Fregly","journal-title":"ASME J. Biomech. Eng.","ISSN":"https:\/\/id.crossref.org\/issn\/0148-0731","issn-type":"print"},{"key":"2019100514472405500_c24","doi-asserted-by":"publisher","first-page":"1593","DOI":"10.1016\/S0021-9290(00)00138-X","article-title":"Digital Automated RSA Compared to Manually Operated RSA","volume":"33","author":"Valstar","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c25","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1016\/S0021-9290(01)00087-2","article-title":"Accuracy and Repeatability of Roentgen Stereophotogrammetric Analysis (RSA) for Measuring Knee Laxity in Longitudinal Studies","volume":"34","author":"Fleming","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c26","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1016\/S0736-0266(01)00171-1","article-title":"Experimental Assessment of Precision and Accuracy of Radiostereometric Analysis for the Determination of Polyethylene Wear in a Total Hip Replacement Model","volume":"20","author":"Bragdon","journal-title":"J. Orthop. Res.","ISSN":"https:\/\/id.crossref.org\/issn\/0736-0266","issn-type":"print"},{"key":"2019100514472405500_c27","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/S0021-9290(01)00162-2","article-title":"The Precision of Radiostereometric Measurements. Manual vs. Digital Measurements","volume":"35","author":"Borlin","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c28","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.jbiomech.2003.09.004","article-title":"Precision Measurements of the RSA Method Using a Phantom Model of Hip Prosthesis","volume":"37","author":"Makinen","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c29","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/BLO.0b013e3181571aa5","article-title":"Clinical Validation of Model-Based RSA for a Total Knee Prosthesis","volume":"464","author":"Kaptein","journal-title":"Clin. Orthop. Relat. Res.","ISSN":"https:\/\/id.crossref.org\/issn\/0009-921X","issn-type":"print"},{"key":"2019100514472405500_c30","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1016\/S0021-9290(98)00025-6","article-title":"Fast and Accurate Automated Measurements in Digitized Stereophotogrammetric Radiographs","volume":"31","author":"Vrooman","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"},{"key":"2019100514472405500_c31","unstructured":"Valstar, E. R. , 2001, \u201cDigital Roentgen Stereophotogrammetry: Development, Validation, and Clinical Application,\u201d Doctoral thesis, University Leiden, Leiden, The Netherlands."},{"key":"2019100514472405500_c32","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1117\/1.602356","article-title":"3-D Shape Measurement of Complex Objects by Combining Photogrammetry and Fringe Projection","volume":"39","author":"Reich","journal-title":"Opt. Eng.","ISSN":"https:\/\/id.crossref.org\/issn\/0091-3286","issn-type":"print"},{"key":"2019100514472405500_c33","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/j.forsciint.2003.07.009","article-title":"Optical 3D Surface Digitizing in Forensic Medicine: 3D Documentation of Skin and Bone Injuries","volume":"137","author":"Thali","journal-title":"Forensic Sci. Int.","ISSN":"https:\/\/id.crossref.org\/issn\/0379-0738","issn-type":"print"},{"key":"2019100514472405500_c34","doi-asserted-by":"crossref","article-title":"Simplifying Surfaces With Color and Texture Using Quadric Error Metrics","author":"Garland","DOI":"10.1109\/VISUAL.1998.745312"},{"key":"2019100514472405500_c35","unstructured":"Medis bv, 2004, RSA-CMS 4.3 User Manual, Medis Medical Imaging Systems bv, Leiden, Netherlands."},{"key":"2019100514472405500_c36","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1016\/S0140-6736(86)90837-8","article-title":"Statistical Methods for Assessing Agreement Between Two Methods of Clinical Measurement","volume":"1","author":"Bland","journal-title":"Lancet","ISSN":"https:\/\/id.crossref.org\/issn\/0140-6736","issn-type":"print"},{"key":"2019100514472405500_c37","doi-asserted-by":"publisher","first-page":"1473","DOI":"10.1016\/0021-9290(93)90098-Y","article-title":"Determining the Movements of the Skeleton Using Well-Configured Markers","volume":"26","author":"Soderkvist","journal-title":"J. Biomech.","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9290","issn-type":"print"}],"container-title":["Journal of Biomechanical Engineering"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/asmedigitalcollection.asme.org\/biomechanical\/article-pdf\/doi\/10.1115\/1.3072892\/5771748\/041004_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/asmedigitalcollection.asme.org\/biomechanical\/article-pdf\/doi\/10.1115\/1.3072892\/5771748\/041004_1.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,2]],"date-time":"2021-10-02T22:31:30Z","timestamp":1633213890000},"score":1,"resource":{"primary":{"URL":"https:\/\/asmedigitalcollection.asme.org\/biomechanical\/article\/doi\/10.1115\/1.3072892\/459921\/Experimental-Analysis-of-ModelBased-Roentgen"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,2,2]]},"references-count":37,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2009,4,1]]}},"URL":"https:\/\/doi.org\/10.1115\/1.3072892","relation":{},"ISSN":["0148-0731","1528-8951"],"issn-type":[{"value":"0148-0731","type":"print"},{"value":"1528-8951","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,2,2]]},"article-number":"041004"}}