Article ; Online: Selection of Knees With Subsequent Cartilage Thickness Loss Based on Magnetic Resonance Imaging Semiquantitative Grading: Data From the Osteoarthritis Initiative Foundation for the National Institutes of Health Biomarker Cohort.
2023 Volume 75, Issue 8, Page(s) 1773–1782
Abstract: Objective: To investigate which magnetic resonance imaging (MRI)-based articular pathologies are predictive of subsequent medial femorotibial compartment quantitative cartilage thickness loss and therefore suitable for enrichment of clinical trials with ...
Abstract | Objective: To investigate which magnetic resonance imaging (MRI)-based articular pathologies are predictive of subsequent medial femorotibial compartment quantitative cartilage thickness loss and therefore suitable for enrichment of clinical trials with participants showing a high likelihood for structural progression. Methods: Semiquantitative MRI Osteoarthritis Knee Score (MOAKS) assessments at baseline and quantitative cartilage thickness measurements at baseline and year-2 follow-up were performed in 599 participants (age 62 years; body mass index 31 kg/m Results: Presence of MFTC MOAKS cartilage damage (odds ratio [OR] 2.77 [95% confidence interval (95% CI) 1.76, 4.36]), MFTC bone marrow lesions (OR 2.69 [95% CI 1.89, 3.83]), medial meniscus extrusion or damage (OR 2.21 [95% CI 1.37, 3.55]), as well as MOAKS severity subscales for cartilage and meniscus damage were associated with subsequent progression. The SRM was greater in knees with than in knees without the presence of these pathologies and was associated with the severity of those pathologies. Conclusion: MRI-based grading of articular pathologies makes it possible to specifically select progressor knees suitable for inclusion in clinical trials but also to identify knees in which treatment is not indicated (e.g., knees without cartilage damage despite presence of radiographic osteoarthritis). |
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MeSH term(s) | Humans ; Female ; Middle Aged ; Male ; United States ; Osteoarthritis, Knee/diagnostic imaging ; Osteoarthritis, Knee/pathology ; Cartilage, Articular/diagnostic imaging ; Cartilage, Articular/pathology ; Knee Joint/diagnostic imaging ; Knee Joint/pathology ; Magnetic Resonance Imaging/methods ; Biomarkers ; Musculoskeletal Diseases ; National Institutes of Health (U.S.) ; Disease Progression |
Chemical Substances | Biomarkers |
Language | English |
Publishing date | 2023-02-22 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
ZDB-ID | 645059-3 |
ISSN | 2151-4658 ; 0893-7524 ; 2151-464X |
ISSN (online) | 2151-4658 |
ISSN | 0893-7524 ; 2151-464X |
DOI | 10.1002/acr.25078 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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