Evidence map›Paper›PMID 25451303›Full record

ArticleOsteoarthritis and cartilage2015

CT imaging for evaluation of calcium crystal deposition in the knee: initial experience from the Multicenter Osteoarthritis (MOST) study.

D Misra, A Guermazi, J P Sieren, J Lynch, J Torner, T Neogi, D T Felson

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Osteoarthritis and cartilage, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Article
  3. Advanced imaging techniques in crystal arthritis.Therapeutic advances in musculoskeletal disease · 2025
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  12. Imaging of Joints and Bones in Autoinflammation.Journal of clinical medicine · 2020
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Issues in CPPD Nomenclature and Classification.Current rheumatology reports · 2019
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

D MisraBoston University School of Medicine, Boston, MA, USA. Electronic address: demisra@bu.edu.
A GuermaziBoston University School of Medicine, Boston, MA, USA. Electronic address: guermazi@bu.edu.
J P SierenDepartment of Radiology, University of Iowa, Iowa City, IA, USA. Electronic address: jered-sieren@uiowa.edu.
J LynchUniversity of California, San Fransisco, CA, USA. Electronic address: JLynch@psg.ucsf.edu.
J TornerCollege of Public Health, University of Iowa, Iowa City, IA, USA. Electronic address: James-Torner@uiowa.edu.
T NeogiBoston University School of Medicine, Boston, MA, USA. Electronic address: tneogi@bu.edu.
D T FelsonBoston University School of Medicine, Boston, MA, USA; NIHR Biomedical Research Unit, University of Manchester, Manchester, UK. Electronic address: DFelson@bu.edu.
Boston University · USUniversity of Iowa · USUniversity of California, San Francisco · US

Funding

Multicenter Osteoarthritis Study (MOST) Second RenewalU01AG019069 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEVITT, MICHAEL C · 2001 to 2020
$21.7M
WORK DISABILITY-- PERSONS WITH RHEUMATOID ARTHRITISP60AR047785 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ZHANG, YUQING · 2001 to 2016
$18.0M
Multicenter Osteoarthritis Study (MOST) Second Renewal: Iowa Clinical CenterU01AG018832 · NIA · UNIVERSITY OF IOWA · PI SEGAL, NEIL A, TORNER, JAMES C · 2001 to 2020
$14.1M
Multicenter Osteoarthritis Study (MOST) Second Renewal - Boston UniversityU01AG018820 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FELSON, DAVID TOBIN · 2001 to 2019
$13.6M
Multicenter Osteoarthritis Study (MOST) Second Renewal - UAB Clinical CenterU01AG018947 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEWIS, CORA E · 2001 to 2020
$13.2M
Central Sensitization in Post-Knee Replacement Pain and Relation to OA PathologyR01AR062506 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI NEOGI, TUHINA · 2012 to 2016
$2.4M
Predictors and Consequences of Subchondral Bone Attrition in OsteoarthritisK23AR055127 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI NEOGI, TUHINA · 2007 to 2011
$631k
Department of Health MANMKBRU-2012-1NIAMS NIH HHS AR47785NIAMS NIH HHS K23 AR055127NIAMS NIH HHS P60 AR047785NIAMS NIH HHS R01 AR062506NIAMS NIH HHS R01AR062506-01A1NIA NIH HHS U01 AG018820NIA NIH HHS U01 AG018832NIA NIH HHS U01 AG018947NIA NIH HHS U01 AG019069NIA NIH HHS U01-AG18820NIA NIH HHS U01-AG18832NIA NIH HHS U01 AG19069
6 · The paper itself

Abstract

objectiveRole of intra-articular calcium crystals in osteoarthritis (OA) is unclear. Imaging modalities used to date for its evaluation have limitations in their ability to fully characterize intra-articular crystal deposition. Since Computed Tomography (CT) imaging provides excellent visualization of bones and calcified tissue, in this pilot project we evaluated the utility of CT scan in describing intra-articular calcium crystal deposition in the knees.

methodWe included 12 subjects with and four subjects without radiographic chondrocalcinosis in the most recent visit from the Multicenter Osteoarthritis (MOST) study, which is a longitudinal cohort of community-dwelling older adults with or at risk for knee OA. All subjects underwent CT scans of bilateral knees. Each knee was divided into 25 subregions and each subregion was read for presence of calcium crystals by a musculoskeletal radiologist. To assess reliability, readings were repeated 4 weeks later.

resultsCT images permitted visualization of 25 subregions with calcification within and around the tibio-femoral and patello-femoral joints in all 24 knees with radiographic chondrocalcinosis. Intra-articular calcification was seen universally including meniscal cartilage (most common site involved in 21/24 knees), hyaline cartilage, cruciate ligaments, medial collateral ligament and joint capsule. Readings showed good agreement for specific tissues involved with calcium deposition (kappa: 0.70, 95% CI 0.62-0.80).

conclusionWe found CT scan to be a useful and reliable tool for describing calcium crystal deposition in the knee and therefore potentially for studying role of calcium crystals in OA. We also confirmed that "chondrocalcinosis" is a misnomer because calcification is present ubiquitously.

Indexed as

Tomography, X-Ray ComputedAgedCalciumChondrocalcinosisCrystallizationFemaleHumansKnee JointMaleMiddle AgedPilot ProjectsCalciumCalcium crystalsChondrocalcinosisCT imagingKneeOsteoarthritis

Identifiers

PMID25451303
PMCPMC4305039
OpenAlexW2106515698

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.