Evidence map›Paper›PMID 25785197›Full record

ArticleArthritis2015

Early metacarpal bone mineral density loss using digital x-ray radiogrammetry and 3-tesla wrist MRI in established rheumatoid arthritis: a longitudinal one-year observational study.

Anshul Rastogi, Jakob Algulin, Pamela Mangat, Adrian K P Lim, Keshthra Satchithananda, Joseph V Hajnal, Peter C Taylor

Open access · hybridAbstract read
In one paragraph

Article in Arthritis, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
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 6 institutions in 2 countries.

Anshul RastogiJoint Department of Medical Imaging, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, 600 University Avenue, Toronto, ON, Canada M5G 1X5.ORCID 0000-0001-8461-6539
Jakob AlgulinSECTRA Imtec AB, Teknikringen 20, 583 30 Linkoping, Sweden.
Pamela MangatDepartment of Rheumatology, Royal Free Hospital, Pond Street, London NW3 2GQ, UK.
Adrian K P LimDepartment of Radiology, Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK.
Keshthra SatchithanandaDepartment of Radiology, King's College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS, UK.
Joseph V HajnalDivision of Imaging Sciences, King's College London, The Rayne Institute, 3rd Floor, Lambeth Wing, St. Thomas' Hospital, London SE1 7EH, UK.
Peter C TaylorNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford OX3 7LD, UK.
Imperial College Healthcare NHS Trust · GBKing's College Hospital NHS Foundation Trust · GBMount Sinai Hospital · CANuffield Orthopaedic Centre · GBSt Thomas' Hospital · GBThe Royal Free Hospital · GB

Funding

Medical Research Council MR/K006355/1
6 · The paper itself

Abstract

Objectives. Early change in rheumatoid arthritis (RA) is characterised by periarticular osteopenia. We investigated the relationship of early metacarpal digital X-ray radiogrammetry bone mineral density (DXR-BMD) change rate (RC-BMD, mg/cm(2)/month) to longitudinal changes in hand and feet radiographic and wrist MRI scores over 1 year. Materials and Methods. 10 RA patients completed the study and had wrist 3T-MRI and hand and feet X-rays at various time points over 1 year. MRI was scored by RAMRIS, X-ray was done by van der Heijde modified Sharp scoring, and RC-BMD was analysed using dxr-online. Results. There was good correlation amongst the two scorers for MRI measures and ICC for erosions: 0.984, BME: 0.943, and synovitis: 0.657. Strong relationships were observed between RC-BMD at 12-week and 1-year change in wrist marrow oedema (BME) (r = 0.78, P = 0.035) but not with erosion, synovitis, or radiographic scores. Conclusion. Early RC-BMD correlates with 1-year wrist BME change, which is a known predictor of future erosion and joint damage. However, in our pilot study, early RC-BMD did not show relationships to MRI erosion or radiographic changes over 1 year. This may reflect a slower kinetic in the appearance of MRI/radiographic erosions, generating the hypothesis that RC-BMD may be a more sensitive and early structural prognostic marker in RA follow-up.

Identifiers

PMID25785197
PMCPMC4346684
OpenAlexW1991397356

What OpenQuestion holds

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LicenceCC BY
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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.