Evidence map›Paper›PMID 29426012›Full record

ArticleOsteoarthritis and cartilage2018

MRI UTE-T2* profile characteristics correlate to walking mechanics and patient reported outcomes 2 years after ACL reconstruction.

A A Williams, M R Titchenal, T P Andriacchi, C R Chu

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Patellofemoral joint loading and early osteoarthritis after ACL reconstruction.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  11. Article
  12. Article
  13. Automated segmentation of the healed anterior cruciate ligament from TJournal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  14. Reproducibility and postacquisition correction methods for quantitative magnetic resonance imaging of the anterior cruciate ligament (ACL).Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. A transfer learning approach for automatic segmentation of the surgically treated anterior cruciate ligament.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  19. Article
  20. 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

4 authors.

A A WilliamsDepartment of Orthopedic Surgery, Stanford University, Stanford, CA, USA; Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
M R TitchenalDepartment of Orthopedic Surgery, Stanford University, Stanford, CA, USA; Mechanical Engineering, Stanford University, Stanford, CA, USA; Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
T P AndriacchiDepartment of Orthopedic Surgery, Stanford University, Stanford, CA, USA; Mechanical Engineering, Stanford University, Stanford, CA, USA; Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
C R ChuDepartment of Orthopedic Surgery, Stanford University, Stanford, CA, USA; Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA. Electronic address: chucr@stanford.edu.

Funding

Enhanced Clinical Diagnosis of Early OsteoarthritisR01AR052784 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHU, CONSTANCE R · 2006 to 2015
$4.1M
AOSSM Post-Joint Injury Osteoarthritis ConferenceR13AR056563 · NIAMS · AMERICAN ORTHOPAEDIC SOCIETY/SPORTS MED · PI CHU, CONSTANCE R · 2008 to 2008
$25k
AOSSM Post-joint Injury Conference IIU13AR060692 · NIAMS · AMERICAN ORTHOPAEDIC SOCIETY/SPORTS MED · PI CHU, CONSTANCE R, RODEO, SCOTT A · 2010 to 2010
$25k
Optimizing Clinical Use of Biologics in Orthopedic SurgeryU13AR073668 · NIAMS · AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS · PI CHU, CONSTANCE R · 2018 to 2018
$15k
NIAMS NIH HHS R01 AR052784NIAMS NIH HHS R13 AR056563NIAMS NIH HHS U13 AR060692NIAMS NIH HHS U13 AR073668
6 · The paper itself

Abstract

objectiveQuantitative magnetic resonance imaging (MRI) ultrashort echo time (UTE) T2* is sensitive to cartilage deep tissue matrix changes after anterior cruciate ligament reconstruction (ACLR). This study was performed to determine whether UTE-T2* profile analysis is a useful clinical metric for assessing cartilage matrix degeneration. This work tests the hypotheses that UTE-T2* depthwise rates of change (profile slopes) correlate with clinical outcome metrics of walking mechanics and patient reported outcomes (PRO) in patients 2 years after ACLR.

designThirty-six patients 2 years after ACLR completed knee MRI, gait analysis, and PRO. UTE-T2* maps were generated from MRI images and depthwise UTE-T2* profiles were calculated for weight-bearing cartilage in the medial compartment. UTE-T2* profiles from 14 uninjured subjects provided reference values. UTE-T2* profile characteristics, including several different measures of profile slope, were tested for correlation to kinetic and kinematic measures of gait and also to PRO.

resultsDecreasing UTE-T2* profile slopes in ACLR knees moderately correlated with increasing knee adduction moments (r = 0.41, P < 0.015), greater external tibial rotation (r = 0.44, P = 0.007), and moderately negatively correlated with PRO (r = -0.36, P = 0.032). UTE-T2* profiles from both ACLR and contralateral knees of ACLR subjects differed from that of uninjured controls (P < 0.015).

conclusionsThe results of this study suggest that decreasing UTE-T2* profile slopes reflect cartilage deep tissue collagen matrix disruption in a population at increased risk for knee osteoarthritis (OA). That UTE-T2* profiles were associated with mechanical and patient reported measures of clinical outcomes support further study into a potential mechanistic relationship between these factors and OA development.

Indexed as

Anterior Cruciate Ligament ReconstructionPatient Reported Outcome MeasuresAdultAnterior Cruciate Ligament InjuriesBiomechanical PhenomenaFemaleFollow-Up StudiesGaitHumansKnee JointMagnetic Resonance ImagingMaleWalkingACL reconstructionCartilageGaitMRIPROUTE-T2* mapping

Identifiers

PMID29426012
PMCPMC6548437

What OpenQuestion holds

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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.