Evidence map›Paper›PMID 29721684›Full record

ArticleEuropean radiology2018

Association of subchondral bone texture on magnetic resonance imaging with radiographic knee osteoarthritis progression: data from the Osteoarthritis Initiative Bone Ancillary Study.

James W MacKay, Geeta Kapoor, Jeffrey B Driban, Grace H Lo, Timothy E McAlindon, Andoni P Toms, Andrew W McCaskie, Fiona J Gilbert

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In one paragraph

Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  8. MRI-based radiomic analysis of soft tissue reactions near total hip arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
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  11. A comprehensive patient-specific prediction model for temporomandibular joint osteoarthritis progression.Proceedings of the National Academy of Sciences of the United States of America · 2024
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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

8 authors.

James W MacKayDepartment of Radiology, University of Cambridge, Cambridge Biomedical Campus, Box 218 Hills Road, Cambridge, CB2 0QQ, UK. jwm37@cam.ac.uk.
Geeta KapoorDepartment of Radiology, Norfolk & Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, NR4 7UY, UK.
Jeffrey B DribanDivision of Rheumatology, Tufts Medical Center, 800 Washington Street, Boston, MA, 02111, USA.
Grace H LoDepartment of Medicine, Baylor College of Medicine, 1 Baylor Plaza, BCM-285, Houston, TX, 77030, USA.
Timothy E McAlindonDivision of Rheumatology, Tufts Medical Center, 800 Washington Street, Boston, MA, 02111, USA.
Andoni P TomsDepartment of Radiology, Norfolk & Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, NR4 7UY, UK.
Andrew W McCaskieDivision of Trauma and Orthopaedic Surgery, Department of Surgery, University of Cambridge, Cambridge Biomedical Campus, Box 180 Hills Road, Cambridge, CB2 0QQ, UK.
Fiona J GilbertDepartment of Radiology, University of Cambridge, Cambridge Biomedical Campus, Box 218 Hills Road, Cambridge, CB2 0QQ, UK.

Funding

The Role of Bone in Osteoarthritis ProgressionR01AR054938 · NIAMS · TUFTS MEDICAL CENTER · PI MCALINDON, TIMOTHY E · 2007 to 2011
$3.2M
NIAMS NIH HHS R01 AR054938
6 · The paper itself

Abstract

objectivesTo assess whether initial or 12-18-month change in magnetic resonance imaging (MRI) subchondral bone texture is predictive of radiographic knee osteoarthritis (OA) progression over 36 months.

methodsThis was a nested case-control study including 122 knees/122 participants in the Osteoarthritis Initiative (OAI) Bone Ancillary Study, who underwent MRI optimised for subchondral bone assessment at either the 30- or 36-month and 48-month OAI visits. Case knees (n = 61) had radiographic OA progression between the 36- and 72-month OAI visits, defined as ≥ 0.7 mm minimum medial tibiofemoral radiographic joint space (minJSW) loss. Control knees (n = 61) without radiographic OA progression were matched (1:1) to cases for age, sex, body mass index and initial medial minJSW. Texture analysis was performed on the medial femoral and tibial subchondral bone. We assessed the association of texture features with radiographic progression by creating a composite texture score using penalised logistic regression and calculating odds ratios. We evaluated the predictive performance of texture features for predicting radiographic progression using c-statistics.

resultsInitial (odds ratio [95% confidence interval] = 2.13 [1.41-3.40]) and 12- 18-month change (3.76 [2.04-7.82]) texture scores were significantly associated with radiographic OA progression. Combinations of texture features were significant predictors of radiographic progression using initial (c-statistic [95% confidence interval] = 0.65 [0.64-0.65], p = 0.003) and 12-18-month change (0.68 [0.68-0.68], p < 0.001) data.

conclusionsInitial and 12-18-month changes in MRI subchondral bone texture score were significantly associated with radiographic progression at 36 months, with better predictive performance for 12-18-month change in texture. These results suggest that texture analysis may be a useful biomarker of subchondral bone in OA. KEY POINTS: • Subchondral bone MRI texture analysis is a promising knee osteoarthritis imaging biomarker. • In this study, subchondral bone texture was associated with knee osteoarthritis progression. • This demonstrates predictive and concurrent validity of MRI subchondral bone texture analysis. • This method may be useful in clinical trials with interventions targeting bone.

Indexed as

AgedAged, 80 and overCase-Control StudiesDisease ProgressionFemaleFemurFollow-Up StudiesHumansKnee JointMagnetic Resonance ImagingMaleMiddle AgedOsteoarthritis, KneeRadiographyTibiaCase-control studiesLogistic modelsMagnetic resonance imagingOsteoarthritis, knee

Identifiers

PMID29721684
PMCPMC6182744

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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.