Evidence map›Paper›PMID 30030866›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2019

MRI UTE-T2* shows high incidence of cartilage subsurface matrix changes 2 years after ACL reconstruction.

Ashley A Williams, Matthew R Titchenal, Bao H Do, Aditi Guha, Constance R Chu

Open access · bronzeAbstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2019. 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
5.0field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Posterior Horn Meniscus Centroid Position Is Altered Soon After Noncontact ACL Injury in Males and Females.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  5. Fast 3D UTE in vivo TMagnetic resonance in medicine · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Reproducibility of Quantitative Double-Echo Steady-State TJournal of magnetic resonance imaging : JMRI · 2025
    Article
  10. Article
  11. Review
  12. Baseline-to-loaded changes in regional tibial cartilage thickness, T1ρ and T2: Utilization of an MRI compatible loading device.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2024
    Article
  13. Quantitative susceptibility and T1Osteoarthritis and cartilage open · 2024
    Article
  14. Article
  15. Article
  16. Article
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  18. Article
  19. Article
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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

5 authors at 1 institution in 1 country.

Ashley A WilliamsDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway Street, MC 6342, Redwood City, California 94063.
Matthew R TitchenalDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway Street, MC 6342, Redwood City, California 94063.
Bao H DoVeterans Affairs Palo Alto Health Care System, Palo Alto, California.
Aditi GuhaDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway Street, MC 6342, Redwood City, California 94063.
Constance R ChuDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway Street, MC 6342, Redwood City, California 94063.
VA Palo Alto Health Care System · US

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
NIAMS NIH HHS R01 AR052784NIAMS NIH HHS R13 AR056563NIAMS NIH HHS U13 AR060692
6 · The paper itself

Abstract

Alteration of deep cartilage matrix has been observed following anterior cruciate ligament (ACL) injury, evidenced by elevated MRI UTE-T2* values measured in small, 2-D cartilage regions of interest. This Level I diagnostic study seeks to more thoroughly evaluate deep cartilage matrix changes to medial tibiofemoral UTE-T2* maps 2 years after ACL reconstruction and examine the relative utilities of 3-D compared to 2-D assessments of cartilage UTE-T2* maps. Thirty-eight ACL-reconstructed and 20 uninjured subjects underwent MRI UTE-T2* mapping. "Small" single mid-sagittal 2-D and larger 3-D "tread mark" regions of interest were manually segmented and found to be correlated in medial cartilage (r > 0.58, p < 0.005). 3-D analyses of UTE-T2* maps showed differences to medial tibial cartilage between ACL-reconstructed and uninjured subjects (p = 0.007) that were not detected by smaller 2-D regions (p > 0.46). Quantitative comparisons show 14/38 (37%) ACL-reconstructed subjects have values >2 standard deviations higher than uninjured controls. Among a subset of ACL-reconstructed subjects with no morphologic MRI evidence of medial tibiofemoral cartilage or meniscal pathology (n = 12), elevated UTE-T2* values in "small" 2-D femoral (p = 0.011), but not larger 3-D tread mark regions of interest (p > 0.13), were observed. These data show the utility of 2-D UTE-T2* assessments of mid-sagittal weight-bearing regions of medial femoral cartilage for identifying subclinical deep cartilage matrix changes 2 years after ACLR. Clinical Significance: Mid-sagittal single slice 2-D UTE-T2* mapping may be an efficient means to assess medial femoral cartilage for subsurface matrix changes early after ACL reconstruction while 3-D assessments provide additional sensitivity to changes in the medial tibial plateau. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 37:370-377, 2019.

Indexed as

AdultAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionCartilage, ArticularCartilage DiseasesFemaleFollow-Up StudiesHumansKnee JointMagnetic Resonance ImagingMalePostoperative ComplicationsProspective StudiesYoung AdultACL reconstruction (ACLR)articular cartilagemagnetic resonance imaging (MRI)post-traumatic OA (PTOA)ultrashort UTE-enhanced T2* mapping (UTE-T2* mapping)

Identifiers

PMID30030866
PMCPMC12308931
OpenAlexW2884276407

What OpenQuestion holds

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Read underepoch 390

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.