Evidence map›Paper›PMID 31618217›Full record

ArticlePloS one2019

Use of acoustic emission to identify novel candidate biomarkers for knee osteoarthritis (OA).

Daniela K Schlüter, Lucy Spain, Wei Quan, Harry Southworth, Nicola Platt, Joe Mercer, Lik-Kwan Shark, John C Waterton, Mike Bowes, Peter J Diggle and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 27 citations in OpenAlex.

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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

13 authors at 5 institutions in 1 country.

Daniela K SchlüterCHICAS, Lancaster Medical School, Lancaster University, Lancaster, England, United Kingdom.ORCID 0000-0001-9018-0022
Lucy SpainFaculty of Health and Medicine, Lancaster University, Lancaster, England, United Kingdom.ORCID 0000-0002-6442-6778
Wei QuanApplied Digital Signal and Image Processing Research Centre, University of Central Lancashire, Preston, England, United Kingdom.
Harry SouthworthData Clarity Consulting Ltd, Altrincham, England, United Kingdom.
Nicola PlattLancaster Health Hub, Lancaster University, Lancaster, England, United Kingdom.
Joe MercerThe Christie NHS Foundation Trust, Manchester, England, United Kingdom.
Lik-Kwan SharkApplied Digital Signal and Image Processing Research Centre, University of Central Lancashire, Preston, England, United Kingdom.
John C WatertonCentre for Imaging Sciences, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, England, United Kingdom.ORCID 0000-0002-7734-2290
Mike BowesImorphics Ltd, Manchester, England, United Kingdom.
Peter J DiggleCHICAS, Lancaster Medical School, Lancaster University, Lancaster, England, United Kingdom.
Mandy DixonLancaster Health Hub, Lancaster University, Lancaster, England, United Kingdom.
Jane HuddlestonLancaster Health Hub, Lancaster University, Lancaster, England, United Kingdom.
John GoodacreFaculty of Health and Medicine, Lancaster University, Lancaster, England, United Kingdom.
Lancaster University · GBUniversity of Lancashire · GBManchester Academic Health Science Centre · GBThe Christie NHS Foundation Trust · GBUniversity of Liverpool · GB

Funding

Medical Research Council MR/K025597/1
6 · The paper itself

Abstract

Our objective was to determine the efficacy and feasibility of a new approach for identifying candidate biomarkers for knee osteoarthritis (OA), based on selecting promising candidates from a range of high-frequency acoustic emission (AE) measurements generated during weight-bearing knee movement. Candidate AE biomarkers identified by this approach could then be validated in larger studies for use in future clinical trials and stratified medicine applications for this common health condition. A population cohort of participants with knee pain and a Kellgren-Lawrence (KL) score between 1-4 were recruited from local NHS primary and secondary care sites. Focusing on participants' self-identified worse knee, and using our established movement protocol, sources of variation in AE measurement and associations of AE markers with other markers were explored. Using this approach we identified 4 initial candidate AE biomarkers, of which "number of hits" showed the best reproducibility, in terms of within-session, day to day, week to week, between-practitioner, and between-machine variation, at 2 different machine upper frequency settings. "Number of hits" was higher in knees with KL scores of 2 than in KL1, and also showed significant associations with pain in the contralateral knee, and with body weight. "Hits" occurred predominantly in 2 of 4 defined movement quadrants. The protocol was feasible and acceptable to all participants and professionals involved. This study demonstrates how AE measurement during simple sit-stand-sit movements can be used to generate novel candidate knee OA biomarkers. AE measurements probably reflect a composite of structural changes and joint loading factors. Refinement of the method and increasing understanding of factors contributing to AE will enable this approach to be used to generate further candidate biomarkers for validation and potential use in clinical trials.

Indexed as

AcousticsBiomarkersSoundBody Mass IndexCartilage, ArticularFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMultimodal ImagingOsteoarthritis, KneeRadiographySeverity of Illness IndexBiomarkers

Identifiers

PMID31618217
PMCPMC6795455
OpenAlexW2980678740

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.