Evidence map›Paper›PMID 32958644›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

Enabling early detection of osteoarthritis from presymptomatic cartilage texture maps via transport-based learning.

Shinjini Kundu, Beth G Ashinsky, Mustapha Bouhrara, Erik B Dam, Shadpour Demehri, Mohammad Shifat-E-Rabbi, Richard G Spencer, Kenneth L Urish, Gustavo K Rohde

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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

  1. Pooled it
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  7. Linear Optimal Transport Subspaces for Point Set Classification.Journal of mathematical imaging and vision · 2025
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  10. Quantifying Nuclear Structures of Digital Pathology Images Across Cancers Using Transport-Based Morphometry.Cytometry. Part A : the journal of the International Society for Analytical Cytology · 2025
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  19. Optimization of spin-lock times for TScientific reports · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Shinjini KunduDepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA 15213; skundu2@jhmi.edu.
Beth G AshinskyLaboratory of Clinical Investigation, Magnetic Resonance Imaging and Spectroscopy Section, National Institute on Aging, National Institutes of Health, Baltimore, MD 21224.
Mustapha BouhraraLaboratory of Clinical Investigation, Magnetic Resonance Imaging and Spectroscopy Section, National Institute on Aging, National Institutes of Health, Baltimore, MD 21224.
Erik B DamDepartment of Computer Science, University of Copenhagen, 2100 Copenhagen, Denmark.ORCID 0000-0002-8888-2524
Shadpour DemehriDepartment of Radiology, The Johns Hopkins Hospital, Baltimore, MD 21287.
Mohammad Shifat-E-RabbiDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA 22908.
Richard G SpencerLaboratory of Clinical Investigation, Magnetic Resonance Imaging and Spectroscopy Section, National Institute on Aging, National Institutes of Health, Baltimore, MD 21224.
Kenneth L UrishDepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA 15213.
Gustavo K RohdeDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA 22908.

Funding

Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
Transport transforms for biomedical data modeling, estimation, and classificationR01GM130825 · NIGMS · UNIVERSITY OF VIRGINIA · PI Gustavo Kunde Rohde · 2019 to 2026
$2.8M
Image-derived Spatiotemporal Models of Cellular Organization and PerturbationR01GM090033 · NIGMS · CARNEGIE-MELLON UNIVERSITY · PI MURPHY, ROBERT F, ROHDE, GUSTAVO KUNDE · 2010 to 2018
$2.4M
Biofilm antibiotic tolerance in periprosthetic joint infectionK08AR071494 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI URISH, KENNETH L · 2017 to 2021
$831k
NCATS NIH HHS KL2 TR001856NIAMS NIH HHS K08 AR071494NIGMS NIH HHS R01 GM090033NIGMS NIH HHS R01 GM130825
6 · The paper itself

Abstract

Many diseases have no visual cues in the early stages, eluding image-based detection. Today, osteoarthritis (OA) is detected after bone damage has occurred, at an irreversible stage of the disease. Currently no reliable method exists for OA detection at a reversible stage. We present an approach that enables sensitive OA detection in presymptomatic individuals. Our approach combines optimal mass transport theory with statistical pattern recognition. Eighty-six healthy individuals were selected from the Osteoarthritis Initiative, with no symptoms or visual signs of disease on imaging. On 3-y follow-up, a subset of these individuals had progressed to symptomatic OA. We trained a classifier to differentiate progressors and nonprogressors on baseline cartilage texture maps, which achieved a robust test accuracy of 78% in detecting future symptomatic OA progression 3 y prior to symptoms. This work demonstrates that OA detection may be possible at a potentially reversible stage. A key contribution of our work is direct visualization of the cartilage phenotype defining predictive ability as our technique is generative. We observe early biochemical patterns of fissuring in cartilage that define future onset of OA. In the future, coupling presymptomatic OA detection with emergent clinical therapies could modify the outcome of a disease that costs the United States healthcare system $16.5 billion annually. Furthermore, our technique is broadly applicable to earlier image-based detection of many diseases currently diagnosed at advanced stages today.

Indexed as

Machine LearningCartilage, ArticularCohort StudiesDisease ProgressionEarly DiagnosisFemaleHumansMagnetic Resonance ImagingMaleOsteoarthritis, Knee3D transport-based morphometryclassificationearly diagnosisosteoarthritisT2 imaging

Identifiers

PMID32958644
PMCPMC7547154

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.