Evidence map›Paper›PMID 36285338›Full record

ArticleJournal of magnetic resonance imaging : JMRI2023

Spatial Gradients of Quantitative MRI as Biomarkers for Early Detection of Osteoarthritis: Data From Human Explants and the Osteoarthritis Initiative.

Robert L Wilson, Nancy C Emery, David M Pierce, Corey P Neu

Open access · greenAbstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 at 2 institutions in 1 country.

Robert L WilsonPaul M. Rady Department of Mechanical Engineering, University of Colorado Boulder, Boulder, Colorado, USA.
Nancy C EmeryDepartment of Ecology and Evolutionary Biology, University of Colorado Boulder, Boulder, Colorado, USA.
David M PierceDepartment of Mechanical Engineering, University of Connecticut, Storrs, Connecticut, USA.
Corey P NeuPaul M. Rady Department of Mechanical Engineering, University of Colorado Boulder, Boulder, Colorado, USA.ORCID https://orcid.org/0000-0002-8256-5683
University of Colorado Boulder · USUniversity of Connecticut · US

Funding

Probing Osteoarthritis Pathogenesis by Noninvasive Imaging of Cartilage StrainR01AR063712 · NIAMS · UNIVERSITY OF COLORADO · PI NEU, COREY P · 2013 to 2023
$4.7M
NIAMS NIH HHS R01 AR063712NIH HHS R01AR063712
6 · The paper itself

Abstract

backgroundHealthy articular cartilage presents structural gradients defined by distinct zonal patterns through the thickness, which may be disrupted in the pathogenesis of several disorders. Analysis of textural patterns using quantitative MRI data may identify structural gradients of healthy or degenerating tissue that correlate with early osteoarthritis (OA). PURPOSE: To quantify spatial gradients and patterns in MRI data, and to probe new candidate biomarkers for early severity of OA. STUDY TYPE: Retrospective study. SUBJECTS: Fourteen volunteers receiving total knee replacement surgery (eight males/two females/four unknown, average age ± standard deviation: 68.1 ± 9.6 years) and 10 patients from the OA Initiative (OAI) with radiographic OA onset (two males/eight females, average age ± standard deviation: 57.7 ± 9.4 years; initial Kellgren-Lawrence [KL] grade: 0; final KL grade: 3 over the 10-year study). FIELD STRENGTH/SEQUENCE: 3.0-T and 14.1-T, biomechanics-based displacement-encoded imaging, fast spin echo, multi-slice multi-echo T2 mapping. ASSESSMENT: We studied structure and strain in cartilage explants from volunteers receiving total knee replacement, or structure in cartilage of OAI patients with progressive OA. We calculated spatial gradients of quantitative MRI measures (eg, T2) normal to the cartilage surface to enhance zonal variations. We compared gradient values against histologically OA severity, conventional relaxometry, and/or KL grades. STATISTICAL TESTS: Multiparametric linear regression for evaluation of the relationship between residuals of the mixed effects models and histologically determined OA severity scoring, with a significance threshold at α = 0.05.

resultsGradients of individual relaxometry and biomechanics measures significantly correlated with OA severity, outperforming conventional relaxometry and strain metrics. In human explants, analysis of spatial gradients provided the strongest relationship to OA severity (R DATA

conclusionSpatial gradients of quantitative MRI data may improve the predictive power of noninvasive imaging for early-stage degeneration. EVIDENCE LEVEL: 1 TECHNICAL EFFICACY: Stage 1.

Indexed as

Cartilage, ArticularOsteoarthritis, KneeBiomarkersFemaleHumansKnee JointMagnetic Resonance ImagingMaleRetrospective StudiesBiomarkersbiomechanicsdegenerationmultiparametricpathogenesisT1rhoT2

Identifiers

PMID36285338
PMCPMC10126208
OpenAlexW4307337932

What OpenQuestion holds

Textmetadata
LicenceTDM
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.