Evidence map›Paper›PMID 36607356›Full record

ArticleSkeletal radiology2023

Exploring the differences between radiographic joint space width and MRI cartilage thickness changes using data from the IMI-APPROACH cohort.

Mylène P Jansen, Frank W Roemer, Anne Karien C A Marijnissen, Margreet Kloppenburg, Francisco J Blanco, Ida K Haugen, Francis Berenbaum, Floris P J G Lafeber, Paco M J Welsing, Simon C Mastbergen and 1 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Skeletal radiology, 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
1.7field-weighted citation impact, top 16% 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, 7 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

11 authors at 7 institutions in 7 countries.

Mylène P JansenDepartment of Rheumatology & Clinical Immunology, HP G02.228 Heidelberglaan 100 3584CX, Utrecht, The Netherlands. m.p.jansen-36@umcutrecht.nl.ORCID http://orcid.org/0000-0003-1929-6350
Frank W RoemerQuantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, MA, USA.
Anne Karien C A MarijnissenDepartment of Rheumatology & Clinical Immunology, HP G02.228 Heidelberglaan 100 3584CX, Utrecht, The Netherlands.
Margreet KloppenburgDepartment of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.
Francisco J BlancoDepartamento de Fisioterapia Y Medicina, Grupo de Investigación de Reumatología (GIR), INIBIC - Complejo Hospitalario Universitario de A Coruña, SERGAS. Centro de Investigación CICA, Universidad de A Coruña, A Coruña, Spain. Servicio de Reumatologia, INIBIC- Universidade de A Coruña, A Coruña, Spain.
Ida K HaugenCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.
Francis BerenbaumDepartment of Rheumatology, AP-HP Saint-Antoine Hospital, Paris, France.
Floris P J G LafeberDepartment of Rheumatology & Clinical Immunology, HP G02.228 Heidelberglaan 100 3584CX, Utrecht, The Netherlands.
Paco M J WelsingDepartment of Rheumatology & Clinical Immunology, HP G02.228 Heidelberglaan 100 3584CX, Utrecht, The Netherlands.
Simon C MastbergenDepartment of Rheumatology & Clinical Immunology, HP G02.228 Heidelberglaan 100 3584CX, Utrecht, The Netherlands.
Wolfgang WirthDepartment of Imaging & Functional Musculoskeletal Research, Institute of Anatomy & Cell Biology, Paracelsus Medical University Salzburg & Nuremberg, Salzburg, Austria.
Boston University · USDiakonhjemmet Hospital · NOInserm · FRLeiden University Medical Center · NLParacelsus Medical University · ATUniversidade da Coruña · ESUniversity Medical Center Utrecht · NL

Funding

Innovative Medicines Initiative 115770
6 · The paper itself

Abstract

objectiveLongitudinal weight-bearing radiographic joint space width (JSW) and non-weight-bearing MRI-based cartilage thickness changes often show weak correlations. The current objective was to investigate these correlations, and to explore the influence of different factors that could contribute to longitudinal differences between the two methods.

methodsThe current study included 178 participants with medial osteoarthritis (OA) out of the 297 knee OA participants enrolled in the IMI-APPROACH cohort. Changes over 2 years in medial JSW (ΔJSWmed), minimum JSW (ΔJSWmin), and medial femorotibial cartilage thickness (ΔMFTC) were assessed using linear regression, using measurements from radiographs and MRI acquired at baseline, 6 months, and 1 and 2 years. Pearson R correlations were calculated. The influence of cartilage quality (T2 mapping), meniscal extrusion (MOAKS scoring), potential pain-induced unloading (difference in knee-specific pain scores), and increased loading (BMI) on the correlations was analyzed by dividing participants in groups based on each factor separately, and comparing correlations (slope and strength) between groups using linear regression models.

resultCorrelations between ΔMFTC and ΔJSWmed and ΔJSWmin were statistically significant (p < 0.004) but weak (R < 0.35). Correlations were significantly different between groups based on cartilage quality and on meniscal extrusion: only patients with the lowest T2 values and with meniscal extrusion showed significant moderate correlations. Pain-induced unloading or BMI-induced loading did not influence correlations.

conclusionsWhile the amount of loading does not seem to make a difference, weight-bearing radiographic JSW changes are a better reflection of non-weight-bearing MRI cartilage thickness changes in knees with higher quality cartilage and with meniscal extrusion.

Indexed as

Cartilage, ArticularKnee JointOsteoarthritis, KneeHumansMagnetic Resonance ImagingRadiographyCartilage thicknessJSWMeniscusMRIT2 mappingWeight-bearing

Identifiers

PMID36607356
OpenAlexW4313648485

What OpenQuestion holds

Textmetadata
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.