Evidence map›Paper›PMID 37463182›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2023

Computer Vision Analysis of Rheumatoid Arthritis Synovium Reveals Lymphocytic Inflammation Is Associated With Immunoglobulin Skewing in Blood.

Damon Frezza, Edward DiCarlo, Caryn Hale, Daniel Ramirez, Bella Mehta, David Slater, Saimun Habib, Mayu O Frank, Edoardo Spolaore, Melanie H Smith and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Human Knee as an Organ: Joint Tissue Collection, Processing, and Scoring for Multimodal Analyses.Laboratory investigation; a journal of technical methods and pathology · 2026
    Review
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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

14 authors at 3 institutions in 1 country.

Damon FrezzaThe MITRE Corporation, McLean, Virginia.
Edward DiCarloHospital for Special Surgery, New York, New York.
Caryn HaleRockefeller University, New York, New York.
Daniel RamirezHospital for Special Surgery, New York, New York.
Bella MehtaHospital for Special Surgery and Weill Cornell Medical College, New York, New York.
David SlaterThe MITRE Corporation, McLean, Virginia.
Saimun HabibThe MITRE Corporation, McLean, Virginia.
Mayu O FrankRockefeller University, New York, New York.
Edoardo SpolaoreHospital for Special Surgery, New York, New York.
Melanie H SmithHospital for Special Surgery and Weill Cornell Medical College, New York, New York.
Laura DonlinHospital for Special Surgery and Weill Cornell Medical College, New York, New York.
Susan GoodmanHospital for Special Surgery and Weill Cornell Medical College, New York, New York.ORCID 0000-0003-1197-7864
James R ThompsonThe MITRE Corporation, McLean, Virginia.
Dana E OrangeHospital for Special Surgery and Rockefeller University, New York, New York.ORCID 0000-0001-9859-7199
Hospital for Special Surgery · USMitre (United States) · USRockefeller University · US

Funding

Immune Tolerance Network UM1 2023 SupplementUM1AI109565 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI Mark S Anderson, Jane Hoyt Buckner · 2014 to 2026
$451.6M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Developing, Demonstrating, and Disseminating Innovative Programs to Achieve Translational SuccessUL1TR001866 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY, KRUEGER, JAMES G · 2016 to 2025
$40.6M
Precision Mapping of Knee Pain in Osteoarthritis: Understanding differences between pain with activity and restUC2AR082186 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI LOTZ, MARTIN K, MALFAIT, ANNE-MARIE · 2022 to 2025
$11.9M
Pain and synovial pathotypes in AMP AIMUC2AR081025 · NIAMS · UNIVERSITY OF ROCHESTER · PI Jennifer Howitt Anolik, Laura T. Donlin · 2022 to 2026
$7.2M
Investigating Mucosal Breaks in the Initiation and Progression of Rheumatoid ArthritisR01AR078268 · NIAMS · STANFORD UNIVERSITY · PI ORANGE, DANA ELIZABETH, ROBINSON, WILLIAM H · 2021 to 2025
$3.1M
Macrophages in human autoimmune tissue pathologyR01AI148435 · NIAID · HOSPITAL FOR SPECIAL SURGERY · PI Laura T. Donlin · 2020 to 2026
$2.8M
ARTHFN Refractory RANCATS NIH HHS TR001866NCATS NIH HHS UL1 TR001866NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NIAID NIH HHS R01 AI148435NIAID NIH HHS UM1 AI109565NIAMS NIH HHS AR078268-02NIAMS NIH HHS AR081025-01NIAMS NIH HHS AR082186-01NIAMS NIH HHS R01 AR078268NIAMS NIH HHS UC2 AR081025NIAMS NIH HHS UC2 AR082186NIH HHS R01-AR-078268NIH HHS UC2-AR-081025NIH HHS UC2-AR-082186NIH HHS UL1-TR-001866NIH HHS UM1-AI-109565
6 · The paper itself

Abstract

objectiveWe sought to develop computer vision methods to quantify aggregates of cells in synovial tissue and compare these with clinical and gene expression parameters.

methodsWe assembled a computer vision pipeline to quantify five features encompassing synovial cell density and aggregates and compared these with pathologist scores, disease classification, autoantibody status, and RNA expression in a cohort of 156 patients with rheumatoid arthritis (RA) and 149 patients with osteoarthritis (OA).

resultsAll five features were associated with pathologist scores of synovial lymphocytic inflammation (P < 0.0001). Three features that related to the cells per unit of tissue were significantly increased in patients with both seronegative and seropositive RA compared with those with OA; on the other hand, aggregate features (number and diameter) were significantly increased in seropositive, but not seronegative, RA compared with OA. Aggregate diameter was associated with the gene expression of immunoglobulin heavy-chain genes in the synovial tissue. Compared with blood, synovial immunoglobulin isotypes were skewed from IGHM and IGHD to IGHG3 and IGHG1. Further, patients with RA with high levels of lymphocytic infiltrates in the synovium demonstrated parallel skewing in their blood with a relative decrease in IGHGM (P < 0.002) and IGHD (P < 0.03) and an increase in class-switched immunoglobulin genes IGHG3 (P < 0.03) and IGHG1 (P < 0.002).

conclusionHigh-resolution automated identification and quantification of synovial immune cell aggregates uncovered skewing in the synovium from naïve IGHD and IGHM to memory IGHG3 and IGHG1 and revealed that this process is reflected in the blood of patients with high inflammatory synovium.

Indexed as

Arthritis, RheumatoidOsteoarthritisAutoantibodiesHumansInflammationSynovial MembraneAutoantibodies

Identifiers

PMID37463182
PMCPMC10794535
OpenAlexW4384662329

What OpenQuestion holds

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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.