Evidence map›Paper›PMID 38893708›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Predicting Rheumatoid Arthritis Development Using Hand Ultrasound and Machine Learning-A Two-Year Follow-Up Cohort Study.

Mahyar Daskareh, Azin Vakilpour, Erfan Barzegar-Golmoghani, Saeid Esmaeilian, Samira Gilanchi, Fatemeh Ezzati, Majid Alikhani, Elham Rahmanipour, Niloofar Amini, Mohammad Ghorbani and 1 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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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

11 authors.

Mahyar DaskarehDepartment of Radiology, University of California San Diego, San Diego, CA 92093, USA.ORCID 0000-0001-5601-6392
Azin VakilpourDivision of Cardiovascular Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Erfan Barzegar-GolmoghaniDepartment of Biomedical Engineering, Tarbiat Modares University, Tehran 14115-111, Iran.
Saeid EsmaeilianDepartment of Radiology, Shiraz University of Medical Sciences, Shiraz 71348, Iran.ORCID 0000-0003-4368-3772
Samira GilanchiProteomics Research Center, Shahid Beheshti University of Medical Sciences, Tehran 19839-63113, Iran.
Fatemeh EzzatiDivision of Rheumatic Disease, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Majid AlikhaniDepartment of Internal Medicine, Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran 14117-13135, Iran.
Elham RahmanipourImmunology Research Center, Mashhad University of Medical Sciences, Mashhad 91779-48564, Iran.
Niloofar AminiDepartment of Internal Medicine, Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran 14117-13135, Iran.
Mohammad GhorbaniOrthopedic Research Center, Mashhad University of Medical Sciences, Mashhad 91779-48564, Iran.ORCID 0000-0002-1097-4509
Parham PezeshkDivision of Musculoskeletal Imaging, Department of Radiology, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0002-7694-8784

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe early diagnosis and treatment of rheumatoid arthritis (RA) are essential to prevent joint damage and enhance patient outcomes. Diagnosing RA in its early stages is challenging due to the nonspecific and variable clinical signs and symptoms. Our study aimed to identify the most predictive features of hand ultrasound (US) for RA development and assess the performance of machine learning models in diagnosing preclinical RA.

methodsWe conducted a prospective cohort study with 326 adults who had experienced hand joint pain for less than 12 months and no clinical arthritis. We assessed the participants clinically and via hand US at baseline and followed them for 24 months. Clinical progression to RA was defined according to the ACR/EULAR criteria. Regression modeling and machine learning approaches were used to analyze the predictive US features.

resultsOf the 326 participants (45.10 ± 11.37 years/83% female), 123 (37.7%) developed clinical RA during follow-up. At baseline, 84.6% of the progressors had US synovitis, whereas 16.3% of the non-progressors did (

conclusionsHand US can identify preclinical synovitis and determine the RA risk. The radiocarpal synovial thickness, PIP/MCP synovitis, wrist effusion, and RF and anti-CCP levels are associated with RA development.

Indexed as

arthritismachine learningrheumatoidsynovitisultrasonography

Identifiers

PMID38893708
PMCPMC11171890

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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.