Evidence map›Paper›PMID 39229747›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2025

Do Existing Magnetic Resonance Imaging Definitions of Knee Osteoarthritis Identify Knees That Will Develop Clinically Significant Disease Over Up To 11 Years of Follow-Up?

Alison H Chang, Frank W Roemer, Ali Guermazi, Orit Almagor, Jungwha Julia Lee, Joan S Chmiel, Lutfiyya N Muhammad, Jing Song, Leena Sharma

Abstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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

9 authors.

Alison H ChangNorthwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0001-7309-9687
Frank W RoemerUniversity of Erlangen-Nuremberg, Erlangen, Germany, and Boston University School of Medicine, Boston, Massachusetts.ORCID 0000-0001-9238-7350
Ali GuermaziBoston University School of Medicine, Boston, Massachusetts.
Orit AlmagorNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Jungwha Julia LeeNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Joan S ChmielNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Lutfiyya N MuhammadNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Jing SongNorthwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-8881-9664
Leena SharmaNorthwestern University Feinberg School of Medicine, Chicago, Illinois.

Funding

Resource CoreP30AR072579 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Leena Sharma · 2017 to 2026
$8.3M
Northwestern University Clinical and Translational Science Institute (NUCATS)KL2TR001424 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHARMA, LEENA · 2015 to 2023
$8.1M
NCATS NIH HHS KL2 TR001424NIAMS NIH HHS P30 AR072579NIAMS NIH HHS P30-AR-072579
6 · The paper itself

Abstract

objectiveIn individuals without radiographic knee osteoarthritis (OA), we investigated whether magnetic resonance imaging (MRI)-defined knee OA at baseline was associated with incident radiographic and symptomatic disease during up to 11 years of follow-up.

methodsOsteoarthritis Initiative participants without tibiofemoral radiographic knee OA at baseline were assessed for MRI-based tibiofemoral cartilage damage, osteophyte presence, bone marrow lesions, and meniscal damage/extrusion. We defined MRI knee OA using alternative, reported definitions (Def A and Def B). Kellgren-Lawrence (KL) grade, joint space narrowing (JSN), and frequent knee symptoms (Sx) were assessed at baseline, 1-, 2-, 3-, 4-, 6-, 8-, and 10/11-year follow-up visits. Incident tibiofemoral radiographic knee OA (outcome) was defined as (1) KL ≥2, (2) KL ≥2 and JSN, or (3) KL ≥2 and Sx. Adjusted Cox proportional hazards regression models examined associations of baseline MRI-defined knee OA (Def A and Def B) with incident outcomes during up to 11 years of follow-up.

resultsAmong 1,621 participants (mean ± SD age 58.8 ± 9.0 years, mean ± SD body mass index 27.2 ± 4.5 kg/m

conclusionCurrent MRI definitions of knee OA do not adequately identify knees that will develop radiographic and symptomatic disease.

Indexed as

Knee JointMagnetic Resonance ImagingOsteoarthritis, KneeAgedBone MarrowCartilage, ArticularDisease ProgressionFemaleFollow-Up StudiesHumansMaleMiddle AgedOsteophyteProportional Hazards ModelsRadiography

Identifiers

PMID39229747
PMCPMC11782103

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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.