Evidence map›Paper›PMID 40155520›Full record

ArticleAnnals of biomedical engineering2025

Dual-Contrast Agent with Nanoparticle and Molecular Components in Photon-Counting Computed Tomography: Assessing Articular Cartilage Health.

Petri Paakkari, Satu I Inkinen, Jiri Jäntti, Juuso Tuppurainen, Maria C Fugazzola, Anisha Joenathan, Sampo Ylisiurua, Miika T Nieminen, Heikki Kröger, Santtu Mikkonen and 8 more

Abstract read
In one paragraph

Article in Annals of biomedical engineering, 2025. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Review
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  4. Review
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

18 authors.

Petri PaakkariDepartment of Technical Physics, University of Eastern Finland, 70211, Kuopio, Finland. petri.paakkari@uef.fi.ORCID http://orcid.org/0000-0002-1388-0997
Satu I InkinenDiagnostic Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Jiri JänttiDepartment of Technical Physics, University of Eastern Finland, 70211, Kuopio, Finland.
Juuso TuppurainenDepartment of Technical Physics, University of Eastern Finland, 70211, Kuopio, Finland.
Maria C FugazzolaDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Anisha JoenathanDepartments of Biomedical Engineering, Chemistry and Medicine, Boston University, Boston, MA, USA.
Sampo YlisiuruaOulu University Hospital, Oulu, Finland.
Miika T NieminenResearch Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland.
Heikki KrögerDepartment of Orthopaedics and Traumatology, Kuopio University Hospital, Kuopio, Finland.
Santtu MikkonenDepartment of Technical Physics, University of Eastern Finland, 70211, Kuopio, Finland.
René van WeerenDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Brian D SnyderBoston Children's Hospital, Boston, MA, USA.
Juha TöyräsDepartment of Technical Physics, University of Eastern Finland, 70211, Kuopio, Finland.
Miitu K M HonkanenDiagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland.
Hanna MatikkaDiagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland.
Mark W Grinstaff *Departments of Biomedical Engineering, Chemistry and Medicine, Boston University, Boston, MA, USA.
Juuso T J Honkanen *Radiotherapy Department, Center of Oncology, Kuopio University Hospital, Kuopio, Finland.
Janne T A Mäkelä *Department of Technical Physics, University of Eastern Finland, 70211, Kuopio, Finland.

Funding

State Research Funding for University-level Health Research, Kuopio University Hospital, Wellbeing Services County of North Savo 5041795State Research Funding for University-level Health Research, Kuopio University Hospital, Wellbeing Services County of North Savo 5063579State Research Funding for University-level Health Research, Kuopio University Hospital, Wellbeing Services County of North Savo 5654199State Research Funding for University-level Health Research, Kuopio University Hospital, Wellbeing Services County of North Savo 5654243The Research Council of Finland 316899The Research Council of Finland 348410The Research Council of Finland 357787
6 · The paper itself

Abstract

purposePhoton-counting detectors (PCDs) are cutting-edge technology that enable spectral computed tomography (CT) imaging with a single scan. Spectral imaging is particularly effective in contrast-enhanced CT (CECT) imaging, especially when multiple contrast agents are utilized, as materials are distinguishable based on their unique X-ray absorption. One application of CECT is joint imaging, where it assesses the structure and composition of articular cartilage soft tissue. This evaluates articular cartilage and reveals compositional changes associated with early-stage osteoarthritis (OA) using a photon-counting detector CT (PCD-CT) technique combined with a dual-contrast agent method.

methodsA dual-contrast agent combination was used, consisting of proteoglycan-binding cationic tantalum oxide nanoparticles, developed in our lab, and a commercial non-ionic iodinated iodixanol agent. Ex vivo equine stifle joint cartilage samples (N = 30) were immersed in the contrast agent bath for 96 hours and imaged at multiple timepoints for analysis of proteoglycan, collagen, and water contents as well as collagen orientation, histological scoring, and biomechanical parameters.

resultsBy analyzing contrast agent concentrations, the technique provided a simultaneous assessment of the solid constituents and function of cartilage. Contrast agent diffusion depended on contrast agent composition and was significantly different between healthy and early-stage OA groups within 12 hours.

conclusionThe present study shows the promising utility of the dual-contrast PCD-CT technique for articular cartilage assessment and early-stage OA detection.

Indexed as

Cartilage, ArticularContrast MediaNanoparticlesOsteoarthritisTomography, X-Ray ComputedAnimalsCollagenHorsesOxidesProteoglycansTantalumTriiodobenzoic AcidsCollagenContrast MediaiodixanolOxidesProteoglycansTantalumtantalum oxideTriiodobenzoic AcidsContrast-enhanced computed tomographyMaterial decompositionNanoparticleOsteoarthritisPhoton-counting detector

Identifiers

PMID40155520
PMCPMC12075350

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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.