T2 map signal variation predicts symptomatic osteoarthritis progression: data from the Osteoarthritis Initiative.

Objective: The aim of this work is to use quantitative magnetic resonance imaging (MRI) to identify patients at risk for symptomatic osteoarthritis (OA) progression. We hypothesized that classification of signal variation on T2 maps might predict symptomatic OA progression.Methods: Patients were sel...

Full description

Bibliographic Details
Published in:Skeletal Radiology Vol. 45; no. 7; pp. 909 - 914
Main Authors: Zhong, Haoti, Miller, David, Urish, Kenneth, Miller, David J, Urish, Kenneth L
Format: Journal Article
Published: Springer Nature Jul2016
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115528479&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 115528479
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        03642348
        O14
      jtl: Skeletal Radiology
      issn: 03642348
      maglogo: N
    pubinfo:
      dt: Jul2016
      vid: 45
      iid: 7
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        115528479
        115528479
        NLM26992910
        10.1007/s00256-016-2360-4
        NLM26992910
        PMC4876054 [Available on 07/01/17]
        115528479
      ppf: 909
      ppct: 5
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: T2 map signal variation predicts symptomatic osteoarthritis progression: data from the Osteoarthritis Initiative.
      aug:
        au:
          Zhong, Haoti
          Miller, David
          Urish, Kenneth
          Miller, David J
          Urish, Kenneth L
        affil: Department of Electrical Engineering, The Pennsylvania State University, 227C Electrical Engineering West University Park USA
      sug:
        subj:
          Osteoarthritis, Knee
          Disease Progression
          Radiography
          Cartilage, Articular
          Case Control Studies
          Knee Joint
          Cartilage, Articular Pathology
          Prospective Studies
          Magnetic Resonance Imaging
          Knee Joint Pathology
          Ontario
          Arthritis Impact Measurement Scales
          Scales
      ab: Objective: The aim of this work is to use quantitative magnetic resonance imaging (MRI) to identify patients at risk for symptomatic osteoarthritis (OA) progression. We hypothesized that classification of signal variation on T2 maps might predict symptomatic OA progression.Methods: Patients were selected from the Osteoarthritis Initiative (OAI), a prospective cohort. Two groups were identified: a symptomatic OA progression group and a control group. At baseline, both groups were asymptomatic (Western Ontario and McMaster Universities Arthritis [WOMAC] pain score total <10) with no radiographic evidence of OA (Kellgren-Lawrence [KL] score ≤ 1). The OA progression group (n = 103) had a change in total WOMAC score greater than 10 by the 3-year follow-up. The control group (n = 79) remained asymptomatic, with a change in total WOMAC score less than 10 at the 3-year follow-up. A classifier was designed to predict OA progression in an independent population based on T2 map cartilage signal variation. The classifier was designed using a nearest neighbor classification based on a Gaussian Mixture Model log-likelihood fit of T2 map cartilage voxel intensities.Results: The use of T2 map signal variation to predict symptomatic OA progression in asymptomatic individuals achieved a specificity of 89.3 %, a sensitivity of 77.2 %, and an overall accuracy rate of 84.2 %.Conclusion: T2 map signal variation can predict symptomatic knee OA progression in asymptomatic individuals, serving as a possible early OA imaging biomarker.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N