Baseline knee joint effusion and medial femoral bone marrow edema, in addition to MRI-based T2 relaxation time and texture measurements of knee cartilage, can help predict incident total knee arthroplasty 4–7 years later: data from the Osteoarthritis Initiative

Objective To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS), standard T2, and T2 gray-level co-occurrence matrix (GLCM) texture parameters of knee cartilage can serve as potential long-term radi...

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Published inSkeletal radiology Vol. 48; no. 1; pp. 89 - 101
Main Authors Heilmeier, Ursula, Wamba, John Mbapte, Joseph, Gabby B., Darakananda, Karin, Callan, Jennifer, Neumann, Jan, Link, Thomas M.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.01.2019
Springer
Springer Nature B.V
Subjects
Arthritis
Arthroplasty (knee)
Biocompatibility
Bone marrow
Cartilage
Cartilage diseases
Dropsy
Edema
Effusion
Femur
Imaging
Joint surgery
Knee
Magnetic resonance imaging
Measurement
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
NMR
Nuclear magnetic resonance
Nuclear Medicine
Orthopedics
Osteoarthritis
Parameters
Pathology
Radiology
Regression analysis
Relaxation time
Scientific Article
Statistical analysis
Surgical implants
Texture
Tibia
Variance analysis
Knee
Total knee arthroplasty
Magnetic resonance imaging
Osteoarthritis
Predictive value of tests
Cartilage T2 relaxation time
Online AccessGet full text

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Abstract Objective To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS), standard T2, and T2 gray-level co-occurrence matrix (GLCM) texture parameters of knee cartilage can serve as potential long-term radiological predictors of incident total knee arthroplasty (TKA) 4–7 years later. Materials and methods Baseline 3-T knee MRIs of 309 subjects from the Osteoarthritis Initiative ( n  = 81 TKA cases, with right-knee TKA 4–7 years after enrolment, and n  = 228 TKA-free matched controls) were evaluated for the presence and severity of pathological knee conditions via modified WORMS. Knee cartilage was segmented and standard T2 cartilage and T2 GLCM texture measures (contrast, variance) were computed. Statistical analysis employed conditional logistic regression. Results We found that a one-point increase on the joint effusion scale, the bone marrow edema scale or on the cartilage lesion scale at baseline predicted incident TKA (ORs: 2.45, 1.65, and 1.37 respectively ( p  ≤ 0.003)). For T2 cartilage measurements, we observed that in the lateral femur, a 1-SD increase in T2 relaxation time yielded a 28% increase in the odds of TKA (1.28 [1.09–1.643], p  = 0.046). When looking at cartilage texture, we similarly noted that a 1-SD increase in the cartilage texture parameter “contrast” was associated with a 33–40% increased risk of incident TKA in the lateral femur and tibia (0.003 ≤  p  ≤ 0.021), as was a 1-SD increase in the texture parameter “variance” in the lateral femur ( p  = 0.002). Conclusion Radiological evaluation of standard knee MR images via single WORMS features and T2 standard and texture analysis at baseline can help predict the patient’s individual risk for an incident TKA 4–7 years later.
AbstractList ObjectiveTo evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS), standard T2, and T2 gray-level co-occurrence matrix (GLCM) texture parameters of knee cartilage can serve as potential long-term radiological predictors of incident total knee arthroplasty (TKA) 4–7 years later.Materials and methodsBaseline 3-T knee MRIs of 309 subjects from the Osteoarthritis Initiative (n = 81 TKA cases, with right-knee TKA 4–7 years after enrolment, and n = 228 TKA-free matched controls) were evaluated for the presence and severity of pathological knee conditions via modified WORMS. Knee cartilage was segmented and standard T2 cartilage and T2 GLCM texture measures (contrast, variance) were computed. Statistical analysis employed conditional logistic regression.ResultsWe found that a one-point increase on the joint effusion scale, the bone marrow edema scale or on the cartilage lesion scale at baseline predicted incident TKA (ORs: 2.45, 1.65, and 1.37 respectively (p ≤ 0.003)). For T2 cartilage measurements, we observed that in the lateral femur, a 1-SD increase in T2 relaxation time yielded a 28% increase in the odds of TKA (1.28 [1.09–1.643], p = 0.046). When looking at cartilage texture, we similarly noted that a 1-SD increase in the cartilage texture parameter “contrast” was associated with a 33–40% increased risk of incident TKA in the lateral femur and tibia (0.003 ≤ p ≤ 0.021), as was a 1-SD increase in the texture parameter “variance” in the lateral femur (p = 0.002).ConclusionRadiological evaluation of standard knee MR images via single WORMS features and T2 standard and texture analysis at baseline can help predict the patient’s individual risk for an incident TKA 4–7 years later.
To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS), standard T2, and T2 gray-level co-occurrence matrix (GLCM) texture parameters of knee cartilage can serve as potential long-term radiological predictors of incident total knee arthroplasty (TKA) 4-7 years later. Baseline 3-T knee MRIs of 309 subjects from the Osteoarthritis Initiative (n = 81 TKA cases, with right-knee TKA 4-7 years after enrolment, and n = 228 TKA-free matched controls) were evaluated for the presence and severity of pathological knee conditions via modified WORMS. Knee cartilage was segmented and standard T2 cartilage and T2 GLCM texture measures (contrast, variance) were computed. Statistical analysis employed conditional logistic regression. We found that a one-point increase on the joint effusion scale, the bone marrow edema scale or on the cartilage lesion scale at baseline predicted incident TKA (ORs: 2.45, 1.65, and 1.37 respectively (p [less than or equal to] 0.003)). For T2 cartilage measurements, we observed that in the lateral femur, a 1-SD increase in T2 relaxation time yielded a 28% increase in the odds of TKA (1.28 [1.09-1.643], p = 0.046). When looking at cartilage texture, we similarly noted that a 1-SD increase in the cartilage texture parameter "contrast" was associated with a 33-40% increased risk of incident TKA in the lateral femur and tibia (0.003 [less than or equal to] p [less than or equal to] 0.021), as was a 1-SD increase in the texture parameter "variance" in the lateral femur (p = 0.002). Radiological evaluation of standard knee MR images via single WORMS features and T2 standard and texture analysis at baseline can help predict the patient's individual risk for an incident TKA 4-7 years later.
Objective To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS), standard T2, and T2 gray-level co-occurrence matrix (GLCM) texture parameters of knee cartilage can serve as potential long-term radiological predictors of incident total knee arthroplasty (TKA) 4-7 years later. Materials and methods Baseline 3-T knee MRIs of 309 subjects from the Osteoarthritis Initiative (n = 81 TKA cases, with right-knee TKA 4-7 years after enrolment, and n = 228 TKA-free matched controls) were evaluated for the presence and severity of pathological knee conditions via modified WORMS. Knee cartilage was segmented and standard T2 cartilage and T2 GLCM texture measures (contrast, variance) were computed. Statistical analysis employed conditional logistic regression. Results We found that a one-point increase on the joint effusion scale, the bone marrow edema scale or on the cartilage lesion scale at baseline predicted incident TKA (ORs: 2.45, 1.65, and 1.37 respectively (p [less than or equal to] 0.003)). For T2 cartilage measurements, we observed that in the lateral femur, a 1-SD increase in T2 relaxation time yielded a 28% increase in the odds of TKA (1.28 [1.09-1.643], p = 0.046). When looking at cartilage texture, we similarly noted that a 1-SD increase in the cartilage texture parameter "contrast" was associated with a 33-40% increased risk of incident TKA in the lateral femur and tibia (0.003 [less than or equal to] p [less than or equal to] 0.021), as was a 1-SD increase in the texture parameter "variance" in the lateral femur (p = 0.002). Conclusion Radiological evaluation of standard knee MR images via single WORMS features and T2 standard and texture analysis at baseline can help predict the patient's individual risk for an incident TKA 4-7 years later.
To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS), standard T2, and T2 gray-level co-occurrence matrix (GLCM) texture parameters of knee cartilage can serve as potential long-term radiological predictors of incident total knee arthroplasty (TKA) 4-7 years later.OBJECTIVETo evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS), standard T2, and T2 gray-level co-occurrence matrix (GLCM) texture parameters of knee cartilage can serve as potential long-term radiological predictors of incident total knee arthroplasty (TKA) 4-7 years later.Baseline 3-T knee MRIs of 309 subjects from the Osteoarthritis Initiative (n = 81 TKA cases, with right-knee TKA 4-7 years after enrolment, and n = 228 TKA-free matched controls) were evaluated for the presence and severity of pathological knee conditions via modified WORMS. Knee cartilage was segmented and standard T2 cartilage and T2 GLCM texture measures (contrast, variance) were computed. Statistical analysis employed conditional logistic regression.MATERIALS AND METHODSBaseline 3-T knee MRIs of 309 subjects from the Osteoarthritis Initiative (n = 81 TKA cases, with right-knee TKA 4-7 years after enrolment, and n = 228 TKA-free matched controls) were evaluated for the presence and severity of pathological knee conditions via modified WORMS. Knee cartilage was segmented and standard T2 cartilage and T2 GLCM texture measures (contrast, variance) were computed. Statistical analysis employed conditional logistic regression.We found that a one-point increase on the joint effusion scale, the bone marrow edema scale or on the cartilage lesion scale at baseline predicted incident TKA (ORs: 2.45, 1.65, and 1.37 respectively (p ≤ 0.003)). For T2 cartilage measurements, we observed that in the lateral femur, a 1-SD increase in T2 relaxation time yielded a 28% increase in the odds of TKA (1.28 [1.09-1.643], p = 0.046). When looking at cartilage texture, we similarly noted that a 1-SD increase in the cartilage texture parameter "contrast" was associated with a 33-40% increased risk of incident TKA in the lateral femur and tibia (0.003 ≤ p ≤ 0.021), as was a 1-SD increase in the texture parameter "variance" in the lateral femur (p = 0.002).RESULTSWe found that a one-point increase on the joint effusion scale, the bone marrow edema scale or on the cartilage lesion scale at baseline predicted incident TKA (ORs: 2.45, 1.65, and 1.37 respectively (p ≤ 0.003)). For T2 cartilage measurements, we observed that in the lateral femur, a 1-SD increase in T2 relaxation time yielded a 28% increase in the odds of TKA (1.28 [1.09-1.643], p = 0.046). When looking at cartilage texture, we similarly noted that a 1-SD increase in the cartilage texture parameter "contrast" was associated with a 33-40% increased risk of incident TKA in the lateral femur and tibia (0.003 ≤ p ≤ 0.021), as was a 1-SD increase in the texture parameter "variance" in the lateral femur (p = 0.002).Radiological evaluation of standard knee MR images via single WORMS features and T2 standard and texture analysis at baseline can help predict the patient's individual risk for an incident TKA 4-7 years later.CONCLUSIONRadiological evaluation of standard knee MR images via single WORMS features and T2 standard and texture analysis at baseline can help predict the patient's individual risk for an incident TKA 4-7 years later.
To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS), standard T2, and T2 gray-level co-occurrence matrix (GLCM) texture parameters of knee cartilage can serve as potential long-term radiological predictors of incident total knee arthroplasty (TKA) 4-7 years later. Baseline 3-T knee MRIs of 309 subjects from the Osteoarthritis Initiative (n = 81 TKA cases, with right-knee TKA 4-7 years after enrolment, and n = 228 TKA-free matched controls) were evaluated for the presence and severity of pathological knee conditions via modified WORMS. Knee cartilage was segmented and standard T2 cartilage and T2 GLCM texture measures (contrast, variance) were computed. Statistical analysis employed conditional logistic regression. We found that a one-point increase on the joint effusion scale, the bone marrow edema scale or on the cartilage lesion scale at baseline predicted incident TKA (ORs: 2.45, 1.65, and 1.37 respectively (p ≤ 0.003)). For T2 cartilage measurements, we observed that in the lateral femur, a 1-SD increase in T2 relaxation time yielded a 28% increase in the odds of TKA (1.28 [1.09-1.643], p = 0.046). When looking at cartilage texture, we similarly noted that a 1-SD increase in the cartilage texture parameter "contrast" was associated with a 33-40% increased risk of incident TKA in the lateral femur and tibia (0.003 ≤ p ≤ 0.021), as was a 1-SD increase in the texture parameter "variance" in the lateral femur (p = 0.002). Radiological evaluation of standard knee MR images via single WORMS features and T2 standard and texture analysis at baseline can help predict the patient's individual risk for an incident TKA 4-7 years later.
Objective To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS), standard T2, and T2 gray-level co-occurrence matrix (GLCM) texture parameters of knee cartilage can serve as potential long-term radiological predictors of incident total knee arthroplasty (TKA) 4–7 years later. Materials and methods Baseline 3-T knee MRIs of 309 subjects from the Osteoarthritis Initiative ( n  = 81 TKA cases, with right-knee TKA 4–7 years after enrolment, and n  = 228 TKA-free matched controls) were evaluated for the presence and severity of pathological knee conditions via modified WORMS. Knee cartilage was segmented and standard T2 cartilage and T2 GLCM texture measures (contrast, variance) were computed. Statistical analysis employed conditional logistic regression. Results We found that a one-point increase on the joint effusion scale, the bone marrow edema scale or on the cartilage lesion scale at baseline predicted incident TKA (ORs: 2.45, 1.65, and 1.37 respectively ( p  ≤ 0.003)). For T2 cartilage measurements, we observed that in the lateral femur, a 1-SD increase in T2 relaxation time yielded a 28% increase in the odds of TKA (1.28 [1.09–1.643], p  = 0.046). When looking at cartilage texture, we similarly noted that a 1-SD increase in the cartilage texture parameter “contrast” was associated with a 33–40% increased risk of incident TKA in the lateral femur and tibia (0.003 ≤  p  ≤ 0.021), as was a 1-SD increase in the texture parameter “variance” in the lateral femur ( p  = 0.002). Conclusion Radiological evaluation of standard knee MR images via single WORMS features and T2 standard and texture analysis at baseline can help predict the patient’s individual risk for an incident TKA 4–7 years later.
Audience Academic
Author Heilmeier, Ursula
Joseph, Gabby B.
Darakananda, Karin
Wamba, John Mbapte
Link, Thomas M.
Callan, Jennifer
Neumann, Jan
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/29961091$$D View this record in MEDLINE/PubMed
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ISSN 0364-2348
1432-2161
IngestDate Tue Jul 22 02:35:40 EDT 2025
Sat Aug 16 22:11:35 EDT 2025
Tue Jun 17 21:47:34 EDT 2025
Tue Jun 10 20:17:05 EDT 2025
Mon Jul 21 05:58:28 EDT 2025
Tue Jul 01 03:14:56 EDT 2025
Thu Apr 24 22:55:08 EDT 2025
Fri Feb 21 02:28:38 EST 2025
IsPeerReviewed true
IsScholarly true
Issue 1
Keywords Knee
Total knee arthroplasty
Magnetic resonance imaging
Osteoarthritis
Predictive value of tests
Cartilage T2 relaxation time
Language English
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crossref_primary_10_1007_s00256_018_2995_4
crossref_citationtrail_10_1007_s00256_018_2995_4
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PublicationDate 20190100
PublicationDateYYYYMMDD 2019-01-01
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PublicationPlace Berlin/Heidelberg
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PublicationSubtitle Journal of the International Skeletal Society A Journal of Radiology, Pathology and Orthopedics
PublicationTitle Skeletal radiology
PublicationTitleAbbrev Skeletal Radiol
PublicationTitleAlternate Skeletal Radiol
PublicationYear 2019
Publisher Springer Berlin Heidelberg
Springer
Springer Nature B.V
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SSID ssj0017756
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Snippet Objective To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring...
To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring (WORMS),...
Objective To evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring...
ObjectiveTo evaluate if baseline pathological knee conditions as assessed via single features of the MR-based Whole-Organ Magnetic Resonance Imaging Scoring...
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pubmed
crossref
springer
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 89
SubjectTerms Arthritis
Arthroplasty (knee)
Biocompatibility
Bone marrow
Cartilage
Cartilage diseases
Dropsy
Edema
Effusion
Femur
Imaging
Joint surgery
Knee
Magnetic resonance imaging
Measurement
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
NMR
Nuclear magnetic resonance
Nuclear Medicine
Orthopedics
Osteoarthritis
Parameters
Pathology
Radiology
Regression analysis
Relaxation time
Scientific Article
Statistical analysis
Surgical implants
Texture
Tibia
Variance analysis
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Title Baseline knee joint effusion and medial femoral bone marrow edema, in addition to MRI-based T2 relaxation time and texture measurements of knee cartilage, can help predict incident total knee arthroplasty 4–7 years later: data from the Osteoarthritis Initiative
URI https://link.springer.com/article/10.1007/s00256-018-2995-4
https://www.ncbi.nlm.nih.gov/pubmed/29961091
https://www.proquest.com/docview/2062043350
https://www.proquest.com/docview/2063733796
Volume 48
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