Semiquantitative Imaging Biomarkers of Knee Osteoarthritis Progression: Data From the Foundation for the National Institutes of Health Osteoarthritis Biomarkers Consortium.

Semiquantitative Imaging Biomarkers of Knee Osteoarthritis Progression: Data From the Foundation for the National Institutes of Health Osteoarthritis Biomarkers Consortium.
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DOI:
10.1002/art.39731
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发表时间:
2016-10
期刊:
Arthritis & rheumatology (Hoboken, N.J.)
影响因子:
--
通讯作者:
Hunter DJ
Hunter DJ
中科院分区:
其他
文献类型:
--
作者:
Collins JE;Losina E;Nevitt MC;Roemer FW;Guermazi A;Lynch JA;Katz JN;Kent Kwoh C;Kraus VB;Hunter DJ

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确定轻度至中度骨关节炎膝关节24个月内半定量膝关节MRI生物标志物变化与48个月内影像学和疼痛进展之间的相关性。作为骨关节炎生物标志物联盟项目的一部分,我们进行了一项巢式病例对照研究。我们建立了多变量逻辑回归模型,以检查24个月内半定量MR成像标记物的变化与膝关节OA放射学和疼痛进展之间的相关性。根据MRI骨关节炎膝关节评分(MOAKS)评分系统读取MRI。我们重点关注软骨、骨赘、半月板、骨髓病变、Hoffa滑膜炎和滑膜炎积液的变化。最简约的模型包括软骨厚度和表面积、滑膜炎-积液、Hoffa-滑膜炎和关节形态的变化(C-统计量=0.740)。3+亚区软骨厚度恶化的受试者与未恶化的受试者相比,成为病例的几率高2.8倍(95% CI:1.3 - 5.9),而3+亚区软骨表面积恶化的受试者与未恶化的受试者相比,成为病例的几率高2.4倍(95% CI:1.3 - 4.4)。在任何区域的胰腺形态恶化与2.2倍(95%CI:1.3 - 3.8)的病例几率相关。滑膜炎-积液(OR=2.7)和Hoffa-滑膜炎(OR=2.0)恶化也与更大的病例几率相关。软骨厚度、软骨表面积、滑膜炎-积液、Hoffa-滑膜炎和关节软骨形态的24个月变化与OA进展独立相关,表明它们可作为膝关节OA疾病改善干预临床试验中的疗效生物标志物。
To determine the association between changes in semi-quantitative knee MRI biomarkers over 24 months and radiographic and pain progression over 48 months in knees with mild to moderate osteoarthritis. We undertook a nested case-control study as part of the Osteoarthritis Biomarkers Consortium Project. We built multivariable logistic regression models to examine the association between change over 24 months in semi-quantitative MR imaging markers and knee OA radiographic and pain progression. MRIs were read according to the MRI Osteoarthritis Knee Score (MOAKS) scoring system. We focused on changes in cartilage, osteophytes, meniscus, bone marrow lesions, Hoffa-synovitis, and synovitis-effusion. The most parsimonious model included changes in cartilage thickness and surface area, synovitis-effusion, Hoffa-synovitis, and meniscal morphology (C-statistic =0.740). Subjects with worsening cartilage thickness in 3+ subregions vs. no worsening had 2.8-fold (95% CI: 1.3 – 5.9) greater odds of being a case while subjects with worsening in cartilage surface area in 3+ subregions vs. no worsening had 2.4-fold (95% CI: 1.3 – 4.4) greater odds of being a case. Having worsening in any region in meniscal morphology was associated with a 2.2-fold (95%CI: 1.3 – 3.8) greater odds of being a case. Worsening synovitis-effusion (OR=2.7) and Hoffa-synovitis (OR=2.0) were also associated with greater odds of being a case. Twenty-four-month change in cartilage thickness, cartilage surface area, synovitis-effusion, Hoffa-synovitis, and meniscal morphology were independently associated with OA progression, suggesting that they may serve as efficacy biomarkers in clinical trials of disease modifying interventions for knee OA.
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