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What is the predictive value of MRI for the occurrence of knee replacement surgery in knee osteoarthritis?

Pelletier, J.-P.; Cooper, C.; Peterfy, C. et al.

2013 • In Annals of the Rheumatic Diseases, 72 (10), p. 1594-1604

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/155451

DOI
10.1136/annrheumdis-2013-203631

PubMed
23887285

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Keywords :

Knee Osteoarthritis; Magnetic Resonance Imaging; Outcomes research

Abstract :

[en] Knee osteoarthritis is associated with structural changes in the joint. Despite its many drawbacks, radiography is the current standard for evaluating joint structure in trials of potential disease-modifying osteoarthritis drugs. MRI is a non-invasive alternative that provides comprehensive imaging of the whole joint. Frequently used MRI measurements in knee osteoarthritis are cartilage volume and thickness; others include synovitis, synovial fluid effusions, bone marrow lesions (BML) and meniscal damage. Joint replacement is considered a clinically relevant outcome in knee osteoarthritis; however, its utility in clinical trials is limited. An alternative is virtual knee replacement on the basis of symptoms and structural damage. MRI may prove to be a good alternative to radiography in definitions of knee replacement. One of the MRI parameters that predicts knee replacement is medial compartment cartilage volume/thickness, which correlates with radiographic joint space width, is sensitive to change, and predicts outcomes in a continuous manner. Other MRI parameters include BML and meniscal lesions. MRI appears to be a viable alternative to radiography for the evaluation of structural changes in knee osteoarthritis and prediction of joint replacement.

Disciplines :

General & internal medicine

Author, co-author :

Pelletier, J.-P.

Cooper, C.

Peterfy, C.

REGINSTER, Jean-Yves ; Centre Hospitalier Universitaire de Liège - CHU > Médecine de l'appareil locomoteur

Brandi, M.-L.

Bruyère, Olivier ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé

Chapurlat, R.

Cicuttini, F.

Conaghan, P. G.

Doherty, M.

More authors (15 more)

Language :

English

Title :

What is the predictive value of MRI for the occurrence of knee replacement surgery in knee osteoarthritis?

Publication date :

2013

Journal title :

Annals of the Rheumatic Diseases

ISSN :

0003-4967

eISSN :

1468-2060

Publisher :

BMJ Group, London, United Kingdom

Volume :

72

Issue :

10

Pages :

1594-1604

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 05 September 2013

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Scopus citations^®

88

Scopus citations^®
without self-citations

39

OpenCitations

82

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