https://doi.org/10.4081/reumatismo.2022.1534
Magnetic resonance imaging as a structural refinement to the American College of Rheumathology clinical classification criteria for knee osteoarthritis
Published: 29 December 2022
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Objective: To evaluate if fulfilment of the definition of osteoarthritis (OA) based on the American College of Rheumatology (ACR) clinical criteria corresponds to pathological knee findings evaluated by magnetic resonance imaging (MRI). To evaluate if any such criteria is associated with a specific MRI pattern.
Methods: Forty-six consecutive patients aged 50 years or more referred by their general practitioners (GPs) to a radiology department because of non-traumatic knee pain underwent MRI using a dedicated low field (0.2 T) machine.
Results: MRI results were compared against the ACR criteria for knee OA. Patients with knee pain fulfilling the ACR criteria showed more severe synovial fluid effusion (OR 6.2, 95% CI 2.02 to 19.1), cartilage lesions in the medial area (OR 2.4, 95% CI 1.2 to 5) and higher mean number of osteophytes (OR 2.3, 95% CI 1.1 to 4.5). The association between single criteria and MRI features was more difficult to establish. Nonetheless, crepitus at joint movement was associated with synovial fluid effusion (p=0.02); bone enlargement was more frequent in patients with lesions of the posterior cruciate ligament (p=0.0001); no palpable warmth was associated with cartilage lesions (p=0.02), and morning stiffness shorter than 30 minutes was associated with the surface of bone edema (p=0.02).
Conclusions: The ACR clinical criteria identify patients showing the most important features of OA. The association between individual clinical ACR criteria and OA pathology depicted by MRI may be difficult to explain on the basis of anatomical changes and needs further evaluation.
Altman R, Asch E, Bloch G, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Arthritis Rheum. 1986; 29: 1039-49.
DOI: https://doi.org/10.1002/art.1780290816
Mannoni A, Briganti MP, Di Bari M, et al. Epidemiological profile of symptomatic osteoarthritis in older adults: a population based study in Dicomano, Italy. Ann Rheum Dis. 2003; 62: 576-8.
DOI: https://doi.org/10.1136/ard.62.6.576
Wang Y, Wluka AE, Cicuttini FM. The determinants of change in tibial plateau bone area in osteoarthritic knees: a cohort study. Arthritis Res Ther. 2005; 7: R687-93. Epub 2005 Mar 31.
DOI: https://doi.org/10.1186/ar1726
Berthiaume MJ, Raynauld JP, Martel-Pelletier J, et al. Meniscal tear and extrusion are strongly associated with progression of symptomatic knee osteoarthritis as assessed by quantitative magnetic resonance imaging. Ann Rheum Dis. 2005; 64: 556-63.
DOI: https://doi.org/10.1136/ard.2004.023796
Spector TD, Hochberg MC. Methodological problems in the epidemiological study of osteoarthritis. Ann Rheum Dis. 1994; 53: 143-6.
DOI: https://doi.org/10.1136/ard.53.2.143
Recht MP, Piraino DW, Paletta GA, et al. Accuracy of fat-suppressed three-dimensional spoiled gradient-echo FLASH MR imaging in the detection of patello-femoral articular cartilage abnormalities. Radiology. 1996; 198:209-12.
DOI: https://doi.org/10.1148/radiology.198.1.8539380
Hill CL, Gale DG, Chaisson CE, et al. Knee effusions, popliteal cysts, and synovial thickening: association with knee pain in osteoarthritis. J Rheumatol. 2001; 28: 1330-7.
Bañuls-Mirete M, Lombardi AF, Posis AIB, et al. Effusion-synovitis worsening mediates the association between body mass index and Kellgren-Lawrence progression in obese individuals: data from the Osteoarthritis Initiative. Osteoarthritis Cartil. 2022; 30:1278-86.
DOI: https://doi.org/10.1016/j.joca.2022.05.011
Hill CL, Seo GS, Gale D, et al. Cruciate ligament integrity in osteoarthritis of the knee. Arthritis Rheum. 2005; 52: 794-9.
DOI: https://doi.org/10.1002/art.20943
Felson DT, Chaisson CE, Hill CL, et al. The association of bone marrow lesions with pain in knee osteoarthritis. Ann Int Med. 2001; 134: 541-9.
DOI: https://doi.org/10.7326/0003-4819-134-7-200104030-00007
Perry TA, Parkes MJ, Hodgson RJ, et al. Association between bone marrow lesions and synovitis and symptoms in symptomatic knee osteoarthritis. Osteoarthritis Cartil. 2020; 28:316-23.
DOI: https://doi.org/10.1016/j.joca.2019.12.002
Ejbjerg BJ, Narvestad E, Jacobsen S, et al. Optimised, low cost, low field dedicated extremity MRI is highly specific and sensitive for synovitis and bone erosions in rheumatoid arthritis wrist and finger joints: comparison with conventional high field MRI and radiography. Ann Rheum Dis. 2005; 64: 1280-7.
DOI: https://doi.org/10.1136/ard.2004.029850
Woertler K, Strothmann M, Tombach B, Reimer P. Detection of articular cartilage lesions: experimental evaluation of low- and highfield-strength MR imaging at 0.18 and 1.0 T. J Magn Reson Imaging. 2000; 11: 678-85.
DOI: https://doi.org/10.1002/1522-2586(200006)11:6<678::AID-JMRI15>3.0.CO;2-Y
Qazi AA, Folkesson J, Pettersen PC, et al. Separation of healthy and early osteoarthritis by automatic quantification of cartilage homogeneity. Osteoarthritis Cartil. 2007; 15: 1199-206.
DOI: https://doi.org/10.1016/j.joca.2007.03.016
How to Cite
Minetti, G., Parodi, M., Banderali, S., Silvestri, E., Garlaschi, G., & Cimmino, M. (2022). Magnetic resonance imaging as a structural refinement to the American College of Rheumathology clinical classification criteria for knee osteoarthritis. Reumatismo, 74(3). https://doi.org/10.4081/reumatismo.2022.1534
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