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Differences in tibial subchondral bone structure evaluated using plain radiographs between knees with and without cartilage damage or bone marrow lesions - the Oulu Knee Osteoarthritis study

Objectives To investigate whether subchondral bone structure from plain radiographs is different between subjects with and without articular cartilage damage or bone marrow lesions (BMLs). Methods Radiography-based bone structure was assessed from 80 subjects with different stages of knee osteoarthr...

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Published in:European radiology 2017-11, Vol.27 (11), p.4874-4882
Main Authors: Hirvasniemi, Jukka, Thevenot, Jérôme, Guermazi, Ali, Podlipská, Jana, Roemer, Frank W., Nieminen, Miika T., Saarakkala, Simo
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creator Hirvasniemi, Jukka
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description Objectives To investigate whether subchondral bone structure from plain radiographs is different between subjects with and without articular cartilage damage or bone marrow lesions (BMLs). Methods Radiography-based bone structure was assessed from 80 subjects with different stages of knee osteoarthritis using entropy of Laplacian-based image (E Lap ) and local binary patterns (E LBP ), homogeneity index of local angles (HI Angles,mean ), and horizontal (FD Hor ) and vertical fractal dimensions (FD Ver ). Medial tibial articular cartilage damage and BMLs were scored using the magnetic resonance imaging osteoarthritis knee score. Level of statistical significance was set to p  
doi_str_mv 10.1007/s00330-017-4826-8
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Methods Radiography-based bone structure was assessed from 80 subjects with different stages of knee osteoarthritis using entropy of Laplacian-based image (E Lap ) and local binary patterns (E LBP ), homogeneity index of local angles (HI Angles,mean ), and horizontal (FD Hor ) and vertical fractal dimensions (FD Ver ). Medial tibial articular cartilage damage and BMLs were scored using the magnetic resonance imaging osteoarthritis knee score. Level of statistical significance was set to p  &lt; 0.05. Results Subjects with medial tibial cartilage damage had significantly higher FD Ver and E LBP as well as lower E Lap and HI Angles,mean in the medial tibial subchondral bone region than subjects without damage. FD Hor , FD Ver , and E LBP were significantly higher, whereas E Lap and HI Angles,mean were lower in the medial trabecular bone region. Subjects with medial tibial BMLs had significantly higher FD Ver and E LBP as well as lower E Lap and HI Angles,mean in medial tibial subchondral bone. FD Hor , FD Ver , and E LBP were higher, whereas E Lap and HI Angles,mean were lower in medial trabecular bone. Conclusions Our results support the use of bone structural analysis from radiographs when examining subjects with osteoarthritis or at risk of having it. Key points • Knee osteoarthritis causes changes in articular cartilage and subchondral bone • Magnetic resonance imaging is a comprehensive imaging modality for knee osteoarthritis • Radiography - based bone structure analysis can provide additional information of osteoarthritic subjects</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-017-4826-8</identifier><identifier>PMID: 28439649</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Arthritis ; Biocompatibility ; Bone imaging ; Bone marrow ; Bone Marrow - diagnostic imaging ; Bone Marrow - pathology ; Cancellous bone ; Cancellous Bone - diagnostic imaging ; Cancellous Bone - pathology ; Cartilage ; Cartilage (articular) ; Cartilage diseases ; Cartilage, Articular - diagnostic imaging ; Cartilage, Articular - pathology ; Cross-Sectional Studies ; Damage assessment ; Diagnostic Radiology ; Entropy ; Female ; Fractals ; Homogeneity ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Knee ; Knee Joint - diagnostic imaging ; Knee Joint - pathology ; Lesions ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Musculoskeletal ; Neuroradiology ; NMR ; Nuclear magnetic resonance ; Osteoarthritis ; Osteoarthritis, Knee - diagnostic imaging ; Osteoarthritis, Knee - pathology ; Radiographs ; Radiography ; Radiology ; Resonance ; Structural analysis ; Subchondral bone ; Tibia - diagnostic imaging ; Tibia - pathology ; Ultrasound</subject><ispartof>European radiology, 2017-11, Vol.27 (11), p.4874-4882</ispartof><rights>The Author(s) 2017</rights><rights>European Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-bc9032943ea36f2df2f4d0f5d3167aedfe37d63fde9bc21eaa99aac4d7bf97a83</citedby><cites>FETCH-LOGICAL-c470t-bc9032943ea36f2df2f4d0f5d3167aedfe37d63fde9bc21eaa99aac4d7bf97a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28439649$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirvasniemi, Jukka</creatorcontrib><creatorcontrib>Thevenot, Jérôme</creatorcontrib><creatorcontrib>Guermazi, Ali</creatorcontrib><creatorcontrib>Podlipská, Jana</creatorcontrib><creatorcontrib>Roemer, Frank W.</creatorcontrib><creatorcontrib>Nieminen, Miika T.</creatorcontrib><creatorcontrib>Saarakkala, Simo</creatorcontrib><title>Differences in tibial subchondral bone structure evaluated using plain radiographs between knees with and without cartilage damage or bone marrow lesions - the Oulu Knee Osteoarthritis study</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives To investigate whether subchondral bone structure from plain radiographs is different between subjects with and without articular cartilage damage or bone marrow lesions (BMLs). Methods Radiography-based bone structure was assessed from 80 subjects with different stages of knee osteoarthritis using entropy of Laplacian-based image (E Lap ) and local binary patterns (E LBP ), homogeneity index of local angles (HI Angles,mean ), and horizontal (FD Hor ) and vertical fractal dimensions (FD Ver ). Medial tibial articular cartilage damage and BMLs were scored using the magnetic resonance imaging osteoarthritis knee score. Level of statistical significance was set to p  &lt; 0.05. Results Subjects with medial tibial cartilage damage had significantly higher FD Ver and E LBP as well as lower E Lap and HI Angles,mean in the medial tibial subchondral bone region than subjects without damage. FD Hor , FD Ver , and E LBP were significantly higher, whereas E Lap and HI Angles,mean were lower in the medial trabecular bone region. Subjects with medial tibial BMLs had significantly higher FD Ver and E LBP as well as lower E Lap and HI Angles,mean in medial tibial subchondral bone. FD Hor , FD Ver , and E LBP were higher, whereas E Lap and HI Angles,mean were lower in medial trabecular bone. Conclusions Our results support the use of bone structural analysis from radiographs when examining subjects with osteoarthritis or at risk of having it. Key points • Knee osteoarthritis causes changes in articular cartilage and subchondral bone • Magnetic resonance imaging is a comprehensive imaging modality for knee osteoarthritis • Radiography - based bone structure analysis can provide additional information of osteoarthritic subjects</description><subject>Adult</subject><subject>Aged</subject><subject>Arthritis</subject><subject>Biocompatibility</subject><subject>Bone imaging</subject><subject>Bone marrow</subject><subject>Bone Marrow - diagnostic imaging</subject><subject>Bone Marrow - pathology</subject><subject>Cancellous bone</subject><subject>Cancellous Bone - diagnostic imaging</subject><subject>Cancellous Bone - pathology</subject><subject>Cartilage</subject><subject>Cartilage (articular)</subject><subject>Cartilage diseases</subject><subject>Cartilage, Articular - diagnostic imaging</subject><subject>Cartilage, Articular - pathology</subject><subject>Cross-Sectional Studies</subject><subject>Damage assessment</subject><subject>Diagnostic Radiology</subject><subject>Entropy</subject><subject>Female</subject><subject>Fractals</subject><subject>Homogeneity</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Knee</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - pathology</subject><subject>Lesions</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Musculoskeletal</subject><subject>Neuroradiology</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - diagnostic imaging</subject><subject>Osteoarthritis, Knee - pathology</subject><subject>Radiographs</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Resonance</subject><subject>Structural analysis</subject><subject>Subchondral bone</subject><subject>Tibia - diagnostic imaging</subject><subject>Tibia - pathology</subject><subject>Ultrasound</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1Uk2LFDEQbURx19Uf4EUCXry0Jp1Md-ciyK5fuDAXPYfqpDKdtScZ87HD_jl_mxlnXVZBUlAF9epVvfCa5jmjrxmlw5tEKee0pWxoxdj17figOWWCdy2jo3jYnFLJx3aQUpw0T1K6opRKJobHzUk3Ci57IU-bnxfOWozoNSbiPMlucrCQVCY9B29irafgkaQci84lIsFrWApkNKQk5zdkt0Cdi2Bc2ETYzYlMmPeInnz3WEn3Ls8EvPldhJKJhpjdAhskBraHFOJxxxZiDHuyYHLBJ9KSPCNZl6WQL5WJrFPGUGfn6LJL9aJibp42jywsCZ_d5rPm24f3X88_tZfrj5_P3122Wgw0t5OWlHdScATe287YzgpD7cpw1g-AxiIfTM-tQTnpjiGAlABamGGycoCRnzVvj7y7Mm3RaPS5fo3aRVePvlEBnPq7492sNuFarXq-omNXCV7dEsTwo2DKauuSxmUBj6EkxUZZo19JVqEv_4FehRJ9laeYFPVRuZIVxY4oHUNKEe3dMYyqgzvU0R2qukMd3KEOKl7cV3E38ccOFdAdAam2_AbjvdX_Zf0FjqPMkA</recordid><startdate>20171101</startdate><enddate>20171101</enddate><creator>Hirvasniemi, Jukka</creator><creator>Thevenot, Jérôme</creator><creator>Guermazi, Ali</creator><creator>Podlipská, Jana</creator><creator>Roemer, Frank W.</creator><creator>Nieminen, Miika T.</creator><creator>Saarakkala, Simo</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171101</creationdate><title>Differences in tibial subchondral bone structure evaluated using plain radiographs between knees with and without cartilage damage or bone marrow lesions - the Oulu Knee Osteoarthritis study</title><author>Hirvasniemi, Jukka ; 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Methods Radiography-based bone structure was assessed from 80 subjects with different stages of knee osteoarthritis using entropy of Laplacian-based image (E Lap ) and local binary patterns (E LBP ), homogeneity index of local angles (HI Angles,mean ), and horizontal (FD Hor ) and vertical fractal dimensions (FD Ver ). Medial tibial articular cartilage damage and BMLs were scored using the magnetic resonance imaging osteoarthritis knee score. Level of statistical significance was set to p  &lt; 0.05. Results Subjects with medial tibial cartilage damage had significantly higher FD Ver and E LBP as well as lower E Lap and HI Angles,mean in the medial tibial subchondral bone region than subjects without damage. FD Hor , FD Ver , and E LBP were significantly higher, whereas E Lap and HI Angles,mean were lower in the medial trabecular bone region. Subjects with medial tibial BMLs had significantly higher FD Ver and E LBP as well as lower E Lap and HI Angles,mean in medial tibial subchondral bone. FD Hor , FD Ver , and E LBP were higher, whereas E Lap and HI Angles,mean were lower in medial trabecular bone. Conclusions Our results support the use of bone structural analysis from radiographs when examining subjects with osteoarthritis or at risk of having it. Key points • Knee osteoarthritis causes changes in articular cartilage and subchondral bone • Magnetic resonance imaging is a comprehensive imaging modality for knee osteoarthritis • Radiography - based bone structure analysis can provide additional information of osteoarthritic subjects</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28439649</pmid><doi>10.1007/s00330-017-4826-8</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source Springer Nature
subjects Adult
Aged
Arthritis
Biocompatibility
Bone imaging
Bone marrow
Bone Marrow - diagnostic imaging
Bone Marrow - pathology
Cancellous bone
Cancellous Bone - diagnostic imaging
Cancellous Bone - pathology
Cartilage
Cartilage (articular)
Cartilage diseases
Cartilage, Articular - diagnostic imaging
Cartilage, Articular - pathology
Cross-Sectional Studies
Damage assessment
Diagnostic Radiology
Entropy
Female
Fractals
Homogeneity
Humans
Imaging
Internal Medicine
Interventional Radiology
Knee
Knee Joint - diagnostic imaging
Knee Joint - pathology
Lesions
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Musculoskeletal
Neuroradiology
NMR
Nuclear magnetic resonance
Osteoarthritis
Osteoarthritis, Knee - diagnostic imaging
Osteoarthritis, Knee - pathology
Radiographs
Radiography
Radiology
Resonance
Structural analysis
Subchondral bone
Tibia - diagnostic imaging
Tibia - pathology
Ultrasound
title Differences in tibial subchondral bone structure evaluated using plain radiographs between knees with and without cartilage damage or bone marrow lesions - the Oulu Knee Osteoarthritis study
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