Skip to main content
Log in

Osteoarthritis

Bone as an imaging biomarker and treatment target in OA

  • News & Views
  • Published:

From Nature Reviews Rheumatology

View current issue Sign up to alerts

Radiographic joint-space width is the standard structural outcome for trials in knee osteoarthritis (OA), but MRI provides comprehensive 3D insights into the multi-tissue pathology of OA and could provide a superior means of monitoring disease progression and response to treatment. A new study highlights bone as an imaging biomarker.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1: 3D femur bone shape changes in osteoarthritis.

References

  1. Guermazi, A. et al. Prevalence of abnormalities in knees detected by MRI in adults without knee osteoarthritis: population based observational study (Framingham Osteoarthritis Study). BMJ 345, e5339 (2012).

    Article  Google Scholar 

  2. Barr, A. J. et al. The relationship between three-dimensional knee MRI bone shape and total knee replacement — a case control study: data from the Osteoarthritis Initiative. Rheumatology (Oxford) http://dx.doi.org/10.1093/rheumatology/kew191 (2016).

  3. Neogi, T. et al. Magnetic resonance imaging-based three-dimensional bone shape of the knee predicts onset of knee osteoarthritis: data from the Osteoarthritis Initiative. Arthritis Rheum. 65, 2048–2058 (2013).

    Article  Google Scholar 

  4. Hunter, D. et al. Longitudinal validation of periarticular bone area and 3D shape as biomarkers for knee OA progression? Data from the FNIH OA Biomarkers Consortium. Ann. Rheum. Dis. http://dx.doi.org/10.1136/annrheumdis-2015-207602 (2015).

  5. Neogi, T., Conaghan, P. G., Niu, J., Zhang, Y. & Bowes, M. Trajectories of MRI-based 3-dimensional bone shape of the knee over 6 years: insights into knee osteoarthritis progression. Osteoarthritis Cartilage 24 (Suppl. 1), S57 (2016).

    Article  Google Scholar 

  6. Pelletier, J. P. et al. What is the predictive value of MRI for the occurrence of knee replacement surgery in knee osteoarthritis? Ann. Rheum. Dis. 72, 1594–1604 (2013).

    Article  Google Scholar 

  7. Bowes, M. A., De Souza, K., Vincent, G. R. & Conaghan, P. G. OA may not be as structurally heterogeneous as expected: shape analysis of all knees from the Osteoarthritis Initiative reveals a consistent pattern of bone shape change over 8 years. Osteoarthritis Cartilage 24, S254–S255 (2016).

    Article  Google Scholar 

  8. Reginster, J. Y. et al. Efficacy and safety of strontium ranelate in the treatment of knee osteoarthritis: results of a double-blind, randomised placebo-controlled trial. Ann. Rheum. Dis. 72, 179–186 (2013).

    Article  CAS  Google Scholar 

  9. Laslett, L. L. et al. Zoledronic acid reduces knee pain and bone marrow lesions over 1 year: a randomised controlled trial. Ann. Rheum. Dis. 71, 1322–1328 (2012).

    Article  CAS  Google Scholar 

  10. Callaghan, M. J. et al. A randomised trial of a brace for patellofemoral osteoarthritis targeting knee pain and bone marrow lesions. Ann. Rheum. Dis. 74, 1164–1170 (2015).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was supported by NIH grant AR47785 (to T.N. and D.T.F.) and an Arthritis Foundation Innovative Research Grant (to T.N.).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tuhina Neogi.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

PowerPoint slides

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Neogi, T., Felson, D. Bone as an imaging biomarker and treatment target in OA. Nat Rev Rheumatol 12, 503–504 (2016). https://doi.org/10.1038/nrrheum.2016.113

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrrheum.2016.113

  • Springer Nature Limited

This article is cited by

Navigation