Evidence map›Paper›PMID 39989271›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2025

Associations and Diagnostic Accuracy of Ultrasound Features in Knee Osteoarthritis: Cross-Sectional Results From a Large Community-Based Cohort.

Katherine A Yates, Carolina Alvarez, Todd A Schwartz, Serena Savage-Guin, Jordan B Renner, Catherine J Bakewell, Minna J Kohler, Janice Lin, Jonathan Samuels, Tessa Walker and 2 more

Abstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Reply.Arthritis & rheumatology (Hoboken, N.J.) · 2026
    Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Katherine A YatesThurston Arthritis Research Center, University of North Carolina at Chapel Hill, and Ohio State University, Columbus.
Carolina AlvarezThurston Arthritis Research Center, University of North Carolina at Chapel Hill.
Todd A SchwartzThurston Arthritis Research Center, University of North Carolina at Chapel Hill.ORCID 0000-0002-0232-2543
Serena Savage-GuinThurston Arthritis Research Center, University of North Carolina at Chapel Hill.
Jordan B RennerThurston Arthritis Research Center, University of North Carolina at Chapel Hill.
Catherine J BakewellIntermountain Health Care, Salt Lake City, Utah.
Minna J KohlerMassachusetts General Hospital and Harvard Medical School, Boston.
Janice LinStanford University School of Medicine, Palo Alto, California.
Jonathan SamuelsNew York University Langone Health, New York.ORCID 0000-0002-1513-770X
Tessa WalkerThurston Arthritis Research Center, University of North Carolina at Chapel Hill.
Yvonne M GolightlyThurston Arthritis Research Center, University of North Carolina at Chapel Hill, and College of Allied Health Professions, University of Nebraska Medical Center, Omaha.ORCID 0000-0003-1205-2759
Amanda E NelsonThurston Arthritis Research Center, University of North Carolina at Chapel Hill.ORCID 0000-0002-9344-7877

Funding

UNC Core Center for Clinical ResearchP30AR072580 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Amanda E Nelson · 2019 to 2026
$6.1M
Development of an AI/ML-ready knee ultrasound dataset in a population-based cohortR01AR077060 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NELSON, AMANDA E · 2020 to 2024
$2.0M
Mentoring in Patient Oriented Research in OsteoarthritisK24AR081368 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Amanda E Nelson · 2022 to 2026
$916k
NIAMS NIH HHS K24 AR081368NIAMS NIH HHS K24AR081368NIAMS NIH HHS P30 AR072580NIAMS NIH HHS P30AR072580NIAMS NIH HHS R01 AR077060NIAMS NIH HHS R01AR077060Rheumatology Research Foundation Innovative research award
6 · The paper itself

Abstract

objectiveOur study objectives were (1) to determine associations among ultrasound (US) features of knee osteoarthritis (KOA), radiographic KOA (rKOA), and patient-reported symptoms and (2) to determine diagnostic accuracy of US definitions for rKOA, in a community-based cohort.

methodsParticipants enrolled in the Johnston County Health Study (JoCoHS; 2019-2024, n = 902) provided demographics, comorbidities, clinical features, and symptoms, along with imaging with standardized acquisition and scoring protocols. Logistic regression models provided odds ratios adjusted for age, sex, race, ethnicity, body mass index (BMI), education level, comorbidities, and knee injury for associations among US features and KOA outcomes. Diagnostic accuracy was assessed using standard metrics with rKOA as the gold standard.

resultsComplete imaging data were available for 861 participants (1,711 knees): 34% men, 25% Black, 10% Hispanic, mean age 55 years, and mean BMI 33. Half of knees were symptomatic, one-third had rKOA, and one in five had symptomatic rKOA. US-identified osteophytes, effusion, meniscal extrusion, cartilage damage, calcium crystals, and popliteal cysts were associated with KOA outcomes. A US definition including both mild osteophytes and mild cartilage damage gave an area under the receiver operating characteristic curve of 0.76 for diagnosing rKOA (validated in an external cohort).

conclusionWe identified common US features in participants with and without KOA, along with significant associations between US features and rKOA, symptomatic rKOA, and symptoms. US-based diagnosis of rKOA shows promise for general use. US is a valuable and accessible modality for assessment of knee OA features in clinical and research settings, including those with limited resources.

Indexed as

Knee JointOsteoarthritis, KneeAgedCohort StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedOsteophytePopliteal CystUltrasonography

Identifiers

PMID39989271
PMCPMC12313410

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.