Evidence map›Paper›PMID 41588220›Full record

ArticleScientific reports2026

Multimodal magnetic resonance imaging of the vastus medialis for quantitative diagnosis and grading in early-stage knee osteoarthritis and its correlation with severity.

Yue Liu, Dijiao Tian, Yupeng Guo, Wen Wang, Hong Li, Jingxing Xu, Dandan Zhao, Bing Wan

Abstract read
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Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yue Liu *Department of Radiology, Affiliated Renhe Hospital of China Three Gorges University, Hubei, 443001, China.
Dijiao Tian *Department of Radiology, Affiliated Renhe Hospital of China Three Gorges University, Hubei, 443001, China.
Yupeng GuoDepartment of Radiology, Affiliated Renhe Hospital of China Three Gorges University, Hubei, 443001, China.
Wen WangDepartment of Radiology, Affiliated Renhe Hospital of China Three Gorges University, Hubei, 443001, China.
Hong LiDepartment of Radiology, Affiliated Renhe Hospital of China Three Gorges University, Hubei, 443001, China.
Jingxing XuDepartment of Radiology, Affiliated Renhe Hospital of China Three Gorges University, Hubei, 443001, China.
Dandan ZhaoDepartment of Radiology, Affiliated Renhe Hospital of China Three Gorges University, Hubei, 443001, China.
Bing WanDepartment of Radiology, Affiliated Renhe Hospital of China Three Gorges University, Hubei, 443001, China. 23130293@qq.com.

Funding

2024 Hubei Provincial Department of Education Scientific Research Plan Guided Project B20240232024 Open Fund of Hubei Key Laboratory of Tumor Microenvironment and Immunotherapy 2024ZLKF2-18
6 · The paper itself

Abstract

Early-stage knee osteoarthritis (EKOA) requires timely diagnosis. The recent diagnostic criteria for EKOA by the bone and joint branch of the Chinese geriatric care association remain limited. These limitations necessitate the development of novel, clinical non-invasive imaging modalities to quantitatively evaluate knee joint structures and improve diagnostic accuracy in EKOA. We aimed to investigate whether the quantitative parameters of intravoxel incoherent motion diffusion-weighted imaging (IVIM-DWI) and fat analysis calculation technique (FACT) may differentiate between patients with EKOA and healthy controls, as well as evaluate the correlations of the parameters with X-ray Kellgren–Lawrence (KL) grading and Visual Analog Scale (VAS). We analyzed 207 knee joints of 168 participants, including 62 from healthy controls (control group) and 145 from patients with EKOA (observation group: excluding those with other combined knee joint diseases or underlying diseases); the observation group was categorized into three subgroups based on the KL grading system. Age and body mass index (BMI) exhibited no significant differences between the two groups. Although age and BMI showed slight variations across the KL subgroups, the differences were not statistically significant. IVIM-DWI (diffusion coefficient [D], pseudo-diffusion coefficient [D*], and perfusion fraction [f]) and FACT (fat fraction [FF]) parameters were acquired in the vastus medialis using a 3.0T magnetic resonance imaging (MRI) scanner. Intergroup comparisons of IVIM-DWI and FACT parameters were conducted, and subgroup differences and correlation between the IVIM-DWI and FACT parameters and radiographic KL grades were assessed. The observation group showed higher D, D*, and FF values than did the control group; however, the f values were lower in the observation group. Within the observation group, Grade II knees had higher D and FF values than did Grade 0 and I knees, as well as lower f values than did Grade 0 knees. D and FF values showed a moderately positive correlation with both KL grades and VAS scores, whereas f values showed a weak negative correlation with both. IVIM-DWI and FACT may provide biological information of improved sensitivity and accuracy for the quantitative diagnosis of EKOA at the microstructural level in the vastus medialis.

Indexed as

Magnetic Resonance ImagingMultimodal ImagingOsteoarthritis, KneeQuadriceps MuscleAgedCase-Control StudiesDiffusion Magnetic Resonance ImagingFemaleHumansKnee JointMaleMiddle AgedSeverity of Illness IndexEarly-stage knee osteoarthritisFat analysis calculation techniqueIntravoxel incoherent motion diffusion-weighted imagingKellgren–Lawrence gradingMagnetic resonance imagingVastus medialisVisual analog scale

Identifiers

PMID41588220
PMCPMC12905347

What Socratic holds

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LicenceCC BY-NC-ND
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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.