This podcast explores the development of an MRI-based definition of knee osteoarthritis and the diagnostic accuracy of different MRI knee osteoarthritis definitions. The guest, Dr. Jean Liew, discusses her role as a social media influencer. The speaker also shares experiences with mentors, discusses the career pathway of a physician scientist, and highlights the ACR Donut Bake Off Challenge. Excitement surrounds limited edition stickers and bracelets.
MRI can detect early changes of knee osteoarthritis that are not visible on X-ray.
Validation and refinement of MRI-based definitions are needed for clinical use in younger patients with post-traumatic OA.
Deep dives
Development of MRI-based Definition of Knee Osteoarthritis
This podcast episode discusses the development of a magnetic resonance imaging (MRI)-based definition of knee osteoarthritis (OA). X-ray, the current method for defining OA, is not sensitive to early changes, whereas MRI can detect abnormalities sooner. The lack of a consensus MRI definition hampers research and clinical trials. The study utilized data from the Multi-Center Osteoarthritis study, focusing on a cohort of adults at risk of OA, and identified three best-performing candidate MRI definitions of OA. These definitions included cartilage score and osteophyte score, with optional inclusion of bone marrow lesions or synovitis. This research provides potential MRI-based definitions that could be used in future studies and clinical trials.
Diagnostic Accuracy of MRI Knee Osteoarthritis Definitions in ACL Injury Cohort
In this episode, the podcast delves into the diagnostic accuracy of MRI knee osteoarthritis (OA) definitions in an anterior cruciate ligament (ACL) injury cohort. The study used data from the Canon study, which focused on younger adults with ACL injury and subsequent post-traumatic OA. The research compared the performance of MRI-based definitions of OA to radiographic OA in terms of sensitivity, specificity, positive and negative predictive value, and the area under the curve (AUC). The results showed lower sensitivity in the ACL injury cohort compared to the Multi-Center Osteoarthritis study cohort. The study highlights the need for further validation and refinement of MRI-based definitions for clinical use and designing clinical trials in younger patients with post-traumatic OA.
Career Journey and Tips for Fellow Researchers
The podcast also features the career journey of Dr. Jean Liu, the first author of the discussed papers. Dr. Liu shares her path into rheumatology and clinical research, her encounters with mentors who shaped her career, and her experiences as a physician-scientist. She emphasizes the importance of formal research training, protected research time, self-belief in the face of rejection, and networking opportunities through online presence. Dr. Liu also mentions her love for reading and provides book recommendations for fellow bibliophiles. Her advice to fellows interested in pursuing a similar career includes careful consideration of research interests, seeking mentorship, and finding self-worth amidst rejections.
This week on ‘Journals’, we’ll look at not just one, but two studies that endeavored to define knee osteoarthritis (OA) through magnetic resonance imaging (MRI) imagery. The manuscripts we’ll be discussing are: