Osteoarthritis

AI automated grid placement in the OMERACT knee inflammation MRI scoring system (KIMRISS) for bone marrow lesion assessment: A multi-reader exercise

Semin Arthritis RheumPublished Reliability study

Authors' conclusion

Automated grid placement is a reliable and feasible improvement to KIMRISS that could improve the ease and reproducibility of quantifying osteoarthritis in clinical trials.

Study context

Population
40 knee MRI cases evaluated by eleven experts11 expert readers
Participants
40 cases
Comparison
AI-automated vs manual grid placement for KIMRISS bone marrow lesion (BML) scoring
Outcome
Agreement of automated vs manual grids
Methodological detailsmulti-reader exercise, OMERACT Filter
  • Multi-reader exercise
  • OMERACT Filter

Main finding

As reported in the abstract

Femur spatial similarity, mean Dice Coefficient

0.78

KIMRISS BML baseline score agreement, mean ICC

0.86

KIMRISS BML change score agreement, mean ICC

0.89

Further findings

Feasibility: System Usability Scale (SUS) for automated grid placement
66.1 · mean

Original publication

AI automated grid placement in the OMERACT knee inflammation MRI scoring system (KIMRISS) for bone marrow lesion assessment: A multi-reader exercise. Semin Arthritis Rheum. Published 12 June 2026. doi:10.1016/j.semarthrit.2026.153020

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