Rheumatoid arthritis

Computer Vision Analysis of Rheumatoid Arthritis Synovium Reveals Lymphocytic Inflammation Is Associated With Immunoglobulin Skewing in Blood

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

High-resolution automated identification and quantification of synovial immune cell aggregates uncovered skewing in the synovium from naïve IGHD and IGHM to memory IGHG3 and IGHG1 and revealed that this process is reflected in the blood of patients with high inflammatory synovium.

Study context

Population
Patients with rheumatoid arthritis (RA) and osteoarthritis (OA) with synovial tissue
Participants
156 vs 149
Comparison
RA vs OA synovium
  • RAn = 156
  • OAn = 149reference
Outcome
Computer vision synovial features (cell density and aggregates)
Methodological detailscomputer vision pipeline
  • Computer vision pipeline

Main finding

As reported in the abstract

All five features associated with pathologist scores of synovial lymphocytic inflammation
P < 0.0001

Further findings

Blood immunoglobulin genes in RA with high synovial lymphocytic infiltrates

Relative decrease in IGHGM
P < 0.002
Relative decrease in IGHD
P < 0.03
Increase in IGHG3
P < 0.03
Increase in IGHG1
P < 0.002

Original publication

Computer Vision Analysis of Rheumatoid Arthritis Synovium Reveals Lymphocytic Inflammation Is Associated With Immunoglobulin Skewing in Blood. Arthritis Rheumatol. Published 15 November 2023. doi:10.1002/art.42653

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