Pediatric rheumatology

Knee acoustic emissions as a noninvasive biomarker of articular health in patients with juvenile idiopathic arthritis: a clinical validation in an extended study population

Pediatr Rheumatol Online JPublished Diagnostic accuracy study

Authors' conclusion

Joint acoustic emissions can serve as an inexpensive and easy-to-use digital biomarker to distinguish JIA from healthy controls.

Study context

Population
Children with Juvenile Idiopathic Arthritis (JIA) and healthy controls
Participants
116 children
Comparison
Knee acoustic emission classifier, JIA vs healthy control knees
  • JIAn = 86
  • Healthy controlsn = 30reference
Outcome
Classification of JIA vs healthy knees by joint acoustic emissions
Methodological detailsmachine learning classifier (XGBoost), leave-one-leg-out cross-validation, training and testing data sets
  • Machine learning classifier (XGBoost)
  • Leave-one-leg-out cross-validation
  • Training and testing data sets

Performance

As reported in the abstract

Classifier performance (JIA vs healthy knees)
Accuracy, training set validation
81.1%
Accuracy, testing set validation
87.7%
Sensitivity / specificity, training validation
88.6% / 72.3%
Sensitivity / specificity, testing validation
88.1% / 83.3%
AUC of ROC curve
0.81

Further findings

Joint scores, active vs inactive JIA knees

Distributions of joint scores of active and inactive knees significantly different

Original publication

Knee acoustic emissions as a noninvasive biomarker of articular health in patients with juvenile idiopathic arthritis: a clinical validation in an extended study population. Pediatr Rheumatol Online J. Published 20 June 2023. doi:10.1186/s12969-023-00842-7

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