Osteoarthritis

MRI-defined tissue damage as predictors of the incidence and progression of knee osteoarthritis: A systematic review

Semin Arthritis RheumPublished Systematic review

Authors' conclusion

Several MRI-detected joint tissue pathologies longitudinally associated with structural progression and clinically relevant outcomes, such as total knee arthroplasty, allowing patient stratification for disease-modifying osteoarthritis drug (DMOAD) trials.

Study context

Population
Studies of MRI-detected joint tissue pathology predicting knee OA incidence and progression (PubMed, Scopus, Web of Science)99 studies
Outcome
Prediction of radiographic progression and longitudinal evolution of clinical outcomes and functional decline by MRI-detected joint tissue pathology
Methodological detailsqualitative synthesis, quality assessed with Newcastle-Ottawa Scale and Downs and Black checklist
  • Qualitative synthesis
  • Quality assessed with Newcastle-Ottawa Scale and Downs and Black checklist

Pooled result

As reported in the abstract

Baseline cartilage T2 signal abnormalities predicted new structural cartilage defects

OR 21.3

95% CI 11.1, 40.6

Original publication

MRI-defined tissue damage as predictors of the incidence and progression of knee osteoarthritis: A systematic review. Semin Arthritis Rheum. Published 13 May 2026. doi:10.1016/j.semarthrit.2026.152999

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