Spondyloarthritis & psoriatic arthritis

Prediction of the activity of early ankylosing spondylitis using radiomics texture analysis on short tau inversion recovery (STIR)

Clin Exp RheumatolPublished Diagnostic accuracy study

Authors' conclusion

Radiomics analysis based on STIR texture analysis has a good prediction for the evaluation of bone marrow oedema activity of sacroiliac joints in AS.

Study context

Population
Patients with early AS; sacroiliac joint bone marrow oedema, active vs stabletraining n=116, validation n=56
Participants
43 patients
Comparison
Radscore vs SPARCC vs ADC for differentiating active vs stable sacroiliac joint bone marrow oedema
Outcome
AUC for differentiating active vs stable sacroiliac joint bone marrow oedema
Methodological detailsradiomics texture analysis, training and validation cohorts (7:3)
  • Radiomics texture analysis
  • Training and validation cohorts (7:3)

Performance

As reported in the abstract

AUC, training cohort
Test or modelAUC
Radscore0.81
SPARCC0.91
ADC0.78

AUC

Radscore0.81
SPARCC0.91
ADC0.78
  • Radscore vs SPARCC: P > 0.05 — no significant difference, both cohorts
  • Radscore vs ADC: P > 0.05 — no significant difference, both cohorts
  • SPARCC vs ADC: P < 0.05 — significant difference, training cohort

Further findings

OutcomeP value
AUC for active vs stable sacroiliac joint bone marrow oedema, validation cohortRadscore vs SPARCCP > 0.05
AUC for active vs stable sacroiliac joint bone marrow oedema, validation cohortSPARCC vs ADC · no statistical significance in the validation cohortP > 0.05
AUC for active vs stable sacroiliac joint bone marrow oedema, validation cohort — Validation cohort AUCs of Radscore, SPARCC and ADC
0.87, 0.89, 0.85
  • AUC for active vs stable sacroiliac joint bone marrow oedema, validation cohort: no significant differences in AUCs between Radscore and SPARCC, ADC in the two cohorts

Correlation of Radscore with ESR, CRP, tI, ASDAS-ESR and ASDAS-CRP

Correlations all low
P < 0.05
  • Spearman correlation

Original publication

Prediction of the activity of early ankylosing spondylitis using radiomics texture analysis on STIR. Clin Exp Rheumatol. Published 26 October 2023. doi:10.55563/clinexprheumatol/99pc16

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