Association of MRI-derived muscle-fat composition with knee osteoarthritis severity: a gender-stratified X-ray and MRI correlation study - Report - MDSpire

Association of MRI-derived muscle-fat composition with knee osteoarthritis severity: a gender-stratified X-ray and MRI correlation study

  • By

  • Mohammad Al-Harbi

  • Anas Hamdoun

  • Zuhal Y. Hamd

  • Shaden Alhegail

  • Ammar Mallisho

  • Razan Salih

  • Mohamed Abuzaid

  • Wiam Elshami

  • June 23, 2026

  • 0 min

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Correlation Between Muscle-Fat Composition from MRI and Severity of Knee Osteoarthritis

Overview

This study investigates the relationship between muscle-fat composition and knee osteoarthritis severity using MRI and X-ray data. It highlights gender-specific differences in muscle and fat measurements and their correlation with degenerative changes in the knee.

Background

Knee osteoarthritis (OA) is a prevalent condition leading to pain and functional limitations. Understanding the role of soft tissue composition, particularly muscle and fat, is crucial for identifying risk factors. This study aims to clarify how these factors relate to the severity of knee OA, with a focus on gender differences.

Data Highlights

ParameterFindings
Sample Size232 individuals
Female Percentage54.7%
Male Percentage45.3%
Obesity Rate44.8%
Correlation of Muscle-Fat RatioWeak negative correlation with degenerative changes

Key Findings

  • Muscle thickness remained stable across BMI categories, with males showing higher measurements than females.
  • Fat thickness increased with higher BMI categories, with females consistently having greater measurements than males.
  • The muscle-to-fat ratio decreased as BMI rose, with males having a higher ratio in the normal BMI category compared to females.
  • There was fair agreement between X-ray and MRI classifications of knee OA severity.
  • X-rays demonstrated superior sensitivity but lower specificity compared to MRI.

Clinical Implications

The integration of MRI and X-ray can enhance diagnostic accuracy for assessing knee osteoarthritis.

Conclusion

Both MRI and X-ray imaging modalities play a crucial role in the accurate diagnosis of knee osteoarthritis.

Related Resources & Content

  1. Frontiers in Medicine, 2026 -- Distribution of lower limb muscles may be associated with the progression of knee osteoarthritis and sarcopenia: a cross-sectional study
  2. AI-Driven Assessment of Muscle Mass and Fatty Infiltration in Lower Limbs of Knee Osteoarthritis Patients and Its Relationship with Knee Society Scores, 2024
  3. Volumetric Assessment of Muscle Atrophy and Fatty Infiltration Using Artificial Intelligence in Hip Osteoarthritis Patients and Its Impact on Quality of Life, 2022
  4. Assessment of Anteromedial Knee Osteoarthritis via Magnetic Resonance Imaging: A Study Involving 100 Patients, 2024
  5. American College of Radiology, 2026 -- Imaging Appropriateness Criteria for Chronic Knee Pain
  6. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update - PMC
  7. MRI-based analysis of thigh intramuscular fat and its associations with age, sex, and BMI using data from the osteoarthritis initiative data
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  9. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update - PMC

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