Agreement between in vivo and ex vivo photon-counting CT measurements of subchondral trabecular bone features in patients with knee osteoarthritis - Summary - MDSpire

Agreement between in vivo and ex vivo photon-counting CT measurements of subchondral trabecular bone features in patients with knee osteoarthritis

  • By

  • Camilla Toft Nielsen

  • Mikael Boesen

  • Marius Henriksen

  • Janus Uhd Nybing

  • Sophia Wiinberg Bardenfleth

  • Christian Kento Rasmussen

  • Mathias Willadsen Brejnebøl

  • Asbjørn Seenithamby Poulsen

  • Saber Muthanna Aljuboori

  • Kristine Ifigenia Bunyoz

  • Søren Overgaard

  • Anders Troelsen

  • Henning Bliddal

  • Henrik Gudbergsen

  • Felix Müller

  • August 27, 2025

  • 0 min

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Objective:

To investigate the correlation and agreement between in vivo and ex vivo photon-counting CT (PCCT) measurements of subchondral bone features in patients with knee osteoarthritis (OA), emphasizing the clinical significance of these measurements.

Key Findings:
  • In vivo PCCT measurements correlated well with ex vivo measurements for subchondral bone features, with Bland-Altman analysis indicating acceptable agreement, suggesting reliability for clinical assessments.
  • PCCT effectively captured trabecular bone microstructure in vivo, comparable to ex vivo imaging.
Interpretation:

The study demonstrates that in vivo PCCT can reliably assess subchondral bone features in knee OA, providing a non-invasive alternative to ex vivo imaging methods, which could significantly impact future OA research.

Limitations:
  • The study was limited to a specific patient population (obese patients with knee OA), which may introduce biases.
  • The sample size may not be large enough to generalize findings to all OA patients.
Conclusion:

In vivo PCCT is a promising imaging modality for studying bone microstructure in knee OA, potentially aiding in longitudinal studies of disease progression and treatment effects, and warrants further investigation.

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