Detection of synovitis in early knee osteoarthritis by MRI and serum biomarkers in Japanese general population
Open accessAbstract
To investigate synovitis’ influence on early knee osteoarthritis (EKOA) by serum biomarkers and magnetic resonance imaging (MRI) findings in Japanese women. We enrolled 255 women aged 30–70 without radiographic abnormalities (Kellgren–Lawrence grade ≥ 2). Knee injury, OA outcome scores (KOOS), clinical examinations, and standing radiograph were used for classification criteria of EKOA. Participants were classified into normal knee group and EKOA group. All participants underwent MRIs of their right knee. The amount of effusion-synovitis volume was quantified. We compared serum matrix metalloproteinases-3 levels (MMP-3), high-sensitivity C-reactive protein, interleukin-6, and adiponectin between the groups. The relationship between synovitis and EOKA was investigated using multiple linear regression. Fifty-four participants (21%) were classified as EKOA. Serum MMP-3 concentration and effusion-synovitis volume were higher in patients with EKOA ( p = 0.025 and p = 0.001, respectively). Effusion-synovitis volume negatively correlated with all KOOS subscales and positively correlated with serum MMP-3 concentration. Serum MMP-3 concentration was associated with effusion-synovitis volume β = 0.60, p < 0.001). There was mildly active but definitive synovitis in EKOA. This was an observational study so that no conclusions can be drawn regarding cause-effect for synovitis and symptoms. Future studies should conduct follow-up of participants with synovitis to assess the progression of knee OA.
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Ultrasound elastography measures tissue stiffness with strain or shear wave approaches.
“By measuring tissue stiffness with strain or shear wave approaches, ultrasound elastography advances this [68].”
From Biomarker-Guided Imaging and AI-Augmented Diagnosis of Degenerative Joint Disease (2025) · cites this paper as [68]
The Materials and methods section describes measuring synovitis with MRI, not ultrasound elastography. Searches for elastography, tissue stiffness, strain, and shear-wave approaches found no passage addressing how ultrasound elastography works. (LLM, conf=0.75)
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Cites
Roos, E. M., Roos, H. P., Lohmander, S. L., Ekdahl, C. S., & Beynnon, B. D. (1998) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.1998.28.2.88 · Cited by 3,913 · see citing works
Whole-Organ Magnetic Resonance Imaging Score (WORMS) of the knee in osteoarthritis
PETERFY, C. G., Guermazi, A., Zaïm, S., Tirman, P. F. J., Miaux, Y., White, D. L., Kothari, M., Lü, Y., Fye, K. H., Zhao, S., et al. (2003) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2003.11.003 · Cited by 1,542 · see citing works
The role of synovitis in pathophysiology and clinical symptoms of osteoarthritis
Sellam, J., & Berenbaum, F. (2010) · Nature Reviews Rheumatology · doi:10.1038/nrrheum.2010.159 · Cited by 1,500 · see citing works
Yoshimura, N., Muraki, S., Oka, H., Mabuchi, A., Enyo, Y., Yoshida, M., Saika, A., Yoshida, H., Suzuki, T., Yamamoto, S., et al. (2009) · Journal of Bone and Mineral Metabolism · doi:10.1007/s00774-009-0080-8 · Cited by 819 · see citing works
Tubach, F., Ravaud, P., Baron, G., Falissard, B., Logeart, I., Bellamy, N., Bombardier, C., Felson, D. T., Hochberg, M., van der Heijde, D. M. F. M., et al. (2004) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2004.023028 · Cited by 644 · see citing works
Ayral, X., Pickering, E., WOODWORTH, T. G., Mackillop, N., & Dougados, M. (2005) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2005.01.005 · Cited by 577 · see citing works
Guermazi, A., Niu, J., Hayashi, D., Roemer, F. W., Englund, M., Neogi, T., Aliabadi, P., McLennan, C. E., & Felson, D. T. (2012) · BMJ · doi:10.1136/bmj.e5339 · Cited by 514 · see citing works
Roemer, F. W., Guermazi, A., Felson, D. T., Niu, J., Nevitt, M. C., Crema, M. D., Lynch, J. A., Lewis, C. E., Torner, J. C., & Zhang, Y. (2011) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2011.150243 · Cited by 367 · see citing works
Relation of synovitis to knee pain using contrast-enhanced MRIs
Baker, K., Grainger, A. J., Niu, J., Clancy, M. M., Guermazi, A., Crema, M. D., Hughes, L., Buckwalter, J. A., Wooley, A., Nevitt, M. C., et al. (2010) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2009.121426 · Cited by 339 · see citing works
IL-6 and its circadian secretion in humans
Vgontzas, A. N., Bixler, E. O., Lin, H.-M., Prolo, P., Trakada, G., & Chrousos, G. P. (2005) · Neuroimmunomodulation · doi:10.1159/000084844 · Cited by 338 · see citing works
Hiligsmann, M., Cooper, C. C., Arden, N., Boers, M., Branco, J., Brandi, M. L., Bruyère, O., Guillemin, F., Hochberg, M. C., Hunter, D. J., et al. (2013) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2013.07.003 · Cited by 328 · see citing works
The evolving role of obesity in knee osteoarthritis
Sowers, M. R., & Karvonen-Gutierrez, C. A. (2010) · Current Opinion in Rheumatology · doi:10.1097/bor.0b013e32833b4682 · Cited by 305 · see citing works
Synovitis and the risk of knee osteoarthritis: the MOST Study
Felson, D. T., Niu, J., Neogi, T., Goggins, J., Nevitt, M. C., Roemer, F. W., Torner, J. C., Lewis, C. E., & Guermazi, A. (2015) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2015.09.013 · Cited by 266 · see citing works
Fitzgerald, J. B., Jin, M. M., Dean, D. M. D., Wood, D., Zheng, M., & Grodzinsky, A. J. (2004) · Journal of Biological Chemistry · doi:10.1074/jbc.m400437200 · Cited by 252 · see citing works
Bekkers, J. E. J., de Windt, T. S., Raijmakers, N. J. H., Dhert, W. J. A., & Saris, D. B. F. (2009) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2009.04.019 · Cited by 239 · see citing works
Scanzello, C. R., Umoh, E. M., Peßler, F., Díaz‐Torné, C., Miles, T., DiCarlo, E. F., Potter, H. G., Mandl, L. A., Marx, R. G., Rodeo, S. A., et al. (2009) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2009.02.011 · Cited by 233 · see citing works
Toward classification criteria for early osteoarthritis of the knee
Luyten, F. P., Bierma‐Zeinstra, S., Dell’Accio, F., Kraus, V. B., Nakata, K., Sekiya, I., Arden, N., & Lohmander, S. L. (2017) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2017.08.006 · Cited by 209 · see citing works
Nakamura, N., Takeuchi, R., Ishikawa, H. T., Saito, T., Sawaguchi, T., & Goldhahn, S. (2011) · Journal of Orthopaedic Science · doi:10.1007/s00776-011-0112-9 · Cited by 183 · see citing works
Yusuf, E., Ioan‐Facsinay, A., Bijsterbosch, J., Klein‐Wieringa, I. R., Kwekkeboom, J. C., Slagboom, P. E., Huizinga, T. W. J., & Kloppenburg, M. (2011) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2010.146282 · Cited by 154 · see citing works
Imaging of Synovitis in Osteoarthritis: Current Status and Outlook
Hayashi, D., Roemer, F. W., Katur, A. M., Felson, D. T., Yang, S.-O., Alomran, F., & Guermazi, A. (2011) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2010.12.003 · Cited by 133 · see citing works
Ishijima, M., Watari, T., Naito, K., Kaneko, H., Futami, I., YOSHIMURA, K., Tomonaga, A., Yamaguchi, H., Yamamoto, T., Nagaoka, I., et al. (2011) · Arthritis Research & Therapy · doi:10.1186/ar3246 · Cited by 132 · see citing works
Epidemic Inflammation: Pondering Obesity
Nathan, C. (2008) · Molecular Medicine · doi:10.2119/2008-00038.nathan · Cited by 118 · see citing works
Correlation of Plasma and Synovial Fluid Adiponectin with Knee Osteoarthritis Severity
Honsawek, S., & Chayanupatkul, M. (2010) · Archives of Medical Research · doi:10.1016/j.arcmed.2010.11.007 · Cited by 110 · see citing works
Osteoarthritis and obesity: Experimental models
Gabay, O., Hall, D. J., Berenbaum, F., Henrotin, Y. E., & Sanchez, C. (2008) · Joint Bone Spine · doi:10.1016/j.jbspin.2008.07.011 · Cited by 102 · see citing works
Shimura, Y., Kurosawa, H., Sugawara, Y., Tsuchiya, M., Sawa, M., Kaneko, H., Futami, I., Liu, L., SADATSUKI, R., HADA, S., et al. (2013) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2013.05.014 · Cited by 91 · see citing works
Ma, J., Zhou, J., Zheng, D.-H., Chen, L., Mo, Y., Wei, X., Yang, L., & Dai, L. (2014) · Mediators of Inflammation · doi:10.1155/2014/179284 · Cited by 73 · see citing works
Biomarkers of incident radiographic knee osteoarthritis: Do they vary by chronic knee symptoms?
Golightly, Y. M., Marshall, S. W., Kraus, V. B., Renner, J. B., Villaveces, A., Casteel, C. H., & Jordan, J. M. (2011) · Arthritis & Rheumatism · doi:10.1002/art.30412 · Cited by 69 · see citing works
Tan, W., Wang, F., Zhang, M., Guo, D., Zhang, Q., & He, S. (2008) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2008.01.017 · Cited by 68 · see citing works
Sasaki, E., Ota, S., Chiba, D., Kimura, Y., Sasaki, S., Yamamoto, Y., Tsuda, E., Nakaji, S., & Ishibashi, Y. (2019) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-019-05614-z · Cited by 68 · see citing works
Self-citationInoüe, R., Ishibashi, Y., Tsuda, E., Yamamoto, Y., Matsuzaka, M., Takahashi, I., Danjo, K., Umeda, T., Nakaji, S., & Toh, S. (2010) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2010.10.021 · Cited by 62 · see citing works
Self-citationSasaki, E., Tsuda, E., Yamamoto, Y., Maeda, S., Inoüe, R., Chiba, D., Fujita, H., Takahashi, I., Umeda, T., Nakaji, S., et al. (2015) · Arthritis Research & Therapy · doi:10.1186/s13075-015-0793-0 · Cited by 53 · see citing works
Self-citationPengas, I. P., Eldridge, S. E., Assiotis, A., McNicholas, M. J., Espregueira‐Mendes, J., & Laver, L. (2018) · Journal of Experimental Orthopaedics · doi:10.1186/s40634-018-0132-x · Cited by 51 · see citing works
van Oudenaarde, K., Jobke, B., Oostveen, A. C. M., Marijnissen, A. C., Wolterbeek, R., Wesseling, J., Bierma‐Zeinstra, S., Bloem, H. L., Reijnierse, M., & Kloppenburg, M. (2016) · Lara D. Veeken · doi:10.1093/rheumatology/kew368 · Cited by 45 · see citing works
Adiponectin: is it a biomarker for assessing the disease severity in knee osteoarthritis patients?
COŞKUN, N. C., Ay, S., Evcik, F. D., & Öztuna, D. (2015) · International Journal of Rheumatic Diseases · doi:10.1111/1756-185x.12790 · Cited by 44 · see citing works
Early pre-radiographic structural pathology precedes the onset of accelerated knee osteoarthritis
Harkey, M. S., Davis, J. E., Lü, B., Price, L. L., Ward, R. J., Mackay, J., Eaton, C. B., Lo, G. H., Barbe, M. F., Zhang, M., et al. (2019) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-019-2624-y · Cited by 43 · see citing works
Chiba, D., Maeda, S., Sasaki, E., Ota, S., Nakaji, S., Tsuda, E., & Ishibashi, Y. (2017) · Clinical Rheumatology · doi:10.1007/s10067-017-3803-6 · Cited by 43 · see citing works
Self-citationA naturally aging knee, or development of early knee osteoarthritis?
Magnusson, K., Kumm, J., Turkiewicz, A., & Englund, M. (2018) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2018.04.020 · Cited by 38 · see citing works
Ota, S., Chiba, D., Sasaki, E., Kumagai, G., Yamamoto, Y., Nakaji, S., Tsuda, E., & Ishibashi, Y. (2019) · Arthritis Research & Therapy · doi:10.1186/s13075-019-1900-4 · Cited by 35 · see citing works
Self-citationDeveza, L. A., Kraus, V. B., Collins, J., Guermazi, A., Roemer, F. W., Nevitt, M. C., & Hunter, D. J. (2017) · Scandinavian Journal of Rheumatology · doi:10.1080/03009742.2017.1340511 · Cited by 32 · see citing works
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Biomarker-Guided Imaging and AI-Augmented Diagnosis of Degenerative Joint Disease
Kumar, R., Sporn, K., Borole, A., Khanna, A., Gowda, C., Paladugu, P., Ngo, A., Jagadeesan, R., Zaman, N., & Tavakkoli, A. (2025) · Diagnostics · doi:10.3390/diagnostics15111418 · Cited by 10 · see citing works
“By measuring tissue stiffness with strain or shear wave approaches, ultrasound elastography advances this [68].”
- Authors
- Ishibashi, K., Sasaki, E., Ota, S., Chiba, D., Yamamoto, Y., Tsuda, E., Yoshikuni, S., Ihara, K., & Ishibashi, Y.
- Affiliations
- Hirosaki University (JP)
- ORCID
- Venue
- Scientific Reports
- Published
- 2020-07-23
- Volume
- 10
- Issue
- 1
- Pages
- 12310-12310
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC7378056
- OpenAlex
- W3044223167
- Cited by
- 40
- References
- 39
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 6 · 2023: 3 · 2022: 8 · 2021: 6 · 2020: 1
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Japanese society for the promotion of science (21500676, 18K16606, 18K09091)
- Topics
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Medicine › Surgery › Hip disorders and treatments
- Keywords
- early knee osteoarthritis, synovitis, matrix metalloproteinase-3, serum biomarkers, C-reactive protein, interleukin-6, adiponectin, knee MRI, women, Japanese population, KOOS
- MeSH terms
- Adult, Aged, Female, Humans, Japan, Magnetic Resonance Imaging, Male, Middle Aged, ROC Curve, Synovial Membrane, Synovitis, Biomarkers, Multivariate Analysis, Osteoarthritis, Knee, Asian People
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