Journal of Orthopaedic Surgery and Research,
Год журнала:
2024,
Номер
19(1)
Опубликована: Дек. 18, 2024
Osteoarthritis
(OA)
is
a
common
cause
of
disability
among
the
elderly,
profoundly
affecting
quality
life.
This
study
aims
to
leverage
bioinformatics
and
machine
learning
develop
an
artificial
neural
network
(ANN)
model
for
diagnosing
OA,
providing
new
avenues
early
diagnosis
treatment.
From
Gene
Expression
Omnibus
(GEO)
database,
we
first
obtained
OA
synovial
tissue
microarray
datasets.
Differentially
expressed
genes
(DEGs)
associated
with
were
identified
through
utilization
Limma
package
weighted
gene
co-expression
analysis
(WGCNA).
Subsequently,
protein-protein
interaction
(PPI)
employed
identify
most
relevant
potential
feature
ANN
diagnostic
receiver
operating
characteristic
(ROC)
curve
constructed
evaluate
performance
model.
In
addition,
expression
levels
verified
using
real-time
quantitative
polymerase
chain
reaction
(qRT-PCR).
Finally,
immune
cell
infiltration
was
performed
CIBERSORT
algorithm
explore
correlation
between
cells.
The
WGCNA
total
72
DEGs
related
which
12
up-regulated
60
down-regulated.
Then,
PPI
21
hub
genes,
three
algorithms
finally
screened
four
(BTG2,
CALML4,
DUSP5,
GADD45B).
based
on
these
genes.
AUC
training
set
0.942,
validation
0.850.
qRT-PCR
results
demonstrated
significant
downregulation
BTG2,
GADD45
mRNA
in
samples
compared
normal
samples,
while
CALML4
level
exhibited
upregulation.
Immune
revealed
B
cells
memory,
T
gamma
delta,
naive,
Plasma
cells,
CD4
memory
resting,
NK
abnormal
activated
may
be
progression
OA.
GADD45B
as
good
developed,
perspective
personalized
treatment
Frontiers in Immunology,
Год журнала:
2025,
Номер
16
Опубликована: Янв. 29, 2025
Purpose
Distinguishing
between
Osteonecrosis
of
the
femoral
head
(ONFH)
and
Osteoarthritis
(OA)
can
be
subjective
vary
users
with
different
backgrounds
expertise.
This
study
aimed
to
construct
evaluate
several
Radiomics-based
machine
learning
models
using
MRI
differentiate
those
two
disorders
compare
their
efficacies
medical
experts.
Methods
140
scans
were
retrospectively
collected
from
electronic
records.
They
split
into
training
testing
sets
in
a
7:3
ratio.
Handcrafted
radiomics
features
harvested
following
careful
manual
segmentation
regions
interest
(ROI).
After
thoroughly
selecting
these
features,
various
have
been
constructed.
The
evaluation
was
carried
out
receiver
operating
characteristic
(ROC)
curves.
Then
NaiveBayes
(NB)
selected
establish
our
final
Radiomics-model
as
it
performed
best.
Three
expertise
diagnosed
labeled
dataset
either
OA
or
ONFH.
Their
results
compared
Radiomics-model.
Results
amount
handcrafted
1197
before
processing;
after
selection,
only
12
key
retained
used.
User
1
had
an
AUC
0.632
(95%
CI
0.4801-0.7843),
2
recorded
0.565
0.4102-0.7196);
while
3
on
top
0.880
0.7753-0.9843).
On
other
hand,
Radiomics
model
attained
0.971
0.9298-1.0000);
showing
greater
efficacy
than
all
users.
It
also
demonstrated
sensitivity
0.937
specificity
0.885.
DCA
(Decision
Curve
Analysis
displayed
that
radiomics-model
clinical
benefit
differentiating
Conclusion
We
successfully
constructed
evaluated
interpretable
radiomics-based
could
distinguish
method
has
ability
aid
both
junior
senior
professionals
precisely
diagnose
take
prompt
treatment
measures.
Ural Medical Journal,
Год журнала:
2025,
Номер
24(1), С. 39 - 49
Опубликована: Март 2, 2025
The
relevance
of
the
problem
.
Late
diagnosis
gonarthritis
(GA)
based
on
radiological
criteria
determines
a
decrease
in
effectiveness
chondroprotective
drugs
(CD).
aim
is
to
identify
early
changes
hyaline
cartilage
knee
joints
and
evaluate
therapy
at
an
stage
disease.
Materials
methods
186
patients
with
high
risk
GA
were
examined.
All
signed
informed
consent.
119
took
CD
for
two
years,
67
did
not
receive
therapy.
control
group
consisted
31
healthy
people
without
factors.
Initially
2
years
later,
everyone
underwent
ultrasound
examination
knees.
dynamics
minimum
thickness
(HC)
was
evaluated.
Results
After
HC
height
decreased
(2.84±0.16)
mm
had
no
statistically
significant
differences
from
initial
value.
In
comparison
which
take
CD,
by
(0.24±0.15)
mm,
2.7
times
more
than
receiving
4.8
(
p
=
0.01).
(0.09±0.12)
comparable
indicators
0.49).
Conclusions
GA,
initially
low
determined,
its
intensive
loss
noted,
compared
control.
use
prevents
preclinical
stage.
Rheumatology Science and Practice,
Год журнала:
2025,
Номер
63(1), С. 24 - 36
Опубликована: Март 2, 2025
The
article
discusses
the
modern
trends
in
development
of
digital
technologies
medicine,
exemplified
by
rheumatology,
especially,
significance
radiomics,
which
combines
radiology,
mathematical
modeling,
and
deep
machine
learning.
Texture
analysis
computed
tomography
images
other
imaging
methods
provides
a
more
deeply
characterization
pathophysiological
features
tissues
can
be
considered
as
non-invasive
“virtual
biopsy”.
It
is
shown
that
radiomics
enhances
quality
diagnostic
predictive
modeling.
potential
application
radiomic
models
for
studying
predicting
chest
organ
lesions
various
pathological
conditions,
including
immune
mediated
inflammatory
diseases,
systemic
vasculitis.
Progress
diagnosis
treatment
rheumatic
diseases
may
facilitated
integration
omics
technologies.
era,
opens
up
vast
prospects
advancements
will
undoubtedly
require
complex
solutions
to
new
technical,
legal,
ethical
challenges.
European Journal of Radiology,
Год журнала:
2025,
Номер
unknown, С. 112106 - 112106
Опубликована: Апрель 1, 2025
This
study
aims
to
investigate
the
value
of
a
radiomics
nomogram
based
on
magnetic
resonance
imaging
(MRI)
in
distinguishing
vertebral
compression
fractures
(VCFs)
from
osteomyelitis
(VOs).
We
conducted
retrospective
analysis
clinical
data
100
patients
with
VCFs
and
VOs,
respectively
at
our
hospital.
The
cases
were
randomly
divided
into
training
(n
=
140)
testing
sets
60)
7:3
ratio.
Two
experienced
radiologists
outlined
regions
interest
(ROI)
MRI
images
using
T2-weighted
fat
suppression
(T2WI-FS)
extracted
radiomic
features.
Least
Absolute
Shrinkage
Selection
Operator
(Lasso)
algorithm
was
used
select
reduce
features
establish
model
(Model
1),
Logistic
Regression
construct
score.
A
multivariable
logistic
regression
2).
combined
(radiomics
nomogram,
Model
3)
built
score
independent
factors.
diagnostic
performance
Models
1,
2,
3
validated
Area
Under
Curve
(AUC)
Decision
Analysis
(DCA).
included
68/72
32/28
respectively.
There
no
statistically
significant
differences
characteristics
such
as
age,
sex,
body
mass
index
(BMI),
CRP
levels,
ESR,
lesion
stage
between
(P
>
0.05).
total
873
6
extracted.
After
screening,
10
optimal
selected
build
while
5
2.
1
2
create
plotted.
All
three
models
constructed
algorithms.
achieved
higher
AUC
than
for
both
sets:
0.946
0.904
0.871
(training)
0.900
0.854
0.818
(testing),
Additionally,
DCA
indicated
that
had
better
utility
Our
features,
provides
guidance
spinal
osteomyelitis.
Journal of Computer Assisted Tomography,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 14, 2025
Objective:
This
study
aims
to
explore
a
grading
diagnostic
method
for
the
binary
classification
of
meniscal
tears
based
on
magnetic
resonance
imaging
radiomics.
We
hypothesize
that
radiomics
model
can
accurately
grade
injuries
in
knee
joint.
By
extracting
T2-weighted
features,
was
developed
distinguish
from
nontear
abnormalities.
Materials
and
Methods:
retrospective
included
data
100
patients
at
our
institution
between
May
2022
2024.
The
subjects
were
with
pain
or
functional
impairment,
excluding
those
severe
osteoarthritis,
infections,
cysts,
other
relevant
conditions.
randomly
allocated
training
group
test
4:1
ratio.
Sagittal
fat-suppressed
sequences
utilized
extract
radiomic
features.
Feature
selection
performed
using
minimum
Redundancy
Maximum
Relevance
(mRMR)
method,
final
constructed
Least
Absolute
Shrinkage
Selection
Operator
(LASSO)
regression.
Model
performance
evaluated
both
sets
receiver
operating
characteristic
curves,
sensitivity,
specificity,
accuracy.
Results:
results
showed
achieved
area
under
curve
values
0.95
0.94
sets,
respectively,
indicating
high
accuracy
distinguishing
injury
noninjury.
In
confusion
matrix
analysis,
set
88%,
92%,
87%,
while
89%,
82%,
85%,
respectively.
Conclusions:
Our
demonstrates
abnormalities,
providing
reliable
tool
clinical
decision-making.
Although
demonstrated
slightly
lower
specificity
set,
its
overall
good
capabilities.
Future
research
could
incorporate
more
optimize
further
improve
Medicine,
Год журнала:
2025,
Номер
104(17), С. e41915 - e41915
Опубликована: Апрель 25, 2025
Background:
It
is
unclear
that
the
influence
of
age
on
degenerative
joint
disease
(DJD)
temporomandibular
(TMJ).
Methods:
Relevant
literature
was
retrieved
from
PubMed,
Elsevier,
Web
Science,
and
Google
Scholar.
EndNote
21
used
to
consolidate
these
databases.
Key
information
were
extracted
included
studies,
statistical
analysis
performed
using
Stata
15.0.
The
quality
studies
evaluated
cross-sectional
study
evaluation
criteria
recommended
by
Agency
for
Healthcare
Research
Quality.
Results:
A
total
11
involving
2832
participants
(1099
males,
1744
females)
included.
incidence
DJD
TMJ
approximately
35%
among
individuals
aged
20
39,
43%
those
40
59,
54%
60–69.
Conclusion:
Age
progression
a
key
risk
factor
development
TMJ.
increases
progressively
across
different
groups,
with
significant
rise
observed
in
middle
older
groups.
Diagnostics,
Год журнала:
2025,
Номер
15(11), С. 1418 - 1418
Опубликована: Июнь 3, 2025
Degenerative
joint
disease
remains
a
leading
cause
of
global
disability,
with
early
diagnosis
posing
significant
clinical
challenge
due
to
its
gradual
onset
and
symptom
overlap
other
musculoskeletal
disorders.
This
review
focuses
on
emerging
diagnostic
strategies
by
synthesizing
evidence
specifically
from
studies
that
integrate
biochemical
biomarkers,
advanced
imaging
techniques,
machine
learning
models
relevant
osteoarthritis.
We
evaluate
the
utility
cartilage
degradation
markers
(e.g.,
CTX-II,
COMP),
inflammatory
cytokines
IL-1β,
TNF-α),
synovial
fluid
microRNA
profiles,
how
they
correlate
quantitative
readouts
T2-mapping
MRI,
ultrasound
elastography,
dual-energy
CT.
Furthermore,
we
highlight
recent
developments
in
radiomics
AI-driven
image
interpretation
assess
space
narrowing,
osteophyte
formation,
subchondral
bone
changes
high
fidelity.
The
integration
these
datasets
using
multimodal
approaches
offers
novel
phenotypes
stratify
patients
stage
risk
progression.
Finally,
explore
implementation
tools
point-of-care
diagnostics,
including
portable
devices
rapid
biomarker
assays,
particularly
aging
underserved
populations.
By
presenting
unified
pipeline,
this
article
advances
future
detection
personalized
monitoring
degeneration.