Short-term changes on MRI predict long-term changes on radiography in rheumatoid arthritis: An analysis by an OMERACT Task Force of pooled data from four randomised controlled trials

Charles Peterfy, Vibeke Strand, Lu Tian, Mikkel Østergaard, Ying Lu, Julie DiCarlo, Peter Countryman, Atulya (Atul) Deodhar, Robert Landewé, Veena K. Ranganath, Orrin Troum, Philip G. Conaghan

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective In rheumatoid arthritis (RA), MRI provides earlier detection of structural damage than radiography (X-ray) and more sensitive detection of intra-articular inflammation than clinical examination. This analysis was designed to evaluate the ability of early MRI findings to predict subsequent structural damage by X-ray. Methods Pooled data from four randomised controlled trials (RCTs) involving 1022 RA hands and wrists in early and established RA were analysed. X-rays were scored using van der Heijde-modified or Genant-modified Sharp methods. MRIs were scored using Outcome Measures in Rheumatology (OMERACT) RA MRI Score (RAMRIS). Data were analysed at the patient level using multivariable logistic regression and receiver operating characteristic curve analyses. Results Progression of MRI erosion scores at Weeks 12 and 24 predicted progression of X-ray erosions at Weeks 24 and 52, with areas under the curve (AUCs) of 0.64 and 0.74, respectively. 12-week and 24-week changes in MRI osteitis scores were similarly predictive of 24-week and 52-week X-ray erosion progressions; pooled AUCs were 0.78 and 0.77, respectively. MRI changes in synovitis at Weeks 12 and 24 also predicted progression of X-ray joint damage (erosion and joint-space narrowing) at Weeks 24 and 52 (AUCs=0.72 and 0.65, respectively). Conclusions Early changes in joint damage and inflammation detected with MRI predict changes in joint damage evident on subsequent X-rays. These findings support the use of MRI as a valid method for monitoring structural damage in short-duration RCTs.

Original languageEnglish (US)
JournalAnnals of the Rheumatic Diseases
DOIs
StateAccepted/In press - Dec 14 2016

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Radiography
Advisory Committees
Magnetic resonance imaging
Rheumatoid Arthritis
Randomized Controlled Trials
X-Rays
Joints
X rays
Area Under Curve
Erosion
Inflammation
Osteitis
Synovitis
X ray radiography
Rheumatology
Wrist
ROC Curve
Hand
Logistic Models
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Immunology and Allergy
  • Rheumatology
  • Immunology
  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Short-term changes on MRI predict long-term changes on radiography in rheumatoid arthritis : An analysis by an OMERACT Task Force of pooled data from four randomised controlled trials. / Peterfy, Charles; Strand, Vibeke; Tian, Lu; Østergaard, Mikkel; Lu, Ying; DiCarlo, Julie; Countryman, Peter; Deodhar, Atulya (Atul); Landewé, Robert; Ranganath, Veena K.; Troum, Orrin; Conaghan, Philip G.

In: Annals of the Rheumatic Diseases, 14.12.2016.

Research output: Contribution to journalArticle

Peterfy, Charles ; Strand, Vibeke ; Tian, Lu ; Østergaard, Mikkel ; Lu, Ying ; DiCarlo, Julie ; Countryman, Peter ; Deodhar, Atulya (Atul) ; Landewé, Robert ; Ranganath, Veena K. ; Troum, Orrin ; Conaghan, Philip G. / Short-term changes on MRI predict long-term changes on radiography in rheumatoid arthritis : An analysis by an OMERACT Task Force of pooled data from four randomised controlled trials. In: Annals of the Rheumatic Diseases. 2016.
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abstract = "Objective In rheumatoid arthritis (RA), MRI provides earlier detection of structural damage than radiography (X-ray) and more sensitive detection of intra-articular inflammation than clinical examination. This analysis was designed to evaluate the ability of early MRI findings to predict subsequent structural damage by X-ray. Methods Pooled data from four randomised controlled trials (RCTs) involving 1022 RA hands and wrists in early and established RA were analysed. X-rays were scored using van der Heijde-modified or Genant-modified Sharp methods. MRIs were scored using Outcome Measures in Rheumatology (OMERACT) RA MRI Score (RAMRIS). Data were analysed at the patient level using multivariable logistic regression and receiver operating characteristic curve analyses. Results Progression of MRI erosion scores at Weeks 12 and 24 predicted progression of X-ray erosions at Weeks 24 and 52, with areas under the curve (AUCs) of 0.64 and 0.74, respectively. 12-week and 24-week changes in MRI osteitis scores were similarly predictive of 24-week and 52-week X-ray erosion progressions; pooled AUCs were 0.78 and 0.77, respectively. MRI changes in synovitis at Weeks 12 and 24 also predicted progression of X-ray joint damage (erosion and joint-space narrowing) at Weeks 24 and 52 (AUCs=0.72 and 0.65, respectively). Conclusions Early changes in joint damage and inflammation detected with MRI predict changes in joint damage evident on subsequent X-rays. These findings support the use of MRI as a valid method for monitoring structural damage in short-duration RCTs.",
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T2 - An analysis by an OMERACT Task Force of pooled data from four randomised controlled trials

AU - Peterfy, Charles

AU - Strand, Vibeke

AU - Tian, Lu

AU - Østergaard, Mikkel

AU - Lu, Ying

AU - DiCarlo, Julie

AU - Countryman, Peter

AU - Deodhar, Atulya (Atul)

AU - Landewé, Robert

AU - Ranganath, Veena K.

AU - Troum, Orrin

AU - Conaghan, Philip G.

PY - 2016/12/14

Y1 - 2016/12/14

N2 - Objective In rheumatoid arthritis (RA), MRI provides earlier detection of structural damage than radiography (X-ray) and more sensitive detection of intra-articular inflammation than clinical examination. This analysis was designed to evaluate the ability of early MRI findings to predict subsequent structural damage by X-ray. Methods Pooled data from four randomised controlled trials (RCTs) involving 1022 RA hands and wrists in early and established RA were analysed. X-rays were scored using van der Heijde-modified or Genant-modified Sharp methods. MRIs were scored using Outcome Measures in Rheumatology (OMERACT) RA MRI Score (RAMRIS). Data were analysed at the patient level using multivariable logistic regression and receiver operating characteristic curve analyses. Results Progression of MRI erosion scores at Weeks 12 and 24 predicted progression of X-ray erosions at Weeks 24 and 52, with areas under the curve (AUCs) of 0.64 and 0.74, respectively. 12-week and 24-week changes in MRI osteitis scores were similarly predictive of 24-week and 52-week X-ray erosion progressions; pooled AUCs were 0.78 and 0.77, respectively. MRI changes in synovitis at Weeks 12 and 24 also predicted progression of X-ray joint damage (erosion and joint-space narrowing) at Weeks 24 and 52 (AUCs=0.72 and 0.65, respectively). Conclusions Early changes in joint damage and inflammation detected with MRI predict changes in joint damage evident on subsequent X-rays. These findings support the use of MRI as a valid method for monitoring structural damage in short-duration RCTs.

AB - Objective In rheumatoid arthritis (RA), MRI provides earlier detection of structural damage than radiography (X-ray) and more sensitive detection of intra-articular inflammation than clinical examination. This analysis was designed to evaluate the ability of early MRI findings to predict subsequent structural damage by X-ray. Methods Pooled data from four randomised controlled trials (RCTs) involving 1022 RA hands and wrists in early and established RA were analysed. X-rays were scored using van der Heijde-modified or Genant-modified Sharp methods. MRIs were scored using Outcome Measures in Rheumatology (OMERACT) RA MRI Score (RAMRIS). Data were analysed at the patient level using multivariable logistic regression and receiver operating characteristic curve analyses. Results Progression of MRI erosion scores at Weeks 12 and 24 predicted progression of X-ray erosions at Weeks 24 and 52, with areas under the curve (AUCs) of 0.64 and 0.74, respectively. 12-week and 24-week changes in MRI osteitis scores were similarly predictive of 24-week and 52-week X-ray erosion progressions; pooled AUCs were 0.78 and 0.77, respectively. MRI changes in synovitis at Weeks 12 and 24 also predicted progression of X-ray joint damage (erosion and joint-space narrowing) at Weeks 24 and 52 (AUCs=0.72 and 0.65, respectively). Conclusions Early changes in joint damage and inflammation detected with MRI predict changes in joint damage evident on subsequent X-rays. These findings support the use of MRI as a valid method for monitoring structural damage in short-duration RCTs.

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