Jiang Tianshu, Lau Sing-Hin, Zhang Jiang, Chan Lok-Chun, Wang Wei, Chan Ping-Keung, Cai Jing, Wen Chunyi
Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Department of Health Technology and Informatics, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
J Orthop Translat. 2024 Mar 16;45:100-106. doi: 10.1016/j.jot.2023.10.003. eCollection 2024 Mar.
Osteoarthritis (OA) is one of the fast-growing disability-related diseases worldwide, which has significantly affected the quality of patients' lives and brings about substantial socioeconomic burdens in medical expenditure. There is currently no cure for OA once the bone damage is established. Unfortunately, the existing radiological examination is limited to grading the disease's severity and is insufficient to precisely diagnose OA, detect early OA or predict OA progression. Therefore, there is a pressing need to develop novel approaches in medical image analysis to detect subtle changes for identifying early OA development and rapid progressors. Recently, radiomics has emerged as a unique approach to extracting high-dimensional imaging features that quantitatively characterise visible or hidden information from routine medical images. Radiomics data mining via machine learning has empowered precise diagnoses and prognoses of disease, mainly in oncology. Mounting evidence has shown its great potential in aiding the diagnosis and contributing to the study of musculoskeletal diseases. This paper will summarise the current development of radiomics at the crossroads between engineering and medicine and discuss the application and perspectives of radiomics analysis for OA diagnosis and prognosis.
Radiomics is a novel approach used in oncology, and it may also play an essential role in the diagnosis and prognosis of OA. By transforming medical images from qualitative interpretation to quantitative data, radiomics could be the solution for precise early OA detection, progression tracking, and treatment efficacy prediction. Since the application of radiomics in OA is still in the early stages and primarily focuses on fundamental studies, this review may inspire more explorations and bring more promising diagnoses, prognoses, and management results of OA.
骨关节炎(OA)是全球范围内与残疾相关的快速增长的疾病之一,它显著影响了患者的生活质量,并在医疗支出方面带来了巨大的社会经济负担。一旦骨损伤形成,目前尚无治愈OA的方法。不幸的是,现有的放射学检查仅限于对疾病严重程度进行分级,不足以精确诊断OA、检测早期OA或预测OA进展。因此,迫切需要在医学图像分析中开发新方法,以检测细微变化,从而识别早期OA发展情况和快速进展者。最近,放射组学已成为一种独特的方法,用于从常规医学图像中提取高维成像特征,这些特征定量地表征可见或隐藏的信息。通过机器学习进行放射组学数据挖掘已使疾病的精确诊断和预后成为可能,主要应用于肿瘤学领域。越来越多的证据表明其在辅助诊断和促进肌肉骨骼疾病研究方面具有巨大潜力。本文将总结放射组学在工程与医学交叉领域的当前发展情况,并讨论放射组学分析在OA诊断和预后中的应用及前景。
放射组学是肿瘤学中使用的一种新方法,它在OA的诊断和预后中也可能发挥重要作用。通过将医学图像从定性解释转化为定量数据,放射组学可能成为精确早期检测OA、跟踪进展和预测治疗效果的解决方案。由于放射组学在OA中的应用仍处于早期阶段,且主要集中在基础研究上,本综述可能会激发更多探索,并带来更有前景的OA诊断、预后和管理结果。