Reliable semiquantitative whole‐joint MRI score for the shoulder joint: The shoulder osteoarthritis severity (SOAS) score

Jungmann, Pia M.; Gersing, Alexandra S.; Woertler, Klaus; Dietrich, Tobias Johannes; Baum, Thomas; Baumann, Frederic; Bensler, Susanne

doi:10.1002/jmri.26251

Cited by 12 publications

(16 citation statements)

References 39 publications

(131 reference statements)

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“…New semiquantitative scoring systems have recently been developed and validated for use in OA research studies to assess the severity of structural pathology in other joints. These include the Shoulder Osteoarthritis Severity Score (SOAS) for the shoulder joint 57 , Scoring Hip Osteoarthritis with Magnetic Resonance Imaging (SHOMRI) for the hip joint 58,59 , and Thumb Osteoarthritis MRI Score (TOMS) for the first carpometacarpal joint 60 . These new scoring systems have been shown to have high construct validity and high inter-observer agreement for assessing the severity of structural joint pathology on MRI.…”

Section: Scoring Systems For Oamentioning

confidence: 99%

Osteoarthritis year in review 2019: imaging

Kijowski

Demehri

Roemer

et al. 2020

Osteoarthritis and Cartilage

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PET-MRI". Articles were reviewed to determine relevance based upon the following criteria: 1) study involved human subjects with OA or risk factors for OA and 2) study involved imaging to evaluate OA disease status or OA treatment response. Relevant articles were ranked according to scientific merit, with the best publications selected for inclusion in the narrative report. Results: The PubMed search revealed a total of 1257 articles, of which 256 (20.4%) were considered relevant to OA imaging. Two-hundred twenty-six (87.1%) articles involved the knee joint, while 195 (76.2%) articles involved the use of magnetic resonance imaging (MRI). The proportion of published studies involving the use of MRI was higher than previous years. An increasing number of articles were also published on imaging of subjects with joint injury and on deep learning application in OA imaging. Conclusion: MRI and other imaging modalities continue to play an important role in research studies designed to better understand the pathogenesis, progression, and treatment of OA.

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Section: Scoring Systems For Oamentioning

confidence: 99%

Osteoarthritis year in review 2019: imaging

Kijowski

Demehri

Roemer

et al. 2020

Osteoarthritis and Cartilage

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“…First, although the patient population potentially was relatively small, this study describes a unique cohort of acromegaly patients in remission, and is the first study describing both clinical and radiographic OA in the shoulder and feet. Modified KL atlases based on the existing KL atlases of the knee and hand were used for the glenohumeral and MTP joints, similar to previous studies [49][50][51][52][53][54][55]. No (modified) KL atlas was available for the acromioclavicular and sternoclavicular joints, and, therefore, as mentioned prior, solely the glenohumeral joint of the shoulder was assessed.…”

Section: Discussionmentioning

confidence: 99%

“…Since, to date, no official KL atlas for the shoulder and forefoot joints exists, glenohumeral joints, and MTP1-5 and IP1 joints were semi-quantitively scored according to a modified KL scoring system based on the KL atlas of the knee and hands (especially MCP joints), respectively, similar to several previous studies [49][50][51][52][53][54][55]. KL scores were defined as follows: 0, normal bone contour, no JSN, no OP, no sclerosis; 1, doubtful JSN, possible OP; 2, definite OP and possible JSN; 3, multiple moderate OP, definite JSN, some sclerosis, and possible bone contour deformity; 4, severe OP, marked JSN, severe sclerosis, and definite bone contour deformity.…”

Section: Assessment Of Radiographic Oamentioning

confidence: 99%

Clinical and radiographic assessment of peripheral joints in controlled acromegaly

et al. 2022

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Purpose Acromegalic arthropathy is a well-known phenomenon, occurring in most patients regardless of disease status. To date, solely hips, knees, hands, and spinal joints have been radiographically assessed. Therefore, this study aimed to assess the prevalence of joint symptoms and radiographic osteoarthritis (OA) of new, and established peripheral joint sites in well-controlled acromegaly. Methods Fifty-one acromegaly patients (56% female, mean age 64 ± 12 years) in long-term remission for 18.3 years (median, IQR 7.2–25.4) were included. Nineteen patients currently received pharmacological treatment. Self-reported joint complaints were assessed using standardized interviews. Self-reported disability of the upper and lower limbs, and health-related quality of life (HR-QoL) were evaluated using validated questionnaires. Radiographic OA [defined as Kellgren & Lawrence (KL) ≥ 2] was scored using (modified) KL methods. Results Radiographic signs of OA were present in 46 patients (90.2%) with ≥ 2 joints affected in virtually all of these patients (N = 44; 95.7%). Radiographic MTP1 OA was as prevalent as radiographic knee OA (N = 26, 51.0%), and radiographic glenohumeral OA was similarly prevalent as hip OA [N = 21 (41.2%) vs. N = 24 (47.1%)]. Risk factors for radiographic glenohumeral OA were higher pre-treatment IGF-1 levels [OR 1.06 (1.01–1.12), P = 0.021], and current pharmacological treatment [OR 5.01 (1.03–24.54), P = 0.047], whereas no risk factors for MTP1 joint OA could be identified. Conclusion Similar to previously-assessed peripheral joints, clinical and radiographic arthropathy of the shoulder and feet were prevalent in controlled acromegaly. Further studies on adequate management strategies of acromegalic arthropathy are needed.

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“…MRI better detects the subtle changes in cartilage, alterations in soft tissue, and presence of joint inflammation that may be seen in early OA. 11 In 2019, Jungmann et al 14 introduced a new, MRI-based classification system for quantifying shoulder OA known as the Shoulder Osteoarthritis Severity (SOAS) score. The SOAS score is a semiquantitative metric assessing global severity of OA in the shoulder joint.…”

mentioning

confidence: 99%

“…The SOAS score correlated strongly with existing radiographic Kellgren-Lawrence and Samilson scores and demonstrated an interobserver reliability of 0.96 to 0.98. 14 …”

mentioning

confidence: 99%

Relationship Between Preoperative Shoulder Osteoarthritis Severity Score and Postoperative PROMIS-UE Score After Rotator Cuff Repair

Davies

Kucirek

Motamedi

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Mild to moderate glenohumeral joint osteoarthritis is a common finding among patients who are evaluated for rotator cuff tears. However, the impact of preoperative shoulder joint degeneration on patient-reported outcomes after rotator cuff repair (RCR) is not well-established. Purpose: To apply the magnetic resonance imaging (MRI)–based Shoulder Osteoarthritis Severity (SOAS) score to the evaluation of patients undergoing RCR and determine the relationship between preoperative shoulder pathology present on MRI and postoperative Patient-Reported Outcomes Measurement Information System–Upper Extremity (PROMIS-UE) scores. Study Design: Case-control study; Level of evidence, 3. Methods: Seventy-one MRI scans corresponding to 71 patients were analyzed by 2 independent reviewers and scored using the SOAS criteria. Intraclass correlation coefficients were calculated for total SOAS score as well as for each subscore. Spearman correlations were calculated between averaged SOAS scores, patient characteristics, and PROMIS-UE scores. Linear regression analysis was performed between the independent variables of patient age, sex, body mass index, and significant SOAS score components determined by univariate analysis with the dependent variable of PROMIS-UE score. Significance was defined as P < .05 for univariate analyses and < .0125 for multivariate analyses using the Bonferroni correction. Results: The mean PROMIS-UE score of this cohort was 51.5 ± 7.4, while the mean total SOAS score was 21.5 ± 8.4. There was a negative correlation between total SOAS score and postoperative PROMIS-UE score ( r = –0.24; P = .040). Both cartilage wear ( r = –0.33; P = .0045) and acromioclavicular joint degeneration ( r = –0.24; P = .048) individually demonstrated negative correlations with PROMIS-UE score. When a multivariate linear regression with Bonferroni correction was applied to the significant variables identified in univariate analysis along with patient characteristics, none were independently correlated with PROMIS-UE score. Conclusion: In this cohort of patients undergoing RCR, increasing preoperative total SOAS score was predictive of lower postoperative PROMIS-UE scores. SOAS subscores with the strongest negative correlations with PROMIS-UE scores included cartilage wear and acromioclavicular joint degeneration. The cartilage subscore was negatively correlated with PROMIS-UE scores independent of patient factors in multivariate analysis.

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Reliable semiquantitative whole‐joint MRI score for the shoulder joint: The shoulder osteoarthritis severity (SOAS) score

Abstract: 3 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018.

Cited by 12 publications

References 39 publications

Osteoarthritis year in review 2019: imaging

Osteoarthritis year in review 2019: imaging

Clinical and radiographic assessment of peripheral joints in controlled acromegaly

Relationship Between Preoperative Shoulder Osteoarthritis Severity Score and Postoperative PROMIS-UE Score After Rotator Cuff Repair

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