This study assessed the relationships of serum/urine biomarkers for osteoarthritis with MR imaging measures of joint structure and composition, using data from the Osteoarthritis Initiative (OAI). Significant positive correlations between the serum/urine biomarkers (sHA, sMMP3) and MRI cartilage T2 relaxation time measurements, compositional markers of early cartilage degeneration were observed. However, no significant associations were found with cartilage morphology or Kellgren-Lawrence (KL) grade. Therefore, serum biomarkers and cartilage T2 composition may reflect similar features of the pathophysiology of cartilage matrix degenerative disease.
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