In the present study, a gray level co-occurrence matrix-based 3D texture analysis of knee 3D DESS images was used to investigate longitudinal changes in articular cartilage using data from the Osteoarthritis Initiative (baseline, 36-month and 72-month visits). At baseline, all subjects included in the study had Kellgren-Lawrence grade < 2. Three groups were defined, based on time of progression into radiographic osteoarthritis (Kellgren-Lawrence grades ≥ 2): control, slow progressor and fast progressor groups. 3D texture analysis of 3D DESS images was able to distinguish progressors from controls before radiographic signs of osteoarthritis and showed significant longitudinal changes across all groups.
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