Infrapatellar fat pad (IPFP) is an important risk factor for the incident of radiographic knee osteoarthritis (iROA)1, 2. However, the potential of being an independent biomarker to predict iROA is untapped. Deep learning (DL) is a set of algorithms that enable computers to discover complicated patterns in large data sets3. In this study, we train a DL model to predict iROA with auto-segmented IPFP, comparing it to the DL model set up with corresponding whole knee MR images (MRI). The results reveal that IPFP alteration can predict iROA independently comparably to the whole knee MRI at one year before iROA.
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