1. Infrared spectroscopy is suitable for objective assessment of articular cartilage health
- Author
-
Virtanen, V. (V.), Tafintseva, V. (V.), Shaikh, R. (R.), Nippolainen, E. (E.), Haas, J. (J.), Afara, I. O. (I. O.), Töyräs, J. (J.), Kröger, H. (H.), Solheim, J. (J.), Zimmermann, B. (B.), Kohler, A. (A.), Mizaikoff, B. (B.), Finnilä, M. (M.), Rieppo, L. (L.), Saarakkala, S. (S.), Virtanen, V. (V.), Tafintseva, V. (V.), Shaikh, R. (R.), Nippolainen, E. (E.), Haas, J. (J.), Afara, I. O. (I. O.), Töyräs, J. (J.), Kröger, H. (H.), Solheim, J. (J.), Zimmermann, B. (B.), Kohler, A. (A.), Mizaikoff, B. (B.), Finnilä, M. (M.), Rieppo, L. (L.), and Saarakkala, S. (S.)
- Abstract
Objective: To evaluate the feasibility of Fourier transform infrared attenuated total reflectance (FTIR-ATR) spectroscopy to detect cartilage degradation due to osteoarthritis and to validate the methodology with osteochondral human cartilage samples for future development towards clinical use. Design: Cylindrical (d = 4 mm) osteochondral samples (n = 349) were prepared from nine human cadavers and measured with FTIR-ATR spectroscopy. Afterwards, the samples were assessed with Osteoarthritis Research Society International (OARSI) osteoarthritis cartilage histopathology assessment system and divided into two groups: 1) healthy (OARSI 0–2) and 2) osteoarthritic (OARSI 2.5–6). The classification was done with partial least squares discriminant analysis model utilizing cross-model validation. Receiver operating characteristics curve analysis was performed and the area under curve (AUC) was calculated. Results: For all samples combined, classification accuracy was 73% with AUC of 0.79. Femoral samples had accuracy of 74% and AUC of 0.77, while tibial samples had accuracy of 66%, and AUC of 0.74. Patellar samples had accuracy of 84% and AUC of 0.91. Conclusions: The results indicate that FTIR-ATR spectroscopy can differentiate between healthy and osteoarthritic femoral, tibial and patellar human tissue. If combined with a fiber optic probe, FTIR-ATR spectroscopy could provide additional objective intraoperative information during arthroscopic surgeries, which could improve clinical outcomes.
- Published
- 2022