Integration of longitudinal load-bearing tissue MRI radiomics and neural network to predict knee osteoarthritis incidence

This study presents a novel approach integrating longitudinal MRI-based radiomics and clinical variables to predict knee osteoarthritis (KOA) incidence using machine learning. By leveraging deep learning for auto-segmentation and machine learning for predictive modeling, this research provides a more interpretable and clinically applicable method for early KOA detection. The introduction of a Radiomics Score System enhances the potential for radiomics as a virtual image-based biopsy tool, facilitating non-invasive, personalized risk assessment for KOA patients. The findings support the translation of advanced imaging and AI-driven predictive models into clinical practice, aiding early diagnosis, personalized treatment planning, and risk stratification for KOA progression. This model has the potential to be integrated into routine musculoskeletal imaging workflows, optimizing early intervention strategies and resource allocation for high-risk populations. Future validation across diverse cohorts will further enhance its clinical utility and generalizability.