Osteoarthritis year in review 2022: imaging.

PURPOSE: This narrative review summarizes original research focusing on imaging in osteoarthritis (OA) published between April 1st 2021 and March 31st 2022. We only considered English publications that were in vivo human studies. METHODS: The PubMed, Medline, Embase, Scopus, and ISI Web of Science databases were searched for "Osteoarthritis/OA" studies based on the search terms: "Radiography", "Ultrasound/US", "Computed Tomography/CT", "DXA", "Magnetic Resonance Imaging/MRI", "Artificial Intelligence/AI", and "Deep Learning". This review highlights the anatomical focus of research on the structures within the tibiofemoral, patellofemoral, hip, and hand joints. There is also a noted focus on artificial intelligence applications in OA imaging. RESULTS: Over the last decade, the increasing trend of using open-access large databases has reached a plateau (from 17 to 37). Compositional MRI has had the most prominent use in OA imaging and its biomarkers have been used in the detection of preclinical OA and prediction of OA outcomes. Most noteworthy, there has been an accelerated rate of publications on the implications of artificial intelligence, used in developing prediction models and performing trabecular texture analysis, in OA imaging (from 17 to 154). CONCLUSIONS: While imaging has maintained its key role in OA research, publication trends have shown an emphasis on the integration of AI. During the past year, MRI has maintained the highest prevalence in usage while US and CT remain as readily available modalities. Finally, there has been a notable uptake in the development and validation of AI techniques used to perform texture analysis and predict OA progression.

Effect of photobiomodulation on recovery from neurosensory disturbances after sagittal split ramus osteotomy: a triple-blind randomised controlled trial.

We have investigated the effect of photobiomodulation on the recovery of neurosensory function of the lip and chin after bilateral sagittal split osteotomy (BSSO). Laser irradiation was applied with a GaAs diode laser (continuous wave 980nm wavelength, power 100mW, and energy density 12J/cm2). It was maintained within a 0.5cm2 area in a total of 12 points for 60seconds at each visit on each point. Unilateral extraoral contact photobiomodulation treatment was applied the day before operation and then on days 1, 3, 7, 14, 21, and 28 postoperatively. One side of the mandible was the intervention side and the other the control side. On the control side, the laser probe was turned off and placed on the chosen area. Neurosensory evaluations were made before and immediately after operation, and 30 days and 60 days postoperatively. Twenty-five patients were screened, and 18 who met the inclusion criteria were included in the study; 14 were women and the mean (SD) age was 23 (5) years. Analysis of the visual analogue scales for general sensibility, pain discrimination, directional discrimination, and 2-point discrimination showed a significant difference between the intervention and control sides after 30 days (p=0.0011, 0.0034, 0.0023, and 0.0160, respectively). The difference was also significant after 60 days (p=0.0001, 0.0002, 0.0003, and 0.0010, respectively). The thermal discrimination rate was significantly higher in the laser group than the control group 30 days after surgery (p=0.002), but after 60 days the difference was not significant (p=1.000). We found no side effects from the laser radiation during the two-month follow up. The results suggest that photobiomodulation accelerated the patients' improvement from neurosensory disturbance after BSSO.

Use of coagulants in treatment of olive oil wastewater model solutions by induced air flotation.

Natural polyelectrolytes are suitable coagulants for the treatment of industrial and minicipal wastewaters because they are safe and have environmental benefits. Chitosan, a natural cationic polyelectrolyte, and other similar coagulants were used in the treatment of an olive oil water suspension as a model for the processing wastewater. The effect of chitosan, starch, alum and ferric chloride on the coagulation of oil droplets were determined by the jar test apparatus and turbidometric measurements. Olive oil emulsion samples were prepared by the use of surface active agents and other agents that could form stable oil water emulsions. The effect of parameters such as pH, ionic strength and optimum dosage of the coagulants were determined in the jar test experiments. Following the jar experiments, with the optimum concentration of the suitable coagulant, the emulsions were placed in an induced air flotation (IAF) cell to separate the coagulated oil droplets from solution. In the air flotation experiments, the effect of temperature, surfactant concentration and air flowrate were determined on the decrease of turbidity and COD of the emulsion samples. In the jar experiments, chitosan and alum used together at concentrations of 15 and 25 ppm, respectively, at pH 6 produced the lowest turbidity values. In the air flotation experiments, a concentration of 100 ppm of chitosan, an air flowrate of 3 l/min, aeration time of 45 s, temperature of 20 degrees C and pH 6 produced optimum levels. At optimum conditions of coagulation and flotation stages, the COD of the olive oil emulsion could be reduced by 95%.