|  | Cartilage integrity | Osteophytes | Bone marrow lesions | Effusion | Synovitis |
---|---|---|---|---|---|---|
Assessment | Â | Size of any cartilage thickness loss (both partial and full thickness loss) as percentage of cartilage surface area of each region | Size of protuberance of osteophyte | Size of BML (including volume of any associated cysts) as percentage of bone volume of each region | Size of effusion within synovial space | Presence of synovitis |
Region | Number | 8 | 12 | 9 | 1 (one score for whole knee) | 5 |
 | MTF | Medial weight-bearing femur | Medial weight-bearing femur | Medial weight-bearing femur | - | - |
 |  | Medial region tibia | Medial posterior region femur | Medial region tibia |  |  |
 |  |  | Medial region tibia |  |  |  |
 | LTF | Lateral weight-bearing femur | Lateral weight-bearing femur | lateral weight-bearing Femur | - | - |
 |  | Lateral region tibia | Lateral posterior region femur | Lateral region tibia |  |  |
 |  |  | Lateral region tibia |  |  |  |
 | PF | Medial region patella | Superior region patella | Medial region patella | - | - |
 |  | Lateral region patella | Inferior region patella | Lateral region patella |  |  |
 |  | Medial trochlea femur | Medial region patella | Medial trochlea femur |  |  |
 |  | Lateral trochlea femur | Lateral region patella | Lateral trochlea femur |  |  |
 |  |  | Medial trochlea femur |  |  |  |
 |  |  | Lateral trochlea femur |  |  |  |
 | Other | - | - | Subspinous region tibia | - | Hoffa's fat pad (infrapatellar) |
 |  |  |  |  |  | Medial posterior-condylar region |
 |  |  |  |  |  | Lateral posterior-condylar region |
 |  |  |  |  |  | Medial recess |
 |  |  |  |  |  | Lateral recess |
Score (per region) | Â | 0 = none | 0 = none | 0 = none | 0 = physiological amounta | 0 = absent |
 |  | 1 = <10% of surface area | 1 = mild | 1 = <10% of bone volume | 1 = smallb | 1 = present |
 |  | 2 = 10 to 75% of surface area | 2 = moderate | 2 = 10 to 25% of bone volume | 2 = mediumc |  |
 |  | 3 = >75% of surface area | 3 = severe | 3 = >25% of bone volume | 3 = larged |  |
Details | Â | Â | An osteophyte must be visible on two consecutive slices. Largest osteophyte within region scored | If BML span more than one region, then full size of BML is attributed to region that is most involved | Â | Â |