Clinical trial Recruiting at 1 site Observational Ages 18 and up

AI-assisted knee ultrasound analysis and outcome prediction

Official title: Artificial Intelligence-Assisted Advanced Analysis of Knee Imaging and Outcome Prediction for Ultrasound-Guided Injections

Run by National Taiwan University Hospital · NCT07721116 · Data updated 2026-11-12

Aims to test an AI-powered platform for knee ultrasound analysis and to see if it can predict patient outcomes after ultrasound-guided knee injections in degenerative knee disease.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment310 (estimated)
SponsorNational Taiwan University Hospital
Academic / other
Locations1 site (Taipei, Taiwan)
StatusRecruiting
StartedJuly 1, 2026
Main results expectedDecember 31, 2029
Study endsDecember 31, 2029
Registry record updatedJuly 22, 2026
Trial IDNCT07721116 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults (18+) with healthy knees for Objective 1, or adults with radiographic knee osteoarthritis and knee pain for Objective 2, who can undergo ultrasound imaging and follow study instructions.

Probably not a fit

Patients with recent knee surgery, major knee injury, or rheumatic/autoimmune diseases may not benefit from the predictive models.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study will develop and validate an AI-based system to automate knee ultrasound analysis, including localization, segmentation, and quantitative metrics. It will use standardized image acquisition to reduce operator variability and to create an interpretable model predicting clinical outcomes after ultrasound-guided injections. The project spans three years, starting with building a normative AI foundation for healthy knees, then training models to distinguish normal from pathological findings, and finally predicting treatment response in degenerative knee disorders. The approach builds on prior experience with computational ultrasound and aims to improve standardization and clinical utility of knee ultrasound imaging.

Why it matters

Potential benefit: If successful, the platform could improve consistency in knee ultrasound interpretation and help clinicians anticipate how patients might respond to ultrasound-guided injections.

How similar studies have gone: Previous work in computational ultrasound and AI-guided musculoskeletal imaging supports the feasibility of similar approaches, though application to knee ultrasound and injection outcome prediction is newer.

Who can join: the full rules

Show full inclusion / exclusion criteria
Objective 1: Development of an AI-Based Normative Model for the Healthy Knee

Inclusion Criteria:

* Clinical diagnosis of healthy adult without major systemic disease
* Age ≥18 years
* Able to understand and follow study instructions
* Ambulatory without walking aids
* No pain in either knee for at least 6 months before enrollment

Exclusion Criteria:

* Previous knee surgery
* Rupture of one or more cruciate ligaments
* Knee injection within the preceding 6 months
* Major trauma involving the knee or periarticular region
* Rheumatic or autoimmune disease

Objective 2: Development of an AI-Based Model for the Identification of Pathological Knee Structures

Inclusion Criteria:

* Clinical diagnosis of radiographic knee osteoarthritis
* Age ≥18 years
* Knee pain in at least one knee during the preceding year
* Medical records confirming knee pain, soreness, or stiffness within 1 month before enrollment
* Radiographic evidence of knee osteoarthritis, defined by at least one of the following:
* Kellgren-Lawrence grade ≥2 on anteroposterior radiographs
* Kellgren-Lawrence grade ≥2 on skyline (patellofemoral) radiographs
* Superior or inferior patellar osteophytes or posterior tibial osteophytes on lateral radiographs

Exclusion Criteria:

* Systemic rheumatic disease (e.g., rheumatoid arthritis or ankylosing spondylitis)
* Malignancy
* Previous major knee trauma (including fracture)
* Previous knee surgery
* Intra-articular corticosteroid injection within the preceding 3 months

Objective 3: Development of an AI-Assisted Predictive Model for Injection Treatment Outcomes

Inclusion Criteria:

* Clinical diagnosis of radiographic knee osteoarthritis requiring ultrasound-guided injection therapy
* Age ≥18 years
* Knee pain in at least one knee during the preceding year
* Medical records confirming knee pain, soreness, or stiffness within 1 month before enrollment
* Radiographic evidence of knee osteoarthritis, defined by at least one of the following:
* Kellgren-Lawrence grade ≥2 on anteroposterior radiographs
* Kellgren-Lawrence grade ≥2 on skyline (patellofemoral) radiographs
* Superior or inferior patellar osteophytes or posterior tibial osteophytes on lateral radiographs
* Willingness to undergo ultrasound-guided injection therapy and complete scheduled follow-up assessments

Exclusion Criteria:

* Systemic rheumatic disease (e.g., rheumatoid arthritis or ankylosing spondylitis)
* Malignancy
* Previous major knee trauma (including fracture)
* Previous knee surgery
* Intra-articular corticosteroid injection within the preceding 3 months

Where it's running

  • National Taiwan University Hospital Beihu Branch
    Taipei, Taiwan, Taiwan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.