FDG PET/MRI to Find Painful Inflammation in the Patellofemoral Joint
Official title: Understanding Painful Inflammation in Patellofemoral Joint OA Using [18F] FDG
Run by University of California, San Francisco · NCT07625150 · Data updated 2026-11-12
This study tests whether FDG PET/MRI can locate inflammation causing knee pain in people with patellofemoral joint osteoarthritis.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | University of California, San Francisco Academic / other |
| Locations | 1 site (San Francisco, California) |
| Status | Recruiting |
| Started | February 19, 2025 |
| Main results expected | February 2028 |
| Study ends | February 2028 |
| Registry record updated | June 4, 2026 |
| Trial ID | NCT07625150 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with PFJ or knee OA-related pain who can perform 25 single-leg squats and have no recent knee injuries or MRI/PET contraindications.
✕Probably not a fit
Individuals whose pain does not correspond to detectable inflammatory hotspots or who cannot tolerate PET/MRI procedures may not see a direct benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational project uses 18F-FDG PET/MRI to identify hypermetabolic inflammation in the patellofemoral joint under loading conditions. It combines metabolic imaging with high-resolution anatomy to distinguish pain generators from incidental findings. The study builds on prior work showing PET/MRI can reveal previously unidentified pain sources and track structural changes between unloaded and loaded knee states. Participants include adults with PFJ OA or related knee pain who can perform 25 single-leg squats and meet safety criteria for MRI and PET imaging. The investigation aims to improve understanding of pain origins to guide future diagnostics and interventions.
Why it matters
Potential benefit: If successful, participants may gain clearer insights into the sources of their knee pain and inform more targeted treatment approaches.
How similar studies have gone: Prior studies have shown promise for using PET/MRI to visualize painful inflammation in musculoskeletal conditions, supporting the approach as exploratory but not yet standard.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult with the capacity to give informed consent * Ability to perform 25 single-leg squats * No traumatic knee injuries/surgeries since last visit for the parent study (IRB #21-34763) * No investigational drugs since last visit for the parent study (IRB #21-34763) * No contraindications to MRI or PET tracer since last visit for the parent study (IRB #21-34763) * Not taking steroid injections * Not pregnant * Additional inclusion criteria for healthy volunteers: Minimal pain (VAS=0-1) during a series of 25 single-leg squats on one or both legs Exclusion Criteria: * Inability to consent for themselves * Inability to perform 25 single-leg squats with the study leg * New traumatic knee injuries/surgeries since last visit for the parent study (IRB #21-34763) * Taking investigational drugs since last visit for the parent study (IRB #21-34763) * New contraindications to MRI or PET tracer since last visit for the parent study (IRB #21-34763) * Taking steroid injections * Pregnant * Diabetic * Additional exclusion criteria for healthy volunteers: VAS of 2 or greater during a series of 25 single-leg squats on both legs
Where it's running
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UCSF Radiology China Basin
San Francisco, California, United States Recruiting
Study contacts
- Principal investigator: Richard Souza, PhD, PT — University of California, San Francisco
- Study coordinator: Eric Hammond
- Email: eric.hammond@ucsf.edu
- Phone: 415-502-6470
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.