# Physiology of Inflammatory Arthritis in High Resolution

> **NIH NIH R01** · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2020 · $649,047

## Abstract

Title: Physiology of Inflammatory Arthritis in High Resolution
Abstract
Development of new imaging technologies to identify and validate biomarkers of inflammatory arthritic disease
is of broad interest and aligned with common goals of physicians, medical researchers, and scientific entities.
Presenting highly sensitive optical information in subsurface tissue with spatial resolution comparable to
ultrasound (US) imaging, the emerging photoacoustic (PA) imaging offers significant advantages to early
diagnosis and prognosis, as well as assessing the treatment of arthritis, by providing additional new functional
information about the disease activity that can be effectively combined with more established and widely
accepted musculoskeletal US imaging. Our current research on arthritis patients has successfully demonstrated
that a combined US-PA system is capable of identifying and characterizing inflammation in human peripheral
joints, based on the detection of hemodynamic and metabolic changes, including both hyperemia and hypoxia.
These are important and early physiological biomarkers of synovitis reflecting the increased metabolic demand
and the relatively inadequate oxygen delivery of the inflammatory synovial tissue.
Encouraged by the initial success of our study on arthritis patients, we propose to further advance the
translation of US-PA dual imaging technology to clinical management of inflammatory arthritis. Our ultimate goal
is to develop a cost-efficient and point-of-care joint imaging device that can enable early treatment modification
and personalized medicine, changing the current procedures in rheumatology clinic. In this research, to
understand the clinical value of the proposed imaging technology, we will identify a group of robust, reliably
reproducible, and precise biomarkers that can reflect the early pathological changes of inflammatory arthritis
and its response to treatment. The central hypothesis is that a group of 3D US and PA biomarkers that can be
evaluated by the proposed imaging technology can lead to better assessment of arthritis disease state and
treatment response than those evaluated by conventional 2D US imaging. To examine this hypothesis,
following specific aims will be accomplished:
Aim 1: Develop a method to assess inflammatory arthritis disease activity by quantifying 3D US and PA
biomarkers that reflect the underlying pathological condition of specific joints
Aim 2: Evaluate the performance of these biomarkers in assessing the pathological condition in local joints
affected by arthritis through the study on a well-developed animal model
Aim 3. Evaluate the clinical value of the identified imaging biomarkers that can be assessed by the US-PA
dual-modality technology via a pilot study on patients affected by inflammatory arthritis

## Key facts

- **NIH application ID:** 9984870
- **Project number:** 5R01AR060350-09
- **Recipient organization:** UNIVERSITY OF MICHIGAN AT ANN ARBOR
- **Principal Investigator:** XUEDING WANG
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $649,047
- **Award type:** 5
- **Project period:** 2011-09-06 → 2022-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9984870

## Citation

> US National Institutes of Health, RePORTER application 9984870, Physiology of Inflammatory Arthritis in High Resolution (5R01AR060350-09). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/9984870. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
