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. 2017 Oct;25(10):1680–1689. doi: 10.1016/j.joca.2017.05.021

Table II.

The CEμCT grading criteria of OA. The detailed description of the grading criteria is presented in Appendix I

OA μCT grading system in OC plugs (v.1.0)
A. AC surface B. AC – zone 1
Surface structure (continuity) Cellularity
 Smooth and continuous (0)  Normal (0)
 Slightly discontinuous (1)  Diffuse hypercellular (1)
 Moderately discontinuous (2)  Cloning/clustering (2)
 Severely discontinuous (3)  Hypocellular (3)
Fibrillation(s)
 Absent (0)
 Few (1)
 Several (2)
Fissure(s)
 Absent (0)
 Present (1)
Fibrous tissue
 Absent (0)
 Present (1)



C. AC – zone 2 D. AC – zone 3
Cellularity Cellularity
 Normal (0)  Normal (0)
 Diffuse hypercellular (1)  Diffuse hypercellular (1)
 Cloning/clustering (2)  Cloning/clustering (2)
 Hypocellular (3)  Hypocellular (3)
ECM ECM
 Normal (0)  Normal (0)
 Slightly disorganized (1)  Slightly disorganized (1)
 Moderately disorganized (2)  Moderately disorganized (2)
 Severely disorganized (3)  Severely disorganized (3)
Fissure(s) Fissure(s)
 Absent (0)  Absent (0)
 Present only Z2 upper half (1)  Present only Z3 upper half (1)
 Present up to Z2 lower half (2)  Present up to Z3 lower half (2)
Fibrous tissue Fibrous tissue
 Absent (0)  Absent (0)
 Present – focal area (1)  Present – focal area (1)
 Present – throughout (2)  Present – throughout (2)



E. AC – zone 4 F. Tidemark
ECM  Present – only one (0)
 Normal (0)  Multiple (1)
 Slightly disorganized (1)
 Moderately disorganized (2) G. SB evaluation
 Severely disorganized (3) Subchondral sclerosis
Vascular infiltration  None (0)
 No vascularization (0)  Mild (1)
 Mild vascularization (1)  Moderate (2)
 Moderate vascularization (2)  Severe (3)
 Severe vascularization (3)
Fibrous tissue
 Absent (0)
 Present – focal area (1)
 Present – throughout (2)