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We develop, validate and apply imaging biomarkers for evaluating musculoskeletal tissue pathology and its response to treatment

Chondrometrics GmbH provides expert consultation and image analysis service to academic researchers and the pharmaceutical industry. The strength of Chondrometrics, we believe, lies in the dedication and experience of its team of specialized researchers and readers, the profound integration with the scientific community, the rigorous scientific validation of its methodologies, and the transparency of its technology by publication in leading scientific journals. At Chondrometrics, we value our clients as collaborators, react immediately to their requests and specific needs, provide validated scientific information, communicate promptly, and act with anticipation.

Our Journey

Chondrometrics was founded in Munich in 2003 by Prof. Felix Eckstein and Prof. Reinhard Putz. Today, the company is headquartered in Freilassing, Germany – on the German–Austrian border near Salzburg.

Chondrometrics is a leading provider of medical image analysis for academia and industry, supporting both scientific research and clinical trials with advanced imaging technologies.

With more than 20 years of experience, we rely on an expert, quality-controlled manual image analysis pipeline that has received regulatory approval (see Our Expertise ). This approach has recently been supplemented by a fully automated analysis method (see Our Vision).

We use state-of-the-art MRI techniques to quantify structural changes in articular tissues. Our methods are applied in academic research as well as in clinical trials of pharmacological, surgical, or lifestyle interventions.

The overarching goal of our work is to qualify imaging biomarkers as surrogate endpoints in clinical trials – ultimately accelerating the development and approval of disease-modifying osteoarthritis drugs (DMOADs) and other innovative therapies.

Our Motivation

Osteoarthritis affects more than 500 million people worldwide, making it a leading cause of pain and disability. It is associated with progressive structural changes in articular tissues that result in severe joint symptoms.

While early diagnosis and clinical management are crucial to maintaining patients’ quality of life, no joint-structure-modifying therapy has yet been approved by regulatory agencies. Current treatments focus on pain management, while the modification of structural disease progression remains an unmet medical need.

Structural pathology is best captured through imaging: small increments of tissue change can be precisely detected using quantitative techniques. Chondrometrics’ validated methods can measure both disease progression and the effects of disease-modifying interventions with high accuracy and precision.

Our imaging-based approach also ensures that patient selection, imaging protocols, analytical methods, and endpoints are aligned with a drug’s mechanism of action (MOA) – a critical requirement for the success of clinical trials.

From Phase I to Phase IV randomized controlled trials (RCTs), our methodology supports the pharmaceutical and medical device industry in testing the safety and efficacy of novel compounds aimed at modifying disease progression.

Specifically, we offer consultation on the optimal design of imaging acquisition protocols — ensuring that biomarkers, patient selection, and endpoints are fully aligned with the mechanism of action (MOA) of the investigational product. This alignment is crucial to generating conclusive and regulatory-relevant trial outcomes.

Our Expertise

Chondrometrics provides regulatory-compliant medical image analysis services to pharmaceutical and medical device companies as well as academic institutions.

Our proprietary software platform, Chondrometrics 3.0, is a Class IIa medical device, certified under the current EU Medical Device Regulation (MDR 2017/745, Annex IX) (see certificate). All image analyses are conducted under a GCP-compliant quality management (QM) system, which is certified according to EN ISO 13485:2021 standards (see ISO certificate).

Both our QM system and software platform are audited annually and certified by Medical Device Certification GmbH (MDC), a notified body based in Stuttgart, Germany. We are also regularly audited by our industry partners and contract research organizations (CROs).

Our team of highly trained image analysts has more than 20 years of experience in manual segmentation of articular and musculoskeletal tissues (see Team ).

Our Biomarker Portfolio

  • Cartilage morphology (e.g. thickness)
  • Cartilage composition (e.g. T2)
  • Meniscus morphology & position
  • Bone, muscle & adipose tissue morphology
  • Infrapatellar fat pad (IPFP) radiomics
  • (Effusion) synovitis morphology

Thanks to our in-depth anatomical expertise, we also offer high-quality analysis of other musculoskeletal structures and organ systems beyond the joint.

Our Competitive Edge

Chondrometrics employees have over 30 years of academic and over 20 years of industry experience and are very well connected in the scientific community.

The company is supported by a strong scientific advisory board (SAB) of experts in osteoarthritis and related disease areas, focused on but not limited to imaging. It has been and is an active SME participant in many international projects and networks.

We offer quality-controlled manual gold- standard segmentation of articular tissues that satisfies the relevant industry standards and is regulatorily compliant.

In addition we offer fully automated segmentation based on artificial intelligence (convolutional neural network) technology that has been thoroughly validated, both technically and clinically. This renders analysis scalable for your clinical trial and offers economic benefits

Our Vision

Chondrometrics is committed to developing precise, sensitive imaging technologies that make clinical trials more efficient, cost-effective, and conclusive.

Our vision is to establish quantitative imaging biomarkers not only as secondary endpoints but as regulatory-accepted surrogate markers that can replace clinical outcomes – directly supporting regulatory approval of medicinal investigational products (MIPs) as drugs.

To this end, we now offer a fully automated image analysis service based on a validated, efficient combination of deep learning (AI) and post-processing techniques.

These advances are grounded in more than 30 years of academic expertise in musculoskeletal imaging and clinical research.

Our automated technologies are trained and validated using a large resource of manually segmented datasets, ensuring both technical reliability and clinical relevance. This stringent alignment enables trials to produce clear, unambiguous answers about a compound’s structural effects on osteoarthritis.