Researchers have developed a new method for measuring knee joint effusion-synovitis volume, an MRI marker of synovial inflammation. This new approach gave reproducible volume measurements that were highly correlated with effusion-synovitis scores. In patients with symptomatic knee osteoarthritis who had low baseline levels of vitamin D and effusion-synovitis (n = 413), monthly supplementation with vitamin D3 (50,000 IU) over 24 months retarded the progression of effusion-synovitis compared with the placebo group (−1.94 ml, 95% CI −3.54 to −0.33).