Assessing Low Skeletal Mass in Patients Undergoing Hip Surgery: The Role of Sonoelastography
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Purpose: To analyze the utility of sonoelastography–a radiation-free procedure to characterize muscle properties–as an instrument to qualitatively and quantitatively assess the rectus femoris muscle. Materials and Methods: Fifty-one consecutive patients who underwent a pelvic computed tomography (CT) exam were enrolled prospectively. The final analysis was conducted using data from 39 patients after 12 were removed due to exclusion criteria (muscle strength could not be measured due to poor cognition [n=11]; too young [n=1]). The potential correlation between average Hounsfield unit (HFU) at the rectus femoris muscle (measured by CT) and muscle quality grade (determined by sonoelastography) was assessed along with a retrospective analysis of the relationship between hand grip strength, knee extensor power, history of intensive care unit stay, length of hospital day and sonoelastographic grade. Results: There was a significant correlation between sonoelastographic grade and the average HFU (P<0.001). Furthermore, hand grip strength (P<0.001) and knee extensor power (P<0.001) decreased significantly as the sonoelastographic grade increased. The likelihood of an intensive care unit stay and prevalence of low skeletal mass increased significantly with an increase in sonoelastography grade (P=0.037, P<0.001, respectively). The sensitivity, specificity, and accuracy of sonoelastographic images for predicting low skeletal mass were 77.3%, 100%, and 87.5%, respectively. Conclusion: Sonoelastography advantages, including the lack of radiation and greater accessibility, may make it a valuable alternative to qualitatively and quantitatively identify sarcopenia and low skeletal mass.
Abstract
Purpose: To analyze the utility of sonoelastography–a radiation-free procedure to characterize muscle properties–as an instrument to qualitatively and quantitatively assess the rectus femoris muscle. Materials and Methods: Fifty-one consecutive patients who underwent a pelvic computed tomography (CT) exam were enrolled prospectively. The final analysis was conducted using data from 39 patients after 12 were removed due to exclusion criteria (muscle strength could not be measured due to poor cognition [n=11]; too young [n=1]). The potential correlation between average Hounsfield unit (HFU) at the rectus femoris muscle (measured by CT) and muscle quality grade (determined by sonoelastography) was assessed along with a retrospective analysis of the relationship between hand grip strength, knee extensor power, history of intensive care unit stay, length of hospital day and sonoelastographic grade. Results: There was a significant correlation between sonoelastographic grade and the average HFU (P<0.001). Furthermore, hand grip strength (P<0.001) and knee extensor power (P<0.001) decreased significantly as the sonoelastographic grade increased. The likelihood of an intensive care unit stay and prevalence of low skeletal mass increased significantly with an increase in sonoelastography grade (P=0.037, P<0.001, respectively). The sensitivity, specificity, and accuracy of sonoelastographic images for predicting low skeletal mass were 77.3%, 100%, and 87.5%, respectively. Conclusion: Sonoelastography advantages, including the lack of radiation and greater accessibility, may make it a valuable alternative to qualitatively and quantitatively identify sarcopenia and low skeletal mass.
참고문헌 (41)
- Rosenberg IH, "Summary comments", Am J Clin Nutr, 50, pp.1231~1233 (1989)
- Cruz-Jentoft AJ, "Sarcopenia : European consensus on definition and diagnosis : report of the European Working Group on Sarcopenia in Older People", Age Ageing, 39, pp.412~423 (2010)
- Fielding RA, "Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International Working Group on Sarcopenia", J Am Med Dir Assoc, 12, pp.249~256 (2011)
- Gariballa S, "Sarcopenia : prevalence and prognostic significance in hospitalized patients", Clin Nutr, 32, pp.772~776 (2013)
- Jones KI, "Simple psoas cross-sectional area measurement is a quick and easy method to assess sarcopenia and predicts major surgical complications", Colorectal Dis, 17, pp.O20~6 (2015)
- Alexandre Tda S, "Sarcopenia according to the European Working Group on Sarcopenia in Older People(EWGSOP)versus dynapenia as a risk factor for mortality in the elderly", J Nutr Health Aging, 18, pp.751~756 (2014)
- Leeper CM, "Computed tomography abbreviated assessment of sarcopenia following trauma : the CAAST measurement predicts 6-month mortality in older adult trauma patients", J Trauma Acute Care Surg, 80, pp.805~811 (2016)
- Moisey LL, "Skeletal muscle predicts ventilator-free days, ICU-free days, and mortality in elderly ICU patients", Crit Care, 17, pp.R206~ (2013)
- Du Y, "Sarcopenia is a predictor of outcomes in very elderly patients undergoing emergency surgery", Surgery, 156, pp.521~527 (2014)
- Bokshan SL, "Sarcopenia in orthopedic surgery", Orthopedics, 39, pp.e295~300 (2016)
- Cooper C, "Tools in the assessment of sarcopenia", Calcif Tissue Int, 93, pp.201~210 (2013)
- Chien MY, "Prevalence of sarcopenia estimated using a bioelectrical impedance analysis prediction equation in community-dwelling elderly people in Taiwan", J Am Geriatr Soc, 56, pp.1710~1715 (2008)
- Abe T, "Effects of 20 days bed rest on muscle morphology", J Gravit Physiol, 4, pp.S10~4 (1997)
- Strasser EM, "Association between ultrasound measurements of muscle thickness, pennation angle, echogenicity and skeletal muscle strength in the elderly", Age(Dordr), 35, pp.2377~2388 (2013)
- Boutin RD, "Sarcopenia : current concepts and imaging implications", AJR Am J Roentgenol, 205, pp.W255~66 (2015)
- Ophir J, "Elastography : a quantitative method for imaging the elasticity of biological tissues", Ultrason Imaging, 13, pp.111~134 (1991)
- Botar-Jid C, "The contribution of ultrasonography and sonoelastography in assessment of myositis", Med Ultrason, 12, pp.120~126 (2010)
- de Bruin PF, "Size and strength of the respiratory and quadriceps muscles in patients with chronic asthma", Eur Respir J, 10, pp.59~64 (1997)
- Seymour JM, "Ultrasound measurement of rectus femoris cross-sectional area and the relationship with quadriceps strength in COPD", Thorax, 64, pp.418~423 (2009)
- Frey H, "Realtime elastography. A new ultrasound procedure for the reconstruction of tissue elasticity", Radiologe, 43, pp.850~855 (2003)
- Seo JB, "Sonoelastography findings of supraspinatus tendon in rotator cuff tendinopathy without tear : comparison with magnetic resonance images and conventional ultrasonography", J Ultrasound, 18, pp.143~149 (2014)
- Fess EE, "Clinical assessment recommendations", pp.41~45 (1992), American Society of Hand Therapists
- Peolsson A, "Intra-and inter-tester reliability and reference values for hand strength", J Rehabil Med, 33, pp.36~41 (2001)
- Chan OY, "Comparison of quadriceps strength and handgrip strength in their association with health outcomes in older adults in primary care", Age(Dordr), 36, pp.9714~ (2014)
- Chen LK, "Sarcopenia in Asia : consensus report of the Asian Working Group for Sarcopenia", J Am Med Dir Assoc, 15, pp.95~101 (2014)
- Sanada K, "Prediction and validation of total and regional skeletal muscle mass by ultrasound in Japanese adults", Eur J Appl Physiol, 96, pp.24~31 (2006)
- Abe T, "Prevalence of site-specific thigh sarcopenia in Japanese men and women", Age(Dordr), 36, pp.417~426 (2014)
- Noorkoiv M, "Assessment of quadriceps muscle cross-sectional area by ultrasound extended-fieldof-view imaging", Eur J Appl Physiol, 109, pp.631~639 (2010)
- Ishii S, "Development of a simple screening test for sarcopenia in older adults", Geriatr Gerontol Int, 14(Suppl 1), pp.93~101 (2014)
- Strobel K, "Fatty atrophy of supraspinatus and infraspinatus muscles : accuracy of US", Radiology, 237, pp.584~589 (2005)
- Loenneke JP, "Estimating site-specific muscle loss: a valuable tool for early sarcopenia detection?", Rejuvenation Res, 17, pp.496~498 (2014)
- Brandenburg JE, "Ultrasound elastography : the new frontier in direct measurement of muscle stiffness", Arch Phys Med Rehabil, 95, pp.2207~2219 (2014)
- Peng PD, "Sarcopenia negatively impacts short-term outcomes in patients undergoing hepatic resection for colorectal liver metastasis", HPB(Oxford), 13, pp.439~446 (2011)
- Kim G, "Prognostic value of sarcopenia in patients with liver cirrhosis : a systematic review and meta-analysis", PLoS One, 12, pp.e0186990~ (2017)
- Bokshan SL, "Effect of sarcopenia on postoperative morbidity and mortality after thoracolumbar spine surgery", Orthopedics, 39, pp.e1159~64 (2016)
- Evans A, "Invasive breast cancer : relationship between shear-wave elastographic findings and histologic prognostic factors", Radiology, 263, pp.673~677 (2012)
- Zhang Y, "Differentiation of prostate cancer from benign lesions using strain index of transrectal real-time tissue elastography", Eur J Radiol, 81, pp.857~862 (2012)
- Klauser AS, "Sonoelastography : musculoskeletal applications", Radiology, 272, pp.622~633 (2014)
- Klauser AS, "Achilles tendon assessed with sonoelastography : histologic agreement", Radiology, 267, pp.837~842 (2013)
- De Zordo T, "Real-time sonoelastography of lateral epicondylitis : comparison of findings between patients and healthy volunteers", AJR Am J Roentgenol, 193, pp.180~185 (2009)
- Buck AR, "Detection of small tendon lesions by sonoelastographic visualization of strain profile differences : initial experiences", Skeletal Radiol, 41, pp.1073~1079 (2012)