Sonographic Measurement of the Quadriceps Muscle in Patients With Chronic Obstructive Pulmonary Disease

Cruz‐Montecinos, Carlos; Guajardo-Rojas, Carlos; Montt, Eloísa; Contreras-Briceño, Felipe; Torres‐Castro, Rodrigo; Díaz, Orlando; Cuesta‐Vargas, Antonio

doi:10.7863/ultra.15.11032

Cited by 26 publications

(33 citation statements)

References 48 publications

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“…• Rectus femoris was assessed in supine position in full extension [65,68,72,[76][77][78][79][80][81][82][83][84][85][86], with knees at 10° [87][88][89], in semi-Fowler position [90][91][92]. It was assessed in sitting position with hips and knees at 90° [66,93] and with hips at 90° and knees at 60° [94].…”

Section: Upper Leg Musclesmentioning

confidence: 99%

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Application of ultrasound for muscle assessment in sarcopenia: towards standardized measurements

et al. 2018

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Purpose Measurement of muscle mass is paramount in the screening and diagnosis of sarcopenia. Besides muscle quantity however, also quality assessment is important. Ultrasonography (US) has the advantage over dual-energy X-ray absorptiometry (DEXA) and bio-impedance analysis (BIA) to give both quantitative and qualitative information on muscle. However, before its use in clinical practice, several methodological aspects still need to be addressed. Both standardization in measurement techniques and the availability of reference values are currently lacking. This review aims to provide an evidence-based standardization of assessing appendicular muscle with the use of US. Methods A systematic review was performed for ultrasonography to assess muscle in older people. Pubmed, SCOPUS and Web of Sciences were searched. All articles regarding the use of US in assessing appendicular muscle were used. Description of US-specific parameters and localization of the measurement were retrieved. Results Through this process, five items of muscle assessment were identified in the evaluated articles: thickness, crosssectional area, echogenicity, fascicle length and pennation angle. Different techniques for measurement and location of measurement used were noted, as also the different muscles in which this was evaluated. Then, a translation for a clinical setting in a standardized way was proposed. Conclusions The results of this review provide thus an evidence base for an ultrasound protocol in the assessment of skeletal muscle. This standardization of measurements is the first step in creating conditions to further test the applicability of US for use on a large scale as a routine assessment and follow-up tool for appendicular muscle.

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Section: Upper Leg Musclesmentioning

confidence: 99%

“…• Vastus medialis was assessed in supine position in full extension [72,84,104]. • Vastus intermedius was assessed in supine position in full extension [72,[76][77][78][79]84] and in semi-Fowler position [90]. It was assessed in sitting position with hips at 90° and knees at 60° [94].…”

Section: Upper Leg Musclesmentioning

confidence: 99%

Application of ultrasound for muscle assessment in sarcopenia: towards standardized measurements

et al. 2018

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“…Unlike muscle size, muscle composition was assessed in fewer studies with most examining the lower extremity muscles [24,30,53,56,59,60,65,66]. These studies consistently demonstrated increased muscle fat infiltration in individuals with chronic respiratory disease compared to healthy controls [24,30,59,60,66].…”

Section: Discussionmentioning

confidence: 99%

“…Muscle with more fat infiltration has a lower tissue density and is thought to have less contractile tissue than higher density muscle [24]. US echogenicity was used in only two studies in the present review [53,56], but is emerging as a measure of muscle quality in other populations such as critical illness [79]. A drawback of assessing muscle composition using echogenicity is the inability to differentiate non-contractile tissues such as fat, edema, and fibrous tissue [80].…”

Section: Discussionmentioning

confidence: 99%

“…A variety of MRI/MRS acquisition techniques were utilized to examine inter-and intra-muscular fat compartments using T 1 -weighted imaging [60,65,66], Dixon method [59] and proton spectroscopy ( 1 H-MRS) [58,59]. Only two studies used echo intensity obtained from US to describe muscle composition [53,56]. A significant increase in muscle fat infiltration of the lower extremity was observed in all studies comparing COPD to healthy controls [24,30,53,59,60,66].…”

Section: Assessment Of Skeletal Muscle Compositionmentioning

confidence: 99%

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Utilization of non-invasive imaging tools for assessment of peripheral skeletal muscle size and composition in chronic lung disease: A systematic review

Rozenberg

Martelli

Vieira

et al. 2017

Respiratory Medicine

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The current use of ultrasound to measure skeletal muscle and its ability to predict clinical outcomes: a systematic review

Casey

Alasmar

McLaughlin

et al. 2022

J cachexia sarcopenia muscle

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Quantification and monitoring of lean body mass is an important component of nutrition assessment to determine nutrition status and muscle loss. The negative impact of reduced muscle mass and muscle function is increasingly evident across acute and chronic disease states but is particularly pronounced in patients with cancer. Ultrasound is emerging as a promising tool to directly measure skeletal muscle mass and quality. Unlike other ionizing imaging techniques, ultrasound can be used repeatedly at the bedside and may compliment nutritional risk assessment. This review aims to describe the current use of skeletal muscle ultrasound (SMUS) to measure muscle mass and quality in patients with acute and chronic clinical conditions and its ability to predict functional capacity, severity of malnutrition, hospital admission, and survival. Databases were searched from their inception to August 2021 for full-text articles in English. Relevant articles were included if SMUS was investigated in acute or chronic clinical contexts and correlated with a defined clinical outcome measure. Data were synthesized for narrative review due to heterogeneity between studies. This review analysed 37 studies (3100 patients), which met the inclusion criteria. Most studies (n = 22) were conducted in critical care. The clinical outcomes investigated included functional status at discharge (intensive care unit-acquired weakness), nutritional status, and length of stay. SMUS was also utilized in chronic conditions such as chronic obstructive pulmonary disease, chronic heart failure, and chronic renal failure to predict hospital readmission and disease severity. Only two studies investigated the use of SMUS in patients with cancer. Of the 37 studies, 28 (76%) found that SMUS (crosssectional area, muscle thickness, and echointensity) showed significant associations with functional capacity, length of stay, readmission, and survival. There was significant heterogeneity in terms of ultrasound technique and outcome measurement across the included studies. This review highlights that SMUS continues to gain momentum as a potential tool for skeletal muscle assessment and predicting clinically important outcomes. Further work is required to standardize the technique in nutritionally vulnerable patients, such as those with cancer, before SMUS can be widely adopted as a bedside prognostic tool.

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Sonographic Measurement of the Quadriceps Muscle in Patients With Chronic Obstructive Pulmonary Disease

Cited by 26 publications

References 48 publications

Application of ultrasound for muscle assessment in sarcopenia: towards standardized measurements

Application of ultrasound for muscle assessment in sarcopenia: towards standardized measurements

Utilization of non-invasive imaging tools for assessment of peripheral skeletal muscle size and composition in chronic lung disease: A systematic review

The current use of ultrasound to measure skeletal muscle and its ability to predict clinical outcomes: a systematic review

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