The Diagnostic Value of Ultrasound of the Rectus Femoris for the diagnosis of Sarcopenia in adults: A systematic review

Nies, I; Ackermans, Leanne L.G.C.; Poeze, Martijn; Blokhuis, Taco J.; Bosch, Jan A. Ten

doi:10.1016/j.injury.2022.06.004

Cited by 16 publications

(13 citation statements)

References 24 publications

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“…Ultrasound is a technique that brings information about the muscle structure, using, for example, the pennation angle, or the muscle composition, such as intramuscular adipose tissue infiltration or ecogenicity [6,10]. Moreover, according to two systematic reviews, ultrasound is a technique with high methodological heterogeneity [12,13]. A standardized protocol for ultrasound that focuses on the patient's position, the ultrasound probe used, and the muscular parameters assessed is necessary [12,13].…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, unlike muscle mass quantity, currently, no validated cut-off points for muscle mass quality parameters are defined [6]. In this context, there is a need to identify new valid and clear cut-off points for sarcopenia diagnosis, considering that goldstandard techniques such as magnetic resonance imaging and computed tomography are not feasible to use in clinical practice [12,13]. Thus, considering the current limitations for the sarcopenia diagnosis and highlighting that sarcopenia could be underdiagnosed in community-dwelling older adults according to the current criteria, the identification of new cut-off points for the muscle mass quantity and quality parameters and the incorporation of them in the sarcopenia assessment could improve the sarcopenia diagnosis in the clinical practice.…”

Section: Introductionmentioning

confidence: 99%

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New Perspectives for Low Muscle Mass Quantity/Quality Assessment in Probable Sarcopenic Older Adults: An Exploratory Analysis Study

Besora-Moreno,

Llauradó,

Jiménez-ten Hoevel

et al. 2024

Nutrients

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Background: Low muscle mass quantity/quality is needed to confirm sarcopenia diagnosis; however, no validated cut-off points exist. This study aimed to determine the diagnostic accuracy of sarcopenia through muscle mass quantity/quality parameters, using the bioimpedance analysis (BIA), isokinetic, and ultrasound tools in probable sarcopenic community-dwelling older adults (≥60 years). Also, it aimed to suggest possible new cut-off points to confirm sarcopenia diagnosis. Methods: A cross-sectional exploratory analysis study was performed with probable sarcopenic and non-sarcopenic older adults. BIA, isokinetic, and ultrasound parameters were evaluated. The protocol was registered on ClinicalTrials.gov (NCT05485402). Results: A total of 50 individuals were included, 38 with probable sarcopenia (69.63 ± 4.14 years; 7 men and 31 women) and 12 non-sarcopenic (67.58 ± 4.54 years; 7 men and 5 women). The phase angle (cut-off: 5.10° men, p = 0.003; 4.95° women, p < 0.001), peak torque (cut-off: 66.75 Newtons-meters (N-m) men, p < 0.001; 48.35 N-m women, p < 0.001), total work (cut-off: 64.00 Joules (J) men, p = 0.007; 54.70 J women, p = 0.001), and mean power (cut-off: 87.8 Watts (W) men, p = 0.003; 48.95 W women, p = 0.008) in leg extension, as well as the the forearm muscle thickness (cut-off: 1.41 cm (cm) men, p = 0.017; 0.94 cm women, p = 0.041), had great diagnostic accuracy in both sexes. Conclusions: The phase angle, peak torque, total work, and mean power in leg extension, as well as forearm muscle thickness, had great diagnostic accuracy in regard to sarcopenia, and the suggested cut-off points could lead to the confirmation of sarcopenia diagnosis, but more studies are needed to confirm this.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

New Perspectives for Low Muscle Mass Quantity/Quality Assessment in Probable Sarcopenic Older Adults: An Exploratory Analysis Study

Besora-Moreno,

Llauradó,

Jiménez-ten Hoevel

et al. 2024

Nutrients

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“…Nies et al 28 reported a systematic review on TMT assessed using ultrasonography for sarcopenia. Most related studies used the supine position, and included 90 flexion and recumbent positions, with cutoffs ranging from 1.43 to 1.88 cm.…”

Section: Discussionmentioning

confidence: 99%

Thigh muscle thickness on ultrasonography for diagnosing sarcopenia: The Kyoto‐Kameoka study

Yoshida,

Watanabe,

Yokoyama

et al. 2023

Geriatrics Gerontology Int

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AimThe Asian Working Group for Sarcopenia 2019 consensus reported that evidence for the diagnosis of sarcopenia based on ultrasonography findings is lacking. The revised European Working Group on Sarcopenia in Older People consensus stated that ultrasonography is reliable and valid for assessing muscle size in older adults. The present study aimed to determine the predictive accuracy of ultrasonography for sarcopenia in older adults in Japan.MethodsA total of 1229 participants aged 65–91 years were included in this cross‐sectional study. The thickness of the anterior compartment of the right thigh was assessed using B‐mode ultrasonography. The measurement position was at the midpoint of the thigh. In addition, the grip strength, gait speed, Five‐Time Sit‐to‐Stand Test, Short Physical Performance Battery score and skeletal muscle mass index were evaluated. Sarcopenia was diagnosed based on the Asian Working Group for Sarcopenia 2019 algorithm. We calculated the area under the receiver operating characteristic curve.ResultsThe area under the receiver operating characteristic curves (95% confidence intervals) and cutoff values for the thigh muscle thickness in sarcopenia were 0.901 (0.856–0.946) and 4.0 cm in men, respectively, and 0.923 (0.851–0.995) and 3.1 cm in women, respectively. The area under the receiver operating characteristic curve for each subdomain of sarcopenia, such as grip strength and gait speed, ranged from 0.618 to 0.872.ConclusionsIn the present study, the suggested cutoff mid‐thigh muscle thicknesses on ultrasonography for predicting sarcopenia were 4.0 cm in men and 3.1 cm in women. Geriatr Gerontol Int 2023; ••: ••–••.

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“…In addition, the reported sensitivities need to be higher to accurately and meaningfully use US in a clinical setting. [ 92 ] Although US shows a potential role in the evaluation of sarcopenia in clinical practice, the lack of standardized reference values stalls its routine use unless gender and ethnicity-specific normative data is available. [ 93 ] Studies from different regions are inconsistent; with significant gender differences as well as community and clinical practice settings.…”

Section: H Ow To P Erform Us?mentioning

confidence: 99%

Ultrasonography for Assessment of Sarcopenia

Gupta

Lehl

Lamba

2022

Journal of Mid-Life Health

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A BSTRACT The human skeletal muscle has a pivotal role in preserving health by maintaining mobility, balance, and metabolic homeostasis. Significant muscle loss as a part of aging and accelerated by disease leads to sarcopenia which becomes an important predictor of quality of life in older persons. Therefore, clinical screening for sarcopenia and validation by precise qualitative and quantitative measurement of skeletal muscle mass (MM) and function is at the center-stage of translational research. Many imaging modalities are available, each having their strengths and limitations, either in interpretation, technical processes, time constraints, or expense. B-mode ultrasonography (US) is a relatively novel approach to evaluating muscle. It can measure several parameters such as MM and architecture simultaneously including muscle thickness, cross-sectional area, echogenicity, pennate angle, and fascicle length. It can also evaluate dynamic parameters like muscle contraction force and muscle microcirculation. US has not gained global attention due to a lack of consensus on standardization and diagnostic threshold values to diagnose sarcopenia. However, it is an inexpensive and widely available technique with clinical applicability. The ultrasound-derived parameters correlate well with strength and functional capacity and provide potential prognostic information. Our aim is to present an update on the evidence-based role of this promising technique in sarcopenia, its advantages over the existing modalities, and its limitations in actual practice with the hope that it may emerge as the “stethoscope” for community diagnosis of sarcopenia.

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The Diagnostic Value of Ultrasound of the Rectus Femoris for the diagnosis of Sarcopenia in adults: A systematic review

Cited by 16 publications

References 24 publications

New Perspectives for Low Muscle Mass Quantity/Quality Assessment in Probable Sarcopenic Older Adults: An Exploratory Analysis Study

New Perspectives for Low Muscle Mass Quantity/Quality Assessment in Probable Sarcopenic Older Adults: An Exploratory Analysis Study

Thigh muscle thickness on ultrasonography for diagnosing sarcopenia: The Kyoto‐Kameoka study

Ultrasonography for Assessment of Sarcopenia

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