Ultrasound imaging of quadriceps muscle in patients with knee osteoarthritis: The test-retest and inter-rater reliability and concurrent validity of echo intensity measurement

Karapınar, Merve; Ayyildiz, Veysel; Unal, Meric; Fırat, Tüzün

doi:10.1016/j.msksp.2021.102453

Cited by 7 publications

(7 citation statements)

References 32 publications

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“…Here, our results demonstrated a high or very high intra- and inter-rater reliability for these two measurements. These results agree with Karapinar et al [ 17 ], who investigated the reliability of measuring the echogenicity features of the quadriceps muscle in patients with knee osteoarthritis. In addition, Pardo et al [ 47 ] observed an ICC of 0.83 for the thickness of quadriceps femoris inter-rater reliability in critically ill patients, and May et al [ 42 ] showed excellent measurements (ICC 0.81 to 0.88) for the thickness of the GL and GM in a healthy population.…”

Section: Discussionsupporting

confidence: 92%

“…Briefly, the main outcomes are the pennation angle (the fiber angle relative to the force-generation axis, θp); fascicular length (the distance from the origin of the fascicle in the deep aponeurosis to the superficial aponeurosis, Lf), and muscle CSA, which presented good correlations with the muscle thickness (distance from deep aponeurosis to the superficial aponeurosis) [ 16 ]. Clinicians also record images and analyze tendon CSA and echogenicity (an index of tissue quality or fatty and fibrous infiltration) [ 17 ] to determine tissue quality in a non-invasive way. Previous studies have found that ultrasound imaging is reproducible for analyzing the properties of lower limb muscles and tendons [ 13 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Intra- and Inter-Rater Reliability and Agreement of Ultrasound Imaging of Muscle Architecture and Patellar Tendon in Post-COVID-19 Patients Who Had Experienced Moderate or Severe COVID-19 Infection

Ferreira

Ventura

Almeida

et al. 2022

JCM

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COVID-19 is associated with musculoskeletal disorders. Ultrasound is a tool to assess muscle architecture and tendon measurements, offering an idea of the proportion of the consequences of the disease, since significant changes directly reflect the reduction in the ability to produce force and, consequently, in the functionality of the patient; however, its application in post-COVID-19 infection needs to be determined. We aimed to assess the intra- and inter-rater reliability of ultrasound measures of the architecture of the vastus lateralis (VL), rectus femoris (RF), vastus medialis (VM), gastrocnemius lateralis (GL), gastrocnemius medialis (GM), soleus (SO), and tibialis anterior (TA) muscles, as well as the patellar tendon (PT) cross-sectional area (CSA) in post-COVID-19 patients. An observational, prospective study with repeated measures was designed to evaluate 20 post-COVID-19 patients, who were measured for the pennation angle (θp), fascicular length (Lf), thickness, echogenicity of muscles, CSA and echogenicity of the PT. The intra-class correlation coefficient (ICC) and 95% limits of agreement were used. The intra-rater reliability presented high or very high correlations (ICC = 0.71–1.0) for most measures, except the θp of the TA, which was classified as moderate (ICC = 0.69). Observing the inter-rater reliability, all the evaluations of the PT, thickness and echogenicity of the muscles presented high or very high correlations. For the Lf, only the RF showed as low (ICC = 0.43), for the θp, RF (ICC = 0.68), GL (ICC = 0.70) and TA (ICC = 0.71) moderate and the SO (ICC = 0.40) low. The ultrasound reliability was acceptable for the muscle architecture, muscle and tendon echogenicity, and PT CSA, despite the low reliability for the Lf and θp of the RF and SO, respectively.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Intra- and Inter-Rater Reliability and Agreement of Ultrasound Imaging of Muscle Architecture and Patellar Tendon in Post-COVID-19 Patients Who Had Experienced Moderate or Severe COVID-19 Infection

Ferreira

Ventura

Almeida

et al. 2022

JCM

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“…Ultrasound technology has previously demonstrated validity and reliability for muscle mass and quality assessment [ 13 – 16 , 19 , 20 , 54 – 56 ]. In our study we used a new simple protocol that has been previously described and validated in young adults in ICU patients [ 24 ], able to quantify muscle quantity and quality.…”

Section: Discussionmentioning

confidence: 99%

"SARCOPENIA MEASURED BY ULTRASOUND IN HOSPITALIZED OLDER ADULTS" (ECOSARC): multi-centre, prospective observational study protocol

et al. 2023

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Background Measurement of muscle mass and function, and thereafter, screening and diagnosis of sarcopenia, is a challenge and a need in hospitalized older adults. However, it is difficult in complex real-world old patients, because usually they are unable to collaborate with clinical, functional, and imaging testing. Ultrasound measurement of quadriceps rectus femoris (QRF) provides a non-invasive, real-time assessment of muscle quantity and quality, and is highly acceptable to participants with excellent inter-rater and intra-rater variability. However, normative data, protocol standardization, and association with longitudinal outcomes, needs further research and consensus. Methods Prospective exploratory multicenter study in older adults admitted to Acute Geriatric Units (AGUs) for medical reasons. 157 subjects from 7 AGUs of Spain were recruited between May 2019 and January 2022. Muscle ultrasound measurements of the anterior vastus of the QRF were acquired on admission and on discharge, using a previously validated protocol, using a Chieson model ECO2 ultrasound system (Chieson Medical Technologies, Co. Ltd, Wimxu District Wuxi, Jiangsu, China). Measurements included the cross-sectional area, muscle thickness in longitudinal view, intramuscular central tendon thickness, echogenicity, and the presence or absence of edema and fasciculations. Functional, nutritional, and DXA measurements were provided. Clinical follow-up was completed at discharge, and 30 and 90 days after discharge. Variations between hospital admission and discharge ultrasound values, and the relationship with clinical variables, will be analyzed using paired t-tests, Wilcoxon tests, or Mc Nemar chi-square tests when necessary. Prevalence of sarcopenia will be calculated, as well as sensitivity and specificity of ultrasound measurements to determine sarcopenia. Kappa analysis will be used to analyze the concordance between measurements, and sensitivity analysis will be conducted for each participating center. Discussion The results obtained will be of great interest to the scientific geriatric community to assess the utility and validity of ultrasound measurements for the detection and follow-up of sarcopenia in hospitalized older adults, and its association with adverse outcomes. Trial registration NCT05113758. Registration date: November 9th 2021. Retrospectively registered.

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“…Figures 2 and 3 show the process with the United States National Institutes of Health "Image J" [145]. Echo intensity of QRF has demonstrated inter-rater and test-retest reliability in a validation study developed in patients with knee osteoarthritis, independently of how the muscle Region of Interest had been selected and is suggested to evaluate muscle changes [146].…”

Section: Nutritional Ultrasound ® To Assess Muscle Quality Including ...mentioning

confidence: 99%

Body Composition Evaluation and Clinical Markers of Cardiometabolic Risk in Patients with Phenylketonuria

Luengo-Pérez,

Fernández-Bueso,

Ambrojo

et al. 2023

Nutrients

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Cardiovascular diseases are the main cause of mortality worldwide. Patients with phenylketonuria (PKU) may be at increased cardiovascular risk. This review provides an overview of clinical and metabolic cardiovascular risk factors, explores the connections between body composition (including fat mass and ectopic fat) and cardiovascular risk, and examines various methods for evaluating body composition. It particularly focuses on nutritional ultrasound, given its emerging availability and practical utility in clinical settings. Possible causes of increased cardiometabolic risk in PKU are also explored, including an increased intake of carbohydrates, chronic exposure to amino acids, and characteristics of microbiota. It is important to evaluate cardiovascular risk factors and body composition in patients with PKU. We suggest systematic monitoring of body composition to develop nutritional management and hydration strategies to optimize performance within the limits of nutritional therapy.

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Ultrasound imaging of quadriceps muscle in patients with knee osteoarthritis: The test-retest and inter-rater reliability and concurrent validity of echo intensity measurement

Cited by 7 publications

References 32 publications

Intra- and Inter-Rater Reliability and Agreement of Ultrasound Imaging of Muscle Architecture and Patellar Tendon in Post-COVID-19 Patients Who Had Experienced Moderate or Severe COVID-19 Infection

Intra- and Inter-Rater Reliability and Agreement of Ultrasound Imaging of Muscle Architecture and Patellar Tendon in Post-COVID-19 Patients Who Had Experienced Moderate or Severe COVID-19 Infection

"SARCOPENIA MEASURED BY ULTRASOUND IN HOSPITALIZED OLDER ADULTS" (ECOSARC): multi-centre, prospective observational study protocol

Body Composition Evaluation and Clinical Markers of Cardiometabolic Risk in Patients with Phenylketonuria

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