<p>The assessment of skeletal muscle volume is valuable for fundamental research and clinical practice, but remains limited in larger cohorts due to its time-consuming nature. Here, we developed a method to accurately estimate vastus lateralis (VL) muscle volume based on a single measurement of anatomical cross-sectional area (ACSA) or tissue thickness. Sixty-nine healthy participants (20–91 years) volunteered. In a subgroup (<i>n</i> = 34) we measured VL volume and ACSAs at 10% intervals along the muscle length to derive a VL muscle shape factor. We subsequently estimated VL volume by multiplying this muscle shape factor with muscle length and a single measure of ACSA at 50% muscle length (ACSA<sub>VL50%</sub>) or an estimated ACSA<sub>VL50%</sub> from a single ultrasound scan of tissue thickness in an independent cohort (<i>n</i> = 35). VL muscle shape factor was determined by integrating a fourth-order polynomial of muscle length and ACSA, and was dependent on muscle size. Estimating muscle volume had a high accuracy (R²=0.976, CCC = 0.987), low bias and error (&lt; 8.5%) in both the main cohort and an independent validation group. Estimating muscle volume from stitching 2D images at 50% muscle length or estimating ACSA with a geometric model explained 91–95% of variance in measured volumes, with high accuracy and concordance correlation coefficients. VL muscle volume can be estimated by multiplying a muscle shape factor with muscle length and ACSA<sub>VL50%</sub> from a single ultrasound image. We present a novel, cost-effective, rapid, yet accurate assessment of VL muscle mass for (large-scale) studies and clinical practice.</p>

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Estimating vastus lateralis muscle volume from a single ultrasound image

  • Moritz Eggelbusch,
  • Guido Weide,
  • Michael Tieland,
  • Renske N. Vergeer,
  • Luuk Vos,
  • Jantine van den Helder,
  • Stephan van der Zwaard,
  • Richard T. Jaspers,
  • Peter J. M. Weijs,
  • Rob C. I. Wüst

摘要

The assessment of skeletal muscle volume is valuable for fundamental research and clinical practice, but remains limited in larger cohorts due to its time-consuming nature. Here, we developed a method to accurately estimate vastus lateralis (VL) muscle volume based on a single measurement of anatomical cross-sectional area (ACSA) or tissue thickness. Sixty-nine healthy participants (20–91 years) volunteered. In a subgroup (n = 34) we measured VL volume and ACSAs at 10% intervals along the muscle length to derive a VL muscle shape factor. We subsequently estimated VL volume by multiplying this muscle shape factor with muscle length and a single measure of ACSA at 50% muscle length (ACSAVL50%) or an estimated ACSAVL50% from a single ultrasound scan of tissue thickness in an independent cohort (n = 35). VL muscle shape factor was determined by integrating a fourth-order polynomial of muscle length and ACSA, and was dependent on muscle size. Estimating muscle volume had a high accuracy (R²=0.976, CCC = 0.987), low bias and error (< 8.5%) in both the main cohort and an independent validation group. Estimating muscle volume from stitching 2D images at 50% muscle length or estimating ACSA with a geometric model explained 91–95% of variance in measured volumes, with high accuracy and concordance correlation coefficients. VL muscle volume can be estimated by multiplying a muscle shape factor with muscle length and ACSAVL50% from a single ultrasound image. We present a novel, cost-effective, rapid, yet accurate assessment of VL muscle mass for (large-scale) studies and clinical practice.