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Published in: European Radiology 9/2014

01-09-2014 | Musculoskeletal

Test-retest reliability of automated whole body and compartmental muscle volume measurements on a wide bore 3T MR system

Authors: Marianna S. Thomas, David Newman, Olof Dahlqvist Leinhard, Bahman Kasmai, Richard Greenwood, Paul N. Malcolm, Anette Karlsson, Johannes Rosander, Magnus Borga, Andoni P. Toms

Published in: European Radiology | Issue 9/2014

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Abstract

Purpose

To measure the test-retest reproducibility of an automated system for quantifying whole body and compartmental muscle volumes using wide bore 3 T MRI.

Materials and methods

Thirty volunteers stratified by body mass index underwent whole body 3 T MRI, two-point Dixon sequences, on two separate occasions. Water-fat separation was performed, with automated segmentation of whole body, torso, upper and lower leg volumes, and manually segmented lower leg muscle volumes.

Results

Mean automated total body muscle volume was 19·32 L (SD9·1) and 19·28 L (SD9·12) for first and second acquisitions (Intraclass correlation coefficient (ICC) = 1·0, 95 % level of agreement -0·32–0·2 L). ICC for all automated test-retest muscle volumes were almost perfect (0·99–1·0) with 95 % levels of agreement 1.8–6.6 % of mean volume. Automated muscle volume measurements correlate closely with manual quantification (right lower leg: manual 1·68 L (2SD0·6) compared to automated 1·64 L (2SD 0·6), left lower leg: manual 1·69 L (2SD 0·64) compared to automated 1·63 L (SD0·61), correlation coefficients for automated and manual segmentation were 0·94–0·96).

Conclusion

Fully automated whole body and compartmental muscle volume quantification can be achieved rapidly on a 3 T wide bore system with very low margins of error, excellent test-retest reliability and excellent correlation to manual segmentation in the lower leg.

Key Points

• Sarcopaenia is an important reversible complication of a number of diseases.
• Manual quantification of muscle volume is time-consuming and expensive.
• Muscles can be imaged using in and out of phase MRI.
• Automated atlas-based segmentation can identify muscle groups.
• Automated muscle volume segmentation is reproducible and can replace manual measurements.
Literature
1.
go back to reference Berger MJ, Doherty TJ (2010) Sarcopenia: Prevalence, Mechanisms, and Functional Consequences. In: Mobbs CV, Hof PR (eds) Interdiscip. Top. Gerontol. KARGER, Basel, pp 94–114 Berger MJ, Doherty TJ (2010) Sarcopenia: Prevalence, Mechanisms, and Functional Consequences. In: Mobbs CV, Hof PR (eds) Interdiscip. Top. Gerontol. KARGER, Basel, pp 94–114
2.
go back to reference Summers GD, Deighton CM, Rennie MJ, Booth AH (2008) Rheumatoid cachexia: a clinical perspective. Rheumatology 47:1124–1131PubMedCrossRef Summers GD, Deighton CM, Rennie MJ, Booth AH (2008) Rheumatoid cachexia: a clinical perspective. Rheumatology 47:1124–1131PubMedCrossRef
3.
go back to reference Toda Y, Segal N, Toda T et al (2000) A decline in lower extremity lean body mass per body weight is characteristic of women with early phase osteoarthritis of the knee. J Rheumatol 27:2449–2454PubMed Toda Y, Segal N, Toda T et al (2000) A decline in lower extremity lean body mass per body weight is characteristic of women with early phase osteoarthritis of the knee. J Rheumatol 27:2449–2454PubMed
4.
go back to reference Morley JE, Thomas DR, Wilson M-MG (2006) Cachexia: pathophysiology and clinical relevance. Am J Clin Nutr 83:735–743PubMed Morley JE, Thomas DR, Wilson M-MG (2006) Cachexia: pathophysiology and clinical relevance. Am J Clin Nutr 83:735–743PubMed
5.
go back to reference von Haehling S, Anker SD (2010) Cachexia as a major underestimated and unmet medical need: facts and numbers. J Cachex Sarcopenia Muscle 1:1–5CrossRef von Haehling S, Anker SD (2010) Cachexia as a major underestimated and unmet medical need: facts and numbers. J Cachex Sarcopenia Muscle 1:1–5CrossRef
7.
go back to reference HajGhanbari B, Hamarneh G, Changizi N et al (2011) MRI-based 3D shape analysis of thigh muscles patients with chronic obstructive pulmonary disease versus healthy adults. Acad Radiol 18:155–166PubMedCrossRef HajGhanbari B, Hamarneh G, Changizi N et al (2011) MRI-based 3D shape analysis of thigh muscles patients with chronic obstructive pulmonary disease versus healthy adults. Acad Radiol 18:155–166PubMedCrossRef
8.
go back to reference Zanetti M, Gerber C, Hodler J (1998) Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging. Investig Radiol 33:163–170CrossRef Zanetti M, Gerber C, Hodler J (1998) Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging. Investig Radiol 33:163–170CrossRef
9.
go back to reference Preininger B, Schmorl K, von Roth P et al (2012) The sex specificity of hip-joint muscles offers an explanation for better results in men after total hip arthroplasty. Int Orthop 36:1143–1148PubMedCentralPubMedCrossRef Preininger B, Schmorl K, von Roth P et al (2012) The sex specificity of hip-joint muscles offers an explanation for better results in men after total hip arthroplasty. Int Orthop 36:1143–1148PubMedCentralPubMedCrossRef
10.
go back to reference Roubenoff R, Walsmith J, Lundgren N et al (2002) Low physical activity reduces total energy expenditure in women with rheumatoid arthritis: implications for dietary intake recommendations. Am J Clin Nutr 76:774–779PubMed Roubenoff R, Walsmith J, Lundgren N et al (2002) Low physical activity reduces total energy expenditure in women with rheumatoid arthritis: implications for dietary intake recommendations. Am J Clin Nutr 76:774–779PubMed
11.
go back to reference Lemmey AB, Marcora SM, Chester K et al (2009) Effects of high-intensity resistance training in patients with rheumatoid arthritis: A randomized controlled trial. Arthritis Care Res 61:1726–1734CrossRef Lemmey AB, Marcora SM, Chester K et al (2009) Effects of high-intensity resistance training in patients with rheumatoid arthritis: A randomized controlled trial. Arthritis Care Res 61:1726–1734CrossRef
12.
go back to reference Marcora SM, Lemmey AB, Maddison PJ (2005) Can progressive resistance training reverse cachexia in patients with rheumatoid arthritis? Results of a pilot study. J Rheumatol 32:1031–1039PubMed Marcora SM, Lemmey AB, Maddison PJ (2005) Can progressive resistance training reverse cachexia in patients with rheumatoid arthritis? Results of a pilot study. J Rheumatol 32:1031–1039PubMed
13.
go back to reference Fortin M, Battié MC (2012) Quantitative Paraspinal Muscle Measurements: Inter-Software Reliability and Agreement Using OsiriX and ImageJ. Phys Ther 92:853–864PubMedCrossRef Fortin M, Battié MC (2012) Quantitative Paraspinal Muscle Measurements: Inter-Software Reliability and Agreement Using OsiriX and ImageJ. Phys Ther 92:853–864PubMedCrossRef
14.
go back to reference Hoyte L, Ye W, Brubaker L et al (2011) Segmentations of MRI images of the female pelvic floor: A study of inter- and intra-reader reliability. J Magn Reson Imaging 33:684–691PubMed Hoyte L, Ye W, Brubaker L et al (2011) Segmentations of MRI images of the female pelvic floor: A study of inter- and intra-reader reliability. J Magn Reson Imaging 33:684–691PubMed
15.
go back to reference Brunner G, Nambi V, Yang E et al (2011) Automatic quantification of muscle volumes in magnetic resonance imaging scans of the lower extremities. Magn Reson Imaging 29:1065–1075PubMedCrossRef Brunner G, Nambi V, Yang E et al (2011) Automatic quantification of muscle volumes in magnetic resonance imaging scans of the lower extremities. Magn Reson Imaging 29:1065–1075PubMedCrossRef
16.
go back to reference Mattei JP, Fur YL, Cuge N et al (2006) Segmentation of fascias, fat and muscle from magnetic resonance images in humans: the DISPIMAG software. Magn Reson Mater Phys Biol Med 19:275–279 Mattei JP, Fur YL, Cuge N et al (2006) Segmentation of fascias, fat and muscle from magnetic resonance images in humans: the DISPIMAG software. Magn Reson Mater Phys Biol Med 19:275–279
17.
go back to reference Wald D, Teucher B, Dinkel J et al (2012) Automatic quantification of subcutaneous and visceral adipose tissue from whole‐body magnetic resonance images suitable for large cohort studies. J Magn Reson Imaging 36:1421–1434PubMed Wald D, Teucher B, Dinkel J et al (2012) Automatic quantification of subcutaneous and visceral adipose tissue from whole‐body magnetic resonance images suitable for large cohort studies. J Magn Reson Imaging 36:1421–1434PubMed
18.
go back to reference Broderick BJ, Dessus S, Grace PA, ÓLaighin G (2010) Technique for the computation of lower leg muscle bulk from magnetic resonance images. Med Eng Phys 32:926–933PubMedCrossRef Broderick BJ, Dessus S, Grace PA, ÓLaighin G (2010) Technique for the computation of lower leg muscle bulk from magnetic resonance images. Med Eng Phys 32:926–933PubMedCrossRef
19.
go back to reference Baudin P-Y, Azzabou N, Carlier PG, Paragios N (2012) Prior Knowledge, Random Walks and Human Skeletal Muscle Segmentation. In: Ayache N, Delingette H, Golland P, Mori K (eds) Med. Image Comput. Comput.-Assist. Interv. – MICCAI 2012. Springer, Berlin, pp 569–576CrossRef Baudin P-Y, Azzabou N, Carlier PG, Paragios N (2012) Prior Knowledge, Random Walks and Human Skeletal Muscle Segmentation. In: Ayache N, Delingette H, Golland P, Mori K (eds) Med. Image Comput. Comput.-Assist. Interv. – MICCAI 2012. Springer, Berlin, pp 569–576CrossRef
20.
go back to reference Engstrom CM, Fripp J, Jurcak V et al (2011) Segmentation of the quadratus lumborum muscle using statistical shape modeling. J Magn Reson Imaging 33:1422–1429PubMed Engstrom CM, Fripp J, Jurcak V et al (2011) Segmentation of the quadratus lumborum muscle using statistical shape modeling. J Magn Reson Imaging 33:1422–1429PubMed
21.
go back to reference Gubern-Mérida A, Kallenberg M, Martí R, Karssemeijer N (2012) Segmentation of the Pectoral Muscle in Breast MRI Using Atlas-Based Approaches. In: Ayache N, Delingette H, Golland P, Mori K (eds) Med. Image Comput. Comput.-Assist. Interv. – MICCAI 2012. Springer, Berlin, pp 371–378CrossRef Gubern-Mérida A, Kallenberg M, Martí R, Karssemeijer N (2012) Segmentation of the Pectoral Muscle in Breast MRI Using Atlas-Based Approaches. In: Ayache N, Delingette H, Golland P, Mori K (eds) Med. Image Comput. Comput.-Assist. Interv. – MICCAI 2012. Springer, Berlin, pp 371–378CrossRef
22.
go back to reference Walter SD, Eliasziw M, Donner A (1998) Sample size and optimal designs for reliability studies. Stat Med 17:101–110PubMedCrossRef Walter SD, Eliasziw M, Donner A (1998) Sample size and optimal designs for reliability studies. Stat Med 17:101–110PubMedCrossRef
24.
go back to reference Rydell J, Johansson A, Leinhard OD, et al (2008) Three dimensional phase sensitive reconstruction for water/fat separation in MR imaging using inverse gradient. Proc. Int. Soc. Magn. Reson. Med. Annu. Meet. ISMRM’08. p 1521 Rydell J, Johansson A, Leinhard OD, et al (2008) Three dimensional phase sensitive reconstruction for water/fat separation in MR imaging using inverse gradient. Proc. Int. Soc. Magn. Reson. Med. Annu. Meet. ISMRM’08. p 1521
25.
go back to reference Rydell J, Knutsson H, Pettersson J et al (2007) Phase Sensitive Reconstruction for Water/Fat Separation in MR Imaging Using Inverse Gradient. In: Ayache N, Ourselin S, Maeder A (eds) Med. Image Comput. Comput.-Assist. Interv. – MICCAI 2007. Springer, Berlin, pp 210–218CrossRef Rydell J, Knutsson H, Pettersson J et al (2007) Phase Sensitive Reconstruction for Water/Fat Separation in MR Imaging Using Inverse Gradient. In: Ayache N, Ourselin S, Maeder A (eds) Med. Image Comput. Comput.-Assist. Interv. – MICCAI 2007. Springer, Berlin, pp 210–218CrossRef
26.
go back to reference Dahlqvist Leinhard O, Johansson A, Lundberg P (2008) Water-fat shift displacement artifact correction in two-point Dixon imaging. Proc Intl Soc Mag Reson Med. p 1384 Dahlqvist Leinhard O, Johansson A, Lundberg P (2008) Water-fat shift displacement artifact correction in two-point Dixon imaging. Proc Intl Soc Mag Reson Med. p 1384
27.
go back to reference Leinhard OD, Johansson A, Rydell J, et al (2008) Quantitative abdominal fat estimation using MRI. 19th Int. Conf. Pattern Recognit. 2008 ICPR 2008. pp 1–4 Leinhard OD, Johansson A, Rydell J, et al (2008) Quantitative abdominal fat estimation using MRI. 19th Int. Conf. Pattern Recognit. 2008 ICPR 2008. pp 1–4
28.
go back to reference Romu T, Borga M, Dahlqvist O (2011) MANA - Multi scale adaptive normalized averaging. 2011 I.E. Int. Symp. Biomed. Imaging Nano Macro. pp 361–364 Romu T, Borga M, Dahlqvist O (2011) MANA - Multi scale adaptive normalized averaging. 2011 I.E. Int. Symp. Biomed. Imaging Nano Macro. pp 361–364
29.
go back to reference Zijdenbos AP, Dawant BM, Margolin RA, Palmer AC (1994) Morphometric analysis of white matter lesions in MR images: method and validation. IEEE Trans Med Imaging 13:716–724PubMedCrossRef Zijdenbos AP, Dawant BM, Margolin RA, Palmer AC (1994) Morphometric analysis of white matter lesions in MR images: method and validation. IEEE Trans Med Imaging 13:716–724PubMedCrossRef
30.
go back to reference Commean PK, Tuttle LJ, Hastings MK et al (2011) Magnetic resonance imaging measurement reproducibility for calf muscle and adipose tissue volume. J Magn Reson Imaging 34:1285–1294PubMedCentralPubMed Commean PK, Tuttle LJ, Hastings MK et al (2011) Magnetic resonance imaging measurement reproducibility for calf muscle and adipose tissue volume. J Magn Reson Imaging 34:1285–1294PubMedCentralPubMed
31.
go back to reference Hiba B, Richard N, Hébert LJ et al (2012) Quantitative assessment of skeletal muscle degeneration in patients with myotonic dystrophy type 1 using MRI. J Magn Reson Imaging 35:678–685PubMed Hiba B, Richard N, Hébert LJ et al (2012) Quantitative assessment of skeletal muscle degeneration in patients with myotonic dystrophy type 1 using MRI. J Magn Reson Imaging 35:678–685PubMed
32.
go back to reference Dahlqvist Leinhard O, Romu T, Kihlberg J, et al (2012) Validation of whole--‐body adipose tissue quantification using air displacement plethysmometry Dahlqvist Leinhard O, Romu T, Kihlberg J, et al (2012) Validation of whole--‐body adipose tissue quantification using air displacement plethysmometry
33.
go back to reference Barra V, Boire J-Y (2002) Segmentation of fat and muscle from MR images of the thigh by a possibilistic clustering algorithm. Comput Methods Prog Biomed 68:185–193CrossRef Barra V, Boire J-Y (2002) Segmentation of fat and muscle from MR images of the thigh by a possibilistic clustering algorithm. Comput Methods Prog Biomed 68:185–193CrossRef
Metadata
Title
Test-retest reliability of automated whole body and compartmental muscle volume measurements on a wide bore 3T MR system
Authors
Marianna S. Thomas
David Newman
Olof Dahlqvist Leinhard
Bahman Kasmai
Richard Greenwood
Paul N. Malcolm
Anette Karlsson
Johannes Rosander
Magnus Borga
Andoni P. Toms
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 9/2014
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-014-3226-6

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