Sakaeda Kanako, Shimizu Miki
Department of Veterinary Diagnostic Imaging, Faculty of Agriculture, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu-shi, Tokyo 183-8509, Japan.
J Vet Med Sci. 2016 Jun 1;78(5):803-10. doi: 10.1292/jvms.15-0512. Epub 2016 Jan 30.
Assessment of muscle mass is important for evaluating muscle function and rehabilitation outcomes. Ultrasound has recently been successfully used to estimate muscle mass in humans by measuring muscle thickness. This study attempted to standardize procedures for measuring femoral muscle thickness ultrasonographically, as well as quantify the reliability and validity of ultrasound evaluations of muscle thickness compared to measurements made by magnetic resonance imaging (MRI) in dogs. We evaluated the quadriceps femoris (QF), biceps femoris (BF), semitendinosus (ST) and semimembranosus (SM) muscles of 10 clinically healthy Beagle dogs. Scans were taken in 5 different sections divided equally between the greater trochanter and proximal patella. MRI was performed, followed by T1-weighted and contrast-enhanced T1-weighted imaging. Muscle cross-sectional area (CSA) was measured with MRI, and muscle thickness was measured with MRI and ultrasonography. The thickness of the QF, BF and ST muscles as measured by ultrasound at slices 1-3 (from the proximal end to the middle of the femur), 2-4 (middle of the femur) and 2 (more proximal than the middle of the femur), respectively, was correlated with muscle thickness and CSA as measured by MRI. These sites showed a flat interface between muscle and transducer and were situated over belly muscle. No correlation between measurement types was seen in SM muscle. We must confirm this assessment method for various breeds, sizes, ages and muscle pathologies in dogs, thereby confirming that muscle thickness as measured ultrasonographically can reflect muscle function.
评估肌肉质量对于评估肌肉功能和康复效果很重要。最近,超声已成功用于通过测量肌肉厚度来估计人体肌肉质量。本研究试图规范超声测量股部肌肉厚度的程序,并量化与犬类磁共振成像(MRI)测量结果相比,超声评估肌肉厚度的可靠性和有效性。我们评估了10只临床健康的比格犬的股四头肌(QF)、股二头肌(BF)、半腱肌(ST)和半膜肌(SM)。在大转子和近端髌骨之间平均划分的5个不同部位进行扫描。先进行MRI检查,然后进行T1加权成像和对比增强T1加权成像。用MRI测量肌肉横截面积(CSA),并用MRI和超声测量肌肉厚度。超声测量的QF、BF和ST肌肉在第1-3层(从股骨近端到中部)、第2-4层(股骨中部)和第2层(比股骨中部更靠近近端)的厚度,分别与MRI测量的肌肉厚度和CSA相关。这些部位在肌肉和换能器之间显示出平坦的界面,且位于肌腹上方。SM肌肉的测量类型之间未发现相关性。我们必须针对犬类的各种品种、大小、年龄和肌肉病变确认这种评估方法,从而确认超声测量的肌肉厚度能够反映肌肉功能。