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健康受试者腰椎旁肌肉的定量磁共振成像参数及其与功能和衰老的关系。

Quantitative magnetic resonance imaging parameters of lumbar paraspinal muscles and their relationship to function and ageing in healthy subjects.

作者信息

Kokosova Viktoria, Krkoska Peter, Vlazna Daniela, Dostal Marek, Ovesna Petra, Matulova Katerina, Adamova Blanka

机构信息

Department of Neurology, Centre for Neuromuscular Diseases (Associated National Centre in the ERN EURO-NMD), University Hospital Brno, Brno, Czechia.

Faculty of Medicine, Masaryk University, Brno, Czechia.

出版信息

Quant Imaging Med Surg. 2025 Jul 1;15(7):6517-6525. doi: 10.21037/qims-2024-2633. Epub 2025 Jun 30.


DOI:10.21037/qims-2024-2633
PMID:40727326
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12290670/
Abstract

Muscle ageing involves structural and functional changes of muscles, mainly their replacement by fatty and fibrous tissue accompanied by the loss of muscle function. Quantitative magnetic resonance imaging (qMRI) methods have potential to provide biomarkers of degenerative changes in muscles with ageing. To assess the relationship between qMRI parameters of lumbar paraspinal muscles (LPMs) and their function and evolution with ageing in healthy subjects, 90 volunteers underwent MRI of lumbar spine and LPM utilising a 6-point Dixon gradient echo sequence. Using manual muscle segmentation, fat fraction (FF) and functional muscle volume (FMV) were calculated for LPM, with the psoas muscle (PS) as a control muscle. Functional parameters of LPM (strength and endurance) were assessed. Based on our data analysis, both FF and FMV of LPM correlate significantly with maximal isometric lumbar extensor muscle strength, but not with endurance. With ageing, FF of LPM increases by 34% per decade, while FF of PS increases by 17% per decade. This difference between LPM and the PS in the rate of FF increase is significant. FMV evinces a decreasing trend in both LPM and PS. However, only FMV of PS decreases significantly by 7% per decade. Our cross-sectional study shows a significant correlation between qMRI parameters of LPM and their strength. FF appears to be a biomarker of muscle ageing with different ageing patterns of distinct muscle groups: LPM and PS.

摘要

肌肉衰老涉及肌肉的结构和功能变化,主要表现为肌肉被脂肪和纤维组织替代,同时伴随肌肉功能丧失。定量磁共振成像(qMRI)方法有潜力提供肌肉衰老退变变化的生物标志物。为评估健康受试者腰椎旁肌肉(LPMs)的qMRI参数与其功能及随年龄变化的关系,90名志愿者采用6点狄克逊梯度回波序列接受了腰椎和LPM的MRI检查。通过手动肌肉分割,计算LPM的脂肪分数(FF)和功能性肌肉体积(FMV),并将腰大肌(PS)作为对照肌肉。评估了LPM的功能参数(力量和耐力)。基于我们的数据分析,LPM的FF和FMV均与腰椎最大等长伸肌力量显著相关,但与耐力无关。随着年龄增长,LPM的FF每十年增加34%,而PS的FF每十年增加17%。LPM和PS在FF增加速率上的这种差异是显著的。LPM和PS的FMV均呈现下降趋势。然而,只有PS的FMV每十年显著下降7%。我们的横断面研究表明LPM的qMRI参数与其力量之间存在显著相关性。FF似乎是不同肌肉群(LPM和PS)具有不同衰老模式的肌肉衰老生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209e/12290670/0cb448560b3e/qims-15-07-6517-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209e/12290670/407500d28b0f/qims-15-07-6517-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209e/12290670/e0df47dd232e/qims-15-07-6517-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209e/12290670/0cb448560b3e/qims-15-07-6517-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209e/12290670/407500d28b0f/qims-15-07-6517-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209e/12290670/e0df47dd232e/qims-15-07-6517-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209e/12290670/0cb448560b3e/qims-15-07-6517-f3.jpg

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本文引用的文献

[1]
Assessment of lumbar paraspinal muscle morphology using mDixon Quant magnetic resonance imaging (MRI): a cross-sectional study in healthy subjects.

Quant Imaging Med Surg. 2024-8-1

[2]
Understanding the Biering-Sørensen test: Contributors to extensor endurance in young adults with and without a history of low back pain.

J Electromyogr Kinesiol. 2024-2

[3]
Muscle Steatosis and Fibrosis in Older Adults, From the Special Series on Imaging of Fibrosis.

AJR Am J Roentgenol. 2024-5

[4]
Factors of Muscle Quality and Determinants of Muscle Strength: A Systematic Literature Review.

Healthcare (Basel). 2022-10-3

[5]
The age-related loss of skeletal muscle mass and function: Measurement and physiology of muscle fibre atrophy and muscle fibre loss in humans.

Ageing Res Rev. 2018-7-23

[6]
Skeletal Muscle Quantitative Nuclear Magnetic Resonance Imaging and Spectroscopy as an Outcome Measure for Clinical Trials.

J Neuromuscul Dis. 2016-3-3

[7]
Fat Replacement of Paraspinal Muscles with Aging in Healthy Adults.

Med Sci Sports Exerc. 2017-3

[8]
Age- and Level-Dependence of Fatty Infiltration in Lumbar Paravertebral Muscles of Healthy Volunteers.

AJNR Am J Neuroradiol. 2016-4

[9]
Age and side-related morphometric MRI evaluation of trunk muscles in people without back pain.

Man Ther. 2015-2

[10]
Paraspinal muscle morphology and composition: a 15-yr longitudinal magnetic resonance imaging study.

Med Sci Sports Exerc. 2014

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