Muscle Volume Measurement for Intensive Care Unit Acquired weakness using Computed Tomography: A Pilot Study
| Autor: | Atsushi Kibata, Kensuke Nakamura, Tomohiro Sonoo, Kazutaka Fukushima, Hiroaki Daidoji, Hiromu Naraba, Hideki Hashimoto |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Ultrasound 030208 emergency & critical care medicine Computed tomography 030229 sport sciences Muscle volume Intensive care unit law.invention Manual Muscle Testing 03 medical and health sciences Inter-rater reliability 0302 clinical medicine law Medicine Radiology business Intensive care unit acquired weakness Reliability (statistics) |
| Zdroj: | Journal of Medical Diagnostic Methods. |
| ISSN: | 2168-9784 |
| DOI: | 10.4172/2168-9784.1000264 |
| Popis: | Muscle volume measurement is important for ICUAW evaluation, which has been done using ultrasound and manual muscle testing. We compared the reliability of CT and other methods for muscle volume measurement. This observational study assessed 7 patients 40 years old or older who had been admitted to our ICU. Based on a prespecified CT protocol, muscle volume was evaluated on admission day and at 10-14 days after admission. Results show that the femoral muscle volume decreased significantly by up to 20%. The ICC between two raters was 0.97. Psoas muscle volume decline did not correlate with the femoral muscle decline. Femoral muscle volume evaluation was reliable and objective. This method is useful to quantify the ICUAW severity. Our pilot study based on CT femoral muscle volume evaluation will facilitate further studies to prevent ICUAW. Results show that CT using femoral muscle volume measurement is a reliable means of ICUAW evaluation. |
| Databáze: | OpenAIRE |
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