Two-dimensional CT measurements enable assessment of body composition on head and neck CT.
Body composition
Electrical impedance
Intra-abdominal fat
Sarcopenia
Tomography, X-ray computed
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
17
11
2021
accepted:
26
03
2022
revised:
19
03
2022
pubmed:
8
4
2022
medline:
19
8
2022
entrez:
7
4
2022
Statut:
ppublish
Résumé
The aim of this study was to evaluate whether simple 2D measurements in axial slices of head and neck CT examinations correlate with generally established measurements of body composition in abdominal CT at the height of the third lumbar vertebra and thus allow for an estimation of muscle and fat masses. One hundred twenty-two patients who underwent concurrent CT of the head and neck and the abdomen between July 2016 and July 2020 were retrospectively included. For a subset of 30 patients, additional bioelectrical impedance analysis (BIA) was available. Areas of paraspinal muscles at the height of the third (C3) and fifth cervical vertebrae (C5) as well as the total cross-sectional area at the height of C3 and at the submandibular level were correlated with the results of abdominal measurements and BIA. Furthermore, intra- and interreader variabilities of all measurements were assessed. Regarding adipose tissue, good correlations were found between the total cross-sectional area of the patient's body at the submandibular level and at the height of C3 between both abdominal measurements and BIA results (r = 0.8-0.92; all p < 0.001). Regarding muscle, the total paraspinal muscle area at the height of C3 and C5 showed strong correlations with abdominal measurements and moderate to strong correlations with BIA results (r = 0.44-0.80; all p < 0.001), with the muscle area on C5 yielding slightly higher correlations. Body composition information can be obtained with comparable reliability from head and neck CT using simple biplanar measurements as from abdominal CT. • The total paraspinal muscle area at the height of C3 and C5 correlates strongly with abdominal muscle mass. • The total cross-sectional area at the submandibular level and at the height of C3 shows good correlations with abdominal fat mass. • The described measurements facilitate a rapid, opportunistic assessment of relevant body composition parameters.
Identifiants
pubmed: 35389049
doi: 10.1007/s00330-022-08773-9
pii: 10.1007/s00330-022-08773-9
pmc: PMC9381610
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6427-6434Subventions
Organisme : Cologne Clinician Scientist Program (CCSP) / Faculty of Medicine / University of Cologne
ID : Funded by the German Research Foundation (DFG, FI 773/15-1).
Organisme : Koeln Fortune Program / Faculty of Medicine, University of Cologne
ID : 330/2020
Informations de copyright
© 2022. The Author(s).
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