Evidence map›Paper›PMID 26835132›Full record

ArticleBMJ open respiratory research2016

Comparative study of linear and curvilinear ultrasound probes to assess quadriceps rectus femoris muscle mass in healthy subjects and in patients with chronic respiratory disease.

S Mandal, E Suh, A Thompson, B Connolly, M Ramsay, R Harding, Z Puthucheary, J Moxham, N Hart

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

S MandalLane Fox Clinical Respiratory Physiology Research Centre, St Thomas' Hospital, Guy's & St Thomas' NHS Foundation Trust, London, UK; Division of Asthma, Allergy and Lung Biology, King's College London, London, UK.
E SuhLane Fox Clinical Respiratory Physiology Research Centre, St Thomas' Hospital, Guy's & St Thomas' NHS Foundation Trust, London, UK; Division of Asthma, Allergy and Lung Biology, King's College London, London, UK.
A ThompsonLane Fox Clinical Respiratory Physiology Research Centre, St Thomas' Hospital, Guy's & St Thomas' NHS Foundation Trust, London, UK; Division of Asthma, Allergy and Lung Biology, King's College London, London, UK.
B ConnollyLane Fox Clinical Respiratory Physiology Research Centre, St Thomas' Hospital, Guy's & St Thomas' NHS Foundation Trust, London, UK; Division of Asthma, Allergy and Lung Biology, King's College London, London, UK; Guy's and St Thomas' NHS Foundation Trust and King's College London, National Institute of Health Research Comprehensive Biomedical Research Centre, London, UK.
M RamsayLane Fox Clinical Respiratory Physiology Research Centre, St Thomas' Hospital, Guy's & St Thomas' NHS Foundation Trust, London, UK; Division of Asthma, Allergy and Lung Biology, King's College London, London, UK.
R HardingLane Fox Clinical Respiratory Physiology Research Centre, St Thomas' Hospital, Guy's & St Thomas' NHS Foundation Trust , London , UK.
Z PuthuchearyDivision of Respiratory and Critical Care Medicine , University Medicine Cluster, National University Health Systems , Singapore.
J MoxhamGuy's and St Thomas' NHS Foundation Trust and King's College London, National Institute of Health Research Comprehensive Biomedical Research Centre , London , UK.
N HartLane Fox Clinical Respiratory Physiology Research Centre, St Thomas' Hospital, Guy's & St Thomas' NHS Foundation Trust, London, UK; Division of Asthma, Allergy and Lung Biology, King's College London, London, UK; Guy's and St Thomas' NHS Foundation Trust and King's College London, National Institute of Health Research Comprehensive Biomedical Research Centre, London, UK.
Guy's and St Thomas' NHS Foundation Trust · GBKing's College London · GBNational University Health System · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUltrasound measurements of rectus femoris cross-sectional area (RFCSA) are clinically useful measurements in chronic obstructive pulmonary disease (COPD) and critically ill patients. Technical considerations as to the type of probe used, which affects image resolution, have limited widespread clinical application. We hypothesised that measurement of RFCSA would be similar with linear and curvilinear probes.

methodsFour studies were performed to compare the use of the curvilinear probe in measuring RFCSA. Study 1 investigated agreement of RFCSA measurements using linear and curvilinear probes in healthy subjects, and in patients with chronic respiratory disease. Study 2 investigated the intra-rater and inter-rater agreement using the curvilinear probe. Study 3 investigated the agreement of RFCSA measured from whole and spliced images using the linear probe. Study 4 investigated the applicability of ultrasound in measuring RFCSA during the acute and recovery phases of an exacerbation of COPD.

resultsStudy 1 showed demonstrated no difference in the measurement of RFCSA using the curvilinear and linear probes (308±104 mm(2) vs 320±117 mm(2), p=0.80; intraclass correlation coefficient (ICC)>0.97). Study 2 demonstrated high intra-rater and inter-rater reliability of RFCSA measurement with ICC>0.95 for both. Study 3 showed that the spliced image from the linear probe was similar to the whole image RFCSA (308±103.5 vs 263±147 mm(2), p=0.34; ICC>0.98). Study 4 confirmed the clinical acceptability of using the curvilinear probe during an exacerbation of COPD. There were relationships observed between admission RFCSA and body mass index (r=+0.65, p=0.018), and between RFCSA at admission and physical activity levels at 4 weeks post-hospital discharge (r=+0.75, p=0.006).

conclusionsThese studies have demonstrated that clinicians can employ whole and spliced images from the linear probe or use images from the curvilinear probe, to measure RFCSA. This will extend the clinical applicability of ultrasound in the measurement of muscle mass in all patient groups.

Indexed as

COPD ExacerbationsImaging/CT MRI etcRespiratory Muscles

Identifiers

PMID26835132
PMCPMC4716191
OpenAlexW2300068352

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.