Evidence map›Paper›PMID 33219847›Full record

ArticleEuropean radiology2021

Skeletal muscle mass and sarcopenia can be determined with 1.5-T and 3-T neck MRI scans, in the event that no neck CT scan is performed.

Aniek T Zwart, Jan-Niklas Becker, Maria J Lamers, Rudi A J O Dierckx, Geertruida H de Bock, Gyorgy B Halmos, Anouk van der Hoorn

Open access · hybridAbstract read
In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

37 citing papers in PubMed, 51 citations in OpenAlex.

  1. Machine learning for predicting muscle loss after radiotherapy using clinical and toxicity data in oral cavity cancer.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  5. Predictors of aspiration pneumonia in oral cavity cancer patients undergoing radiation therapy: A focus on skeletal muscle index.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  14. How do patients with head and neck cancer and low skeletal muscle mass experience cisplatin-based chemoradiotherapy? A qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  15. The cross-sectional area of gluteal muscle on multiaxial CT scan as a predictor for diagnosing sarcopenia in patients with degenerative lumbar disease.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Observational
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  18. Impact of magnetic resonance imaging-derived skeletal muscle index in locoregionally advanced nasopharyngeal carcinoma.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
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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

7 authors at 1 institution in 1 country.

Aniek T ZwartDepartment of Epidemiology, University Medical Center Groningen, 30.001, Hanzeplein 1, 9700 RB, Groningen, The Netherlands. a.t.zwart@umcg.nl.ORCID http://orcid.org/0000-0002-9770-4754
Jan-Niklas BeckerDepartment of Radiology, University Medical Center Groningen, Groningen, The Netherlands.
Maria J LamersDepartment of Radiology, University Medical Center Groningen, Groningen, The Netherlands.
Rudi A J O DierckxDepartment of Radiology, University Medical Center Groningen, Groningen, The Netherlands.
Geertruida H de BockDepartment of Epidemiology, University Medical Center Groningen, 30.001, Hanzeplein 1, 9700 RB, Groningen, The Netherlands.
Gyorgy B HalmosDepartment of Otolaryngology and Head and Neck Surgery, University Medical Center Groningen, Groningen, The Netherlands.
Anouk van der HoornDepartment of Radiology, University Medical Center Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NL

Funding

graduate school of medical sciences of the university of Groningen 3-year PhD scholarship for excellent master students
6 · The paper itself

Abstract

objectivesCross-sectional area (CSA) measurements of the neck musculature at the level of third cervical vertebra (C3) on CT scans are used to diagnose radiological sarcopenia, which is related to multiple adverse outcomes in head and neck cancer (HNC) patients. Alternatively, these assessments are performed with neck MRI, which has not been validated so far. For that, the objective was to evaluate whether skeletal muscle mass and sarcopenia can be assessed on neck MRI scans.

methodsHNC patients were included between November 2014 and November 2018 from a prospective data-biobank. CSAs of the neck musculature at the C3 level were measured on CT (n = 125) and MRI neck scans (n = 92 on 1.5-T, n = 33 on 3-T). Measurements were converted into skeletal muscle index (SMI), and sarcopenia was defined (SMI < 43.2 cm

resultsCT and MRI correlated highly on CSA and SMI (r = 0.958-0.998, p < 0.001). The Bland-Altman plots showed a nihil mean ΔSMI (- 0.13-0.44 cm

conclusionsSkeletal muscle mass and sarcopenia can interchangeably be assessed on CT and 1.5-T and 3-T MRI neck scans. This allows future clinical outcome assessment during treatment irrespective of used modality. KEY POINTS: • Screening for low amount of skeletal muscle mass is usually measured on neck CT scans and is highly clinical relevant as it is related to multiple adverse outcomes in head and neck cancer patients. • We found that skeletal muscle mass and sarcopenia determined on CT and 1.5-T and 3-T MRI neck scans at the C3 level can be used interchangeably. • When CT imaging of the neck is missing for skeletal muscle mass analysis, patients can be assessed with 1.5-T or 3-T neck MRIs.

Indexed as

SarcopeniaHumansMagnetic Resonance ImagingMuscle, SkeletalProspective StudiesTomography, X-Ray ComputedHead and neck neoplasmsMagnetic resonance imagingMuscle, skeletalSarcopeniaTomography, X-ray computed

Identifiers

PMID33219847
PMCPMC8128750
OpenAlexW3104155594

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Registered trials

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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.