Evidence map›Paper›PMID 33259496›Full record

ArticlePloS one2020

MRI-based anatomical characterisation of lower-limb muscles in older women.

Erica Montefiori, Barbara M Kalkman, William H Henson, Margaret A Paggiosi, Eugene V McCloskey, Claudia Mazzà

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

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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

16 citing papers in PubMed.

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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

6 authors.

Erica MontefioriDepartment of Mechanical Engineering, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0003-2498-7877
Barbara M KalkmanDepartment of Mechanical Engineering, University of Sheffield, Sheffield, United Kingdom.
William H HensonDepartment of Mechanical Engineering, University of Sheffield, Sheffield, United Kingdom.
Margaret A PaggiosiINSIGNEO Institute for in silico Medicine, University of Sheffield, Sheffield, United Kingdom.
Eugene V McCloskeyINSIGNEO Institute for in silico Medicine, University of Sheffield, Sheffield, United Kingdom.
Claudia MazzàDepartment of Mechanical Engineering, University of Sheffield, Sheffield, United Kingdom.

Funding

Department of Health IS-BRC-1215-20017Medical Research Council MR/P020941/1
6 · The paper itself

Abstract

The ability of muscles to produce force depends, among others, on their anatomical features and it is altered by ageing-associated weakening. However, a clear characterisation of these features, highly relevant for older individuals, is still lacking. This study hence aimed at characterising muscle volume, length, and physiological cross-sectional area (PCSA) and their variability, between body sides and between individuals, in a group of post-menopausal women. Lower-limb magnetic resonance images were acquired from eleven participants (69 (7) y. o., 66.9 (7.7) kg, 159 (3) cm). Twenty-three muscles were manually segmented from the images and muscle volume, length and PCSA were calculated from this dataset. Personalised maximal isometric force was then calculated using the latter information. The percentage difference between the muscles of the two lower limbs was up to 89% and 22% for volume and length, respectively, and up to 84% for PCSA, with no recognisable pattern associated with limb dominance. Between-subject coefficients of variation reached 36% and 13% for muscle volume and length, respectively. Generally, muscle parameters were similar to previous literature, but volumes were smaller than those from in-vivo young adults and slightly higher than ex-vivo ones. Maximal isometric force was found to be on average smaller than those obtained from estimates based on linear scaling of ex-vivo-based literature values. In conclusion, this study quantified for the first time anatomical asymmetry of lower-limb muscles in older women, suggesting that symmetry should not be assumed in this population. Furthermore, we showed that a scaling approach, widely used in musculoskeletal modelling, leads to an overestimation of the maximal isometric force for most muscles. This heavily questions the validity of this approach for older populations. As a solution, the unique dataset of muscle segmentation made available with this paper could support the development of alternative population-based scaling approaches, together with that of automatic tools for muscle segmentation.

Indexed as

Magnetic Resonance ImagingAgedFemaleHumansImage Processing, Computer-AssistedIsometric ContractionLinear ModelsLower ExtremityMuscle, SkeletalOrgan Size

Identifiers

PMID33259496
PMCPMC7707470

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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.