Evidence map›Paper›PMID 39972963›Full record

ArticleJournal of cachexia, sarcopenia and muscle2025

Leg Muscle Volume, Intramuscular Fat and Force Generation: Insights From a Computer-Vision Model and Fat-Water MRI.

Andrew C Smith, Javier Muñoz Laguna, Eddo O Wesselink, Zachary E Scott, Hazel Jenkins, Wesley A Thornton, Marie Wasielewski, Jordan Connor, Scott Delp, Akshay S Chaudhari and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02157038 (Neuromuscular Mechanisms Underlying Poor Recovery From Whiplash Injuries), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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.

NCT02157038 nacompletednot on this map

Neuromuscular Mechanisms Underlying Poor Recovery From Whiplash Injuries

TypeinterventionalSponsorNorthwestern UniversityRan2014 to 2020Enrolled97ConditionsWhiplash Associated Disorders, WAD, WhiplashArmsPedometer, MRI
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
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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

14 authors.

Andrew C SmithPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Javier Muñoz LagunaEBPI-UWZH Musculoskeletal Epidemiology Research Group, University of Zurich and Balgrist University Hospital, Zurich, Switzerland.
Eddo O WesselinkFaculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Zachary E ScottDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.
Hazel JenkinsDepartment of Chiropractic, Macquarie University, Sydney, New South Wales, Australia.
Wesley A ThorntonPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Marie WasielewskiDepartment of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Jordan ConnorPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Scott DelpDepartment of Bioengineering and Mechanical Engineering, Stanford University, Palo Alto, California, USA.
Akshay S ChaudhariDepartment of Radiology, Stanford University School of Medicine, Palo Alto, California, USA.
Todd B ParrishDepartment of Radiology, Northwestern University, Chicago, Illinois, USA.
Sean MackeyDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.
James M ElliottNorthern Sydney Local Health District, The Kolling Institute, St. Leonards, New South Wales, Australia.
Kenneth A WeberDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.ORCID 0000-0002-0916-9174

Funding

Rapid MRI for Evaluation of OsteoarthritisR01EB002524 · NIBIB · STANFORD UNIVERSITY · PI Akshay Chaudhari, Garry E Gold · 2003 to 2026
$10.1M
TR&D Project 3: OpenSim for PredictionP41EB027060 · NIBIB · STANFORD UNIVERSITY · PI Joy P Ku · 2020 to 2026
$9.7M
Rapid Low-Cost Quantitative 3D MRI and Gait Assessment of the KneeR01AR077604 · NIAMS · STANFORD UNIVERSITY · PI HARGREAVES, BRIAN ANDREW · 2020 to 2024
$3.2M
Imaging of Joint Response to Physiological Stress with Age, Sex and in OsteoarthritisR01AR079431 · NIAMS · STANFORD UNIVERSITY · PI Feliks Kogan · 2022 to 2026
$2.9M
MRI-Derived Neuromuscular Signatures to Predict Surgical Response in Degenerative Cervical MyelopathyR01NS128478 · NINDS · STANFORD UNIVERSITY · PI Kenneth Arnold Weber · 2023 to 2026
$2.2M
Neuromuscular Mechanisms Underlying Poor Recovery from Whiplash InjuriesR01HD079076 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI COURTNEY, D. MARK, ELLIOTT, JAMES MATTHEW · 2014 to 2018
$1.6M
Neuroimaging-Based Brain and Spinal Cord Biomarkers for Cervical RadiculopathyK23NS104211 · NINDS · STANFORD UNIVERSITY · PI WEBER, KENNETH ARNOLD · 2018 to 2022
$875k
Improving mechanistic understanding of responsiveness to spinal cord stimulation after spinal cord injuryK01HD106928 · NICHD · UNIVERSITY OF COLORADO DENVER · PI SMITH, ANDREW CRAIG · 2022 to 2025
$508k
Mentoring in Discovery and Validation of Clinical Chronic Pain BiomarkersK24NS126781 · NINDS · STANFORD UNIVERSITY · PI MACKEY, SEAN C · 2021 to 2021
$324k
Boettcher Foundation's Webb-Waring Biomedical Research ProgramNational Institute of Child Health and Human Development/National Center for Medical Rehabilitation Research K01HD106928National Institute of Child Health and Human Development/National Center for Medical Rehabilitation Research R01HD079076NIAMS NIH HHS R01 AR077604NIAMS NIH HHS R01AR077604NIAMS NIH HHS R01 AR079431NIAMS NIH HHS R01AR079431NIBIB NIH HHS P41 EB027060NIBIB NIH HHS P41EB027060NIBIB NIH HHS R01 EB002524NIBIB NIH HHS R01EB002524NICHD NIH HHS K01 HD106928NICHD NIH HHS R01 HD079076NINDS NIH HHS K23 NS104211NINDS NIH HHS K23NS104211NINDS NIH HHS K24 NS126781NINDS NIH HHS K24NS126781NINDS NIH HHS L30 NS108301NINDS NIH HHS L30NS108301NINDS NIH HHS R01 NS128478NINDS NIH HHS R01NS128478
6 · The paper itself

Abstract

backgroundMaintaining skeletal muscle health (i.e., muscle size and quality) is crucial for preserving mobility. Decreases in lower limb muscle volume and increased intramuscular fat (IMF) are common findings in people with impaired mobility. We developed an automated method to extract markers of leg muscle health, muscle volume and IMF, from MRI. We then explored their associations with age, body mass index (BMI), sex and voluntary force generation.

methodsWe trained (n = 34) and tested (n = 16) a convolutional neural network (CNN) to segment five muscle groups in both legs from fat-water MRI to explore muscle volume and IMF. In 95 participants (70 females, 25 males, mean age [standard deviation] = 34.2 (11.2) years, age range = 18-60 years), we explored associations between the CNN measures and age, BMI and sex, and then in a subset of 75 participants, we explored associations between CNN muscle volume, CNN IMF and maximum plantarflexion force after controlling for age, BMI and sex.

resultsThe CNN demonstrated high test accuracy (Sørensen-Dice index ≥ 0.87 for all muscle groups) and reliability (muscle volume ICC

conclusionsComputer-vision models combined with fat-water MRI permits the non-invasive, automatic assessment of leg muscle volume and IMF. Associations with age, BMI and sex are important when interpreting these measures. Markers of leg muscle health may enhance our understanding of the relationship between muscle health, force generation and mobility.

trial registrationClinicalTrials.gov identifier: NCT02157038.

Indexed as

Adipose TissueConvolutional Neural NetworksLegMagnetic Resonance ImagingMuscle, SkeletalAdolescentAdultBody Mass IndexFemaleHumansMaleMiddle AgedSoftware ValidationYoung Adultcomputer‐assistedimage processinglegmagnetic resonance imagingmuscle strengthrehabilitation

Identifiers

PMID39972963
PMCPMC11839747

What OpenQuestion holds

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Registered trials

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.