Evidence map›Paper›PMID 40760264›Full record

ArticleJournal of imaging informatics in medicine2026

Assessment of Lower Limb Muscle Volume Using 3D Ultrasonography: Validity and Reliability Compared to MRI.

Paul Ritsche, Romina Ledergerber, Michele Pansini, Francesco Santini, Oliver Faude

Abstract readComparative Study
In one paragraph

Article in Journal of imaging informatics in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Trial
  2. 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

5 authors.

Paul RitscheDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland. paul.ritsche@unibas.ch.ORCID http://orcid.org/0000-0001-9446-7872
Romina LedergerberDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0003-1505-1188
Michele PansiniDepartment of Radiology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID http://orcid.org/0000-0002-5610-3266
Francesco SantiniBasel Muscle MRI, Department of Biomedical Engineering, University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0001-6984-4816
Oliver FaudeDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0002-2832-7780

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMuscle volume is a key indicator of strength and neuromuscular health, commonly assessed via Magnetic Resonance Imaging (MRI). While accurate, MRI is expensive and time-intensive. Three-dimensional ultrasonography (3DUS) offers a more accessible alternative but requires validation due to its setup-dependent accuracy. This study investigated the validity and reliability of a custom 3DUS setup for measuring lower limb muscle volumes.

methodsFifteen participants (8 female; 18-40 years) underwent two 3DUS and one MRI sessions. The tibialis anterior, vastus lateralis, gastrocnemii, and biceps femoris muscles were scanned using ultrasonography integrated with a motion capture system. Phantom models were also scanned. After ten participants, the scanning protocol was adapted. 3DUS and MRI volumes were analyzed using 3D Slicer by two raters or one rater, respectively. Reliability was assessed using intra-class correlation (ICC), coefficient of variation (CV%), standard error of measurement (SEM), and minimal detectable change (MDC).

results3DUS showed excellent test-retest and inter-rater reliability (ICC = 0.97-0.99; CV% = 2.0-4.6%). MDC values were < 5 mL for all muscles. However, 3DUS systematically underestimated volumes compared to MRI (biases: -10.0 to 33.0%), with best agreement for tibialis anterior and lowest for gastrocnemii. After adapting the protocol, mean differences were reduced by ~ 70%. Phantom scans confirmed both modalities were accurate, suggesting in vivo errors arose from probe pressure and sweep inconsistencies.

conclusion3DUS demonstrated excellent reliability but underestimated volumes relative to MRI, influenced by muscle shape and location. Despite limitations, it is a promising, cost-effective method for tracking longitudinal muscle changes. Open methodology supports broader application.

Indexed as

Imaging, Three-DimensionalLower ExtremityMagnetic Resonance ImagingMuscle, SkeletalAdolescentAdultFemaleHumansMalePhantoms, ImagingReproducibility of ResultsUltrasonographyYoung Adult3D ultrasonographyBiomechanicsMRIMuscle volumeReliabilityValidity

Identifiers

PMID40760264
PMCPMC13103013

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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.