Evidence map›Paper›PMID 42549498›Full record

ArticleMuscle & nerve2026

Quantitative Assessment of Tongue Atrophy in Amyotrophic Lateral Sclerosis Using Transoral Tongue Ultrasonography (TOTU): A Retrospective Single-Center Study.

Naoki Iijima, Yuta Hagiwara, Seiya Ishii, Wataru Kaneko, Takashi Araga, Yoshihisa Yamano

Abstract read
In one paragraph

Article in Muscle & nerve, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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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

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Naoki IijimaDivision of Neurology, St. Marianna University Yokohama City Seibu Hospital, Yokohama, Japan.ORCID https://orcid.org/0009-0005-8001-6604
Yuta HagiwaraDivision of Neurology, St. Marianna University Yokohama City Seibu Hospital, Yokohama, Japan.ORCID https://orcid.org/0000-0002-3420-4218
Seiya IshiiDivision of Neurology, St. Marianna University Yokohama City Seibu Hospital, Yokohama, Japan.
Wataru KanekoDivision of Neurology, St. Marianna University Yokohama City Seibu Hospital, Yokohama, Japan.
Takashi AragaDivision of Neurology, St. Marianna University Yokohama City Seibu Hospital, Yokohama, Japan.
Yoshihisa YamanoDivision of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.ORCID https://orcid.org/0000-0001-7527-0345

Funding

Japan Agency for Medical Research and Development 25bm1423033Japan Agency for Medical Research and Development 25ek0109617Japan Agency for Medical Research and Development 25ek0109735Japan Agency for Medical Research and Development 25ek0109759Japan Agency for Medical Research and Development 25fk0108733Japan Society for the Promotion of Science JP24K10542Japan Society for the Promotion of Science JP25K02584Ministry of Health, Labour and Welfare 25FC1012
6 · The paper itself

Abstract

INTRODUCTION/

aimsAmyotrophic lateral sclerosis (ALS) is a neurodegenerative disease accompanied by bulbar dysfunction, in which tongue atrophy contributes to dysarthria and dysphagia. Conventional tongue assessments rely on inspection, palpation, or electrophysiological testing but are limited by subjectivity and invasiveness. A rapid, objective, and repeatable imaging-based method for evaluating tongue size would be valuable. We quantified tongue atrophy in ALS using a standardized protocol for transoral tongue ultrasonography (TOTU) and assessed discrimination.

methodsThis retrospective, cross-sectional study included 15 patients with ALS and 15 controls who underwent TOTU. Using standardized mid-sagittal images, tongue cross-sectional area (cm

resultsBoth tongue cross-sectional area (6.26 ± 1.37 vs. 9.44 ± 1.02 cm DISCUSSION: Standardized TOTU enables rapid, quantitative, noninvasive assessment of tongue size and reliably detects tongue atrophy in ALS, supporting bedside evaluation of bulbar involvement.

Indexed as

Amyotrophic Lateral SclerosisTongueAgedAtrophyCross-Sectional StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesROC CurveUltrasonographyamyotrophic lateral sclerosistongue atrophytongue cross‐sectional areatongue thicknesstransoral ultrasonography

Identifiers

PMID42549498
PMCPMC13549162

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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.