| 11. |
- Dahlqvist Leinhard, Olof, 1978-, et al.
(författare)
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Body Composition Profiling using MRI - Normative Data for Subjects with Cardiovascular Disease Extracted from the UK Biobank Imaging Cohort
- 2016
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- PURPOSETo describe the distribution of MRI-derived body composition measurements in subjects with cardiovascular disease (CVD) compared to subjects without any history of CVD.METHOD AND MATERIALS1864 males and 2036 females with an age range from 45 to 78 years from the UK Biobank imaging study were included in the study. Visceral adipose tissue volume normalized with height2 (VATi), total abdominal adipose tissue volume normalized with height2 (ATATi), total lean thigh muscle volume normalized with body weight (muscle ratio) and liver proton density fat fraction (PDFF) were measured with a 2-point Dixon imaging protocol covering neck to knee and a 10-point Dixon single slice protocol positioned within the liver using a 1.5T MR-scanner (Siemens, Germany). The MR-images were analyzed using AMRA® Profiler research (AMRA, Sweden). 213 subjects with history of cardiovascular events (angina, heart attack, or stroke) (event group) were age and gender matched to subjects with high blood pressure (HBP group), and subjects without CVD (controls).Kruskal-Wallis and Mann-Whitney U tests were used to test the observed differences for each measurement and group without correction for multiple comparisons.RESULTSVATi in the event group was 1.73 (1.13 - 2.32) l/m2 (median, 25%-75% percentile) compared to 1.68 (1.19 - 2.23) in the HBP group, and 1.30 (0.82-1.87) in the controls. ATATi in the event group was 4.31 (2.90-5.39) l/m2 compared to 4.05 (3.07-5.12) in the HBP group, and 3.48 (2.48-4.61) in the controls. Muscle ratio in the event group was 0.13 (0.12 - 0.15) l/kg as well as in the HBP group, compared to 0.14 (0.12 - 0.15) in the controls. Liver PDFF in the event group was 2.88 (1.77 - 7.72) % compared to 3.44 (2.04-6.18) in the HBP group, and 2.50 (1.58 - 5.15) in the controls. Kruskal-Wallis test showed significant differences for all variables and group comparisons (p<0.007). The post hoc test showed significant differences comparing the controls to both the event group and the HBP group. These were more significant for VATi and ATATi (p<10-4) than for muscle ratio and PDFF (p<0.03). No significant differences were detected between the event group and the HBP group.CONCLUSIONCardiovascular disease is strongly associated with high VATi, liver fat, and ATATi, and with low muscle ratio.CLINICAL RELEVANCE/APPLICATIONThe metabolic syndrome component in CVD can be effectively described using MRI-based body composition profiling.
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| 12. |
- Dahlqvist Leinhard, Olof, 1978-, et al.
(författare)
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Body Composition Profiling using MRI - Normative Data for Subjects with Diabetes Extracted from the UK Biobank Imaging Cohort
- 2016
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- PURPOSETo describe the distribution of MRI derived body composition measurements in subjects with diabetes mellitus (DM) compared to subjects without diabetes.METHOD AND MATERIALS3900 subjects (1864 males and 2036 females) from the UK Biobank imaging study were included in the study. The age range was 45 to 78 years. Visceral adipose tissue volume normalized with height2 (VATi), total abdominal adipose tissue volume normalized with height2 (ATATi), total lean thigh muscle volume normalized with body weight (muscle ratio) and liver proton density fat fraction (PDFF) were measured with a 6 minutes 2-point Dixon imaging protocol covering neck to knee and a 10-point Dixon single axial slice protocol positioned within the liver using a 1.5T MR-scanner (Siemens, Germany). The MR-images were analyzed using AMRA® Profiler research (AMRA, Sweden). 194 subjects with clinically diagnosed DM (DM group) were age and gender matched to subjects without DM (control group). For each variable and group, the median, 25%-percentile and 75%-percentile was calculated. Mann-Whitney U test was used to test the observed differences.RESULTSVATi in the DM group was 2.13 (1.43-2.62) l/m2 (median, 25% - 75% percentile) compared to 1.32 (0.86 - 1.79) l/m2 in the control group. ATATi in the DM group was 4.94 (3.86-6.19) l/m2 compared to 3.40 (2.56 - 4.70) l/m2 in the control group. Muscle ratio in the DM group was 0.13 (0.11 - 0.14) l/kg compared to 0.14 (0.12 - 0.15) l/kg in the control group. Liver PDFF in the DM group was 7.23 (2.68 - 13.26) % compared to 2.49 (1.53 - 4.73) % in the control group. Mann-Whitney U test detected significant differences between the DM group and the control group for all variables (p<10-5).CONCLUSIONDM is strongly associated with high visceral fat, liver fat, and total abdominal fat, and low muscle ratio.CLINICAL RELEVANCE/APPLICATIONBody composition profiling shows high potential to provide direct biomarkers to improve characterization and early diagnosis of DM.
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| 13. |
- Gharehbaghi, Arash, et al.
(författare)
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A novel method for discrimination between innocent and pathological heart murmurs
- 2015
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Ingår i: Medical Engineering and Physics. - : Elsevier. - 1350-4533 .- 1873-4030. ; 37:7, s. 674-682
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Tidskriftsartikel (refereegranskat)abstract
- This paper presents a novel method for discrimination between innocent and pathological murmurs using the growing time support vector machine (GTSVM). The proposed method is tailored for characterizing innocent murmurs (IM) by putting more emphasis on the early parts of the signal as IMs are often heard in early systolic phase. Individuals with mild to severe aortic stenosis (AS) and IM are the two groups subjected to analysis, taking the normal individuals with no murmur (NM) as the control group. The AS is selected due to the similarity of its murmur to IM, particularly in mild cases. To investigate the effect of the growing time windows, the performance of the GTSVM is compared to that of a conventional support vector machine (SVM), using repeated random sub-sampling method. The mean value of the classification rate/sensitivity is found to be 88%/86% for the GTSVM and 84%/83% for the SVM. The statistical evaluations show that the GTSVM significantly improves performance of the classification as compared to the SVM.
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| 14. |
- Haufe, William, et al.
(författare)
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Feasibility of an automated tissue segmentation technique in a longitudinal weight loss study
- 2016
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- To address the problems inherent in manual methods, a novel, semi-automated tissue segmentation image analysis technique has been developed. The purpose of this study was to demonstrate the feasibility and describe preliminary observations of applying this technique to quantify and monitor longitudinal changes in abdominal adipose tissue and thigh muscle volume in obese adults during weight loss. Abdominal adipose tissue and thigh muscle volume decreased during weight loss. As a proportion of body weight, adipose tissue volumes decreased during weight loss. By comparison, as a proportion of body weight, thigh muscle volume increased.
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| 15. |
- Karlsson, Anette, et al.
(författare)
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Automatic and quantitative assessment of regional muscle volume by multi-atlas segmentation using whole-body water–fat MRI
- 2015
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Ingår i: Journal of Magnetic Resonance Imaging. - : John Wiley & Sons. - 1053-1807 .- 1522-2586. ; 41:6, s. 1558-1569
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Tidskriftsartikel (refereegranskat)abstract
- PurposeTo develop and demonstrate a rapid whole-body magnetic resonance imaging (MRI) method for automatic quantification of total and regional skeletal muscle volume.Materials and MethodsThe method was based on a multi-atlas segmentation of intensity corrected water–fat separated image volumes. Automatic lean muscle tissue segmentations were achieved by nonrigid registration of atlas datasets with 10 different manually segmented muscle groups. Ten subjects scanned at 1.5 T and 3.0 T were used as atlases, initial validation and optimization. Further validation used 11 subjects scanned at 3.0 T. The automated and manual segmentations were compared using intraclass correlation, true positive volume fractions, and delta volumes.ResultsFor the 1.5 T datasets, the intraclass correlation, true positive volume fractions (mean ± standard deviation, SD), and delta volumes (mean ± SD) were 0.99, 0.91 ± 0.02, −0.10 ± 0.70L (whole body), 0.99, 0.93 ± 0.02, 0.01 ± 0.07L (left anterior thigh), and 0.98, 0.80 ± 0.07, −0.08 ± 0.15L (left abdomen). The corresponding values at 3.0 T were 0.97, 0.92 ± 0.03, −0.17 ± 1.37L (whole body), 0.99, 0.93 ± 0.03, 0.03 ± 0.08L (left anterior thigh), and 0.89, 0.90 ± 0.04, −0.03 ± 0.42L (left abdomen). The validation datasets showed similar results.ConclusionThe method accurately quantified the whole-body skeletal muscle volume and the volume of separate muscle groups independent of field strength and image resolution.
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| 16. |
- Karlsson, Anette, et al.
(författare)
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Automatic and Quantitative Assessment of Total and Regional Muscle Tissue Volume using Multi-Atlas Segmentation
- 2015
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Ingår i: International Society for Magnetic Resonance in Medicince Annual Meeting. ; , s. 1558-1569
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The purpose is to develop and demonstrate a rapid whole-body MRI method for automatic quantification of total and regional lean skeletal muscle volume. Quantitative water and fat separated image volumes of the whole body are manually segmented and used as atlases. The atlases are non-rigidly registered onto to a new image volume and the muscle groups are classified using a voting scheme. A leave-one-out approach with subjects scanned in a 1.5 T and a 3.0 T scanner is used for validation. The method quantifies the whole-body skeletal muscle volumes and the volumes of separate muscle groups independently of image resolution.
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| 17. |
- Karlsson, Anette, et al.
(författare)
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Defining Sarcopenia with MRI - Establishing Threshold Values within a Large-Scale Population Study
- 2016
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- PURPOSETo identify gender specific threshold values for sarcopenia detection for lean thigh muscle tissue volume quantified using MRI.METHOD AND MATERIALSCurrent gender-specific thresholds for sarcopenia detection are based on quantification on appendicular lean tissue normalized with height^2 using DXA (7.26 kg/m2 for men and 5.45 kg/m2 for women). In this study 3514 subjects (1548 males and 1966 females) in the imaging subcohort of UK Biobank with paired DXA and MRI scans were included. The age range was 45 to 78 years. The total lean thigh volume normalized with height2 (TTVi) was determined with a 6 minutes neck to knee 2-point Dixon MRI protocol using a 1.5T MR-scanner (Siemens, Germany) followed by analysis with AMRA® Profiler (AMRA, Sweden). The appendicular lean tissue mass normalized with height2 (ALTMi) was assessed using DXA (GE-Lunar iDXA). Subjects with ALTMi lower than the gender specific threshold were categorized as sarcopenic. Gender specific threshold values were determined for detection of sarcopenic subjects based on TTVi optimizing sensitivity and specificity. Area under receiver operator curve (AUROC) was calculated as well as the linear correlation between TTVi and ALTMi.RESULTSA threshold value of TTVi = 3.64 l/m2 provided a sensitivity and specificity of 0.88 for sarcopenia detection in males. The AUROC was 0.96. Similarly, a TTVi < 2.76 l/m2 identified sarcopenic female subjects with a sensitivity and specificity of 0.89. The corresponding AUROC was 0.96. The linear correlation between TTVi and ALTMi was 0.93 (99%CI: 0.93-0.94).CONCLUSIONMRI-based quantification of total lean thigh volume normalized with height^2 could be used to categorize sarcopenia in the study group. Threshold values are suggested.CLINICAL RELEVANCE/APPLICATIONThe study suggests that sarcopenia can be diagnosed using a rapid MRI scan with high sensitivity and specificity.
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| 18. |
- Karlsson, Anette, 1986-, et al.
(författare)
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The relation between local and distal muscle fat infiltration in chronic whiplash using magnetic resonance imaging.
- 2019
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Ingår i: PLOS ONE. - San Francisco, CA, United States : Public Library of Science. - 1932-6203. ; 14:12
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this study was to investigate the relationship between fat infiltration in the cervical multifidi and fat infiltration measured in the lower extremities to move further into understanding the complex signs and symptoms arising from a whiplash trauma. Thirty-one individuals with chronic whiplash associated disorders, stratified into a mild/moderate group and a severe group, together with 31 age- and gender matched controls were enrolled in this study. Magnetic resonance imaging was used to acquire a 3D volume of the neck and of the whole-body. Cervical multifidi was used to represent muscles local to the whiplash trauma and all muscles below the hip joint, the lower extremities, were representing widespread muscles distal to the site of the trauma. The fat infiltration was determined by fat fraction in the segmented images. There was a linear correlation between local and distal muscle fat infiltration (p<0.001, r2 = 0.28). The correlation remained significant when adjusting for age and WAD group (p = 0.009) as well as when correcting for age, WAD group and BMI (p = 0.002). There was a correlation between local and distal muscle fat infiltration within the severe WAD group (p = 0.0016, r2 = 0.69) and in the healthy group (p = 0.022, r2 = 0.17) but not in the mild/moderate group (p = 0.29, r2 = 0.06). No significant differences (p = 0.11) in the lower extremities' MFI between the different groups were found. The absence of differences between the groups in terms of lower extremities' muscle fat infiltration indicates that, in this particular population, the whiplash trauma has a local effect on muscle fat infiltration rather than a generalized.
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