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The aim of this study was to establish reference values for three compartments of the abdominal skeletal muscle area (psoas muscle area, paraspinal muscle area, and total skeletal muscle area) obtained from cross-sectional Computed tomography images in Turkish Children
The aim in this study is to determine reference values for Turkish children by evaluating the abdominal region skeletal muscle area (psoas muscle, paraspinal muscles and total skeletal muscle in the section) obtained from cross-sectional CT images.
Material Method of the Research The study was planned as a retrospective study. Patients under 18 years of age who are admitted to Istanbul Province Bağcılar Training and Research Hospital with acute abdominal pain or acute trauma between May 5, 2017 and May 5, 2023 and who underwent abdominal computed tomography (CT) imaging on this date of application will be scanned through the hospital information management system. Past diagnoses of these patients will be questioned and those with chronic diseases will be excluded from the study.
CT images of the patients will be retrieved from the PACS database. From the sections taken at the L3-L4, L4-L5 levels, the cross-sectional area of the psoas muscle, paraspinal muscles and the total skeletal muscles in that section will be measured using the hospital's SYNAPS system. The results will be recorded in cm2.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Normal values of abdominal level muscle areas of Turkish children | Other | age, sex, L3-L4 LEVEL: Psoas muscle area, Paraspinal muscle area, Abdominal muscle area, L4-L5 LEVEL: Psoas muscle area, Paraspinal muscle area, Abdominal muscle area |
| Measure | Description | Time Frame |
|---|---|---|
| L3-L4 LEVEL: Psoas muscle area | The Psoas muscle area at the L3-L4 vertebra level in the patients' abdominal computed tomography will be measured. | 1 interview day |
| L3-L4 LEVEL:Paraspinal muscle area | The Paraspinal muscle area at the L3-L4 vertebra level in the patients' abdominal computed tomography will be measured. | 1 interview day |
| L3-L4 LEVEL: Abdominal muscle area, | The Abdominal muscle area at the L3-L4 vertebra level in the patients' abdominal computed tomography will be measured. | 1 interview day |
| L4-L5 LEVEL: Psoas muscle area | The Psoas muscle area at the L4-L5 vertebra level in the patients' abdominal computed tomography will be measured. | 1 interview day |
| L4-L5 LEVEL: Paraspinal muscle area | The Paraspinal muscle area at the L4-L5 vertebra level in the patients' abdominal computed tomography will be measured. | 1 interview day |
| L4-L5 LEVEL: Abdominal muscle area, | The Abdominal muscle area at the L3-L4 vertebra level in the patients' abdominal computed tomography will be measured. | 1 interview day |
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Inclusion Criteria:
Exclusion Criteria:
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Healthy Turkish children
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| Name | Affiliation | Role |
|---|---|---|
| TUGBA AYDIN | Istanbul Physical Medicine Rehabilitation Training and Research Hospital | Study Chair |
| EDA CINGOZ | ISTANBUL BAÄžCILAR TRAINING AND RESEARCH HOSPITAL RADIOLOGY UNIT | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Physical Medicine Rehabilitation Training & Research Hospital | Istanbul | 34173 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36934494 | Background | Kudo W, Terui K, Hattori S, Takenouchi A, Komatsu S, Oita S, Sato Y, Hishiki T. Establishment and validation of reference values for abdominal skeletal muscle compartments in children. Clin Nutr. 2023 May;42(5):653-660. doi: 10.1016/j.clnu.2023.02.022. Epub 2023 Mar 2. | |
| 28189451 | Background | Harbaugh CM, Zhang P, Henderson B, Derstine BA, Holcombe SA, Wang SC, Kohoyda-Inglis C, Ehrlich PF. Personalized medicine: Enhancing our understanding of pediatric growth with analytic morphomics. J Pediatr Surg. 2017 May;52(5):837-842. doi: 10.1016/j.jpedsurg.2017.01.030. Epub 2017 Jan 29. |
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| ID | Term |
|---|---|
| D055948 | Sarcopenia |
| ID | Term |
|---|---|
| D009133 | Muscular Atrophy |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| 33003166 | Background | Metzger GA, Sebastiao YV, Carsel AC, Nishimura L, Fisher JG, Deans KJ, Minneci PC. Establishing Reference Values for Lean Muscle Mass in the Pediatric Patient. J Pediatr Gastroenterol Nutr. 2021 Feb 1;72(2):316-323. doi: 10.1097/MPG.0000000000002958. |
| 31920002 | Background | Lurz E, Patel H, Lebovic G, Quammie C, Woolfson JP, Perez M, Ricciuto A, Wales PW, Kamath BM, Chavhan GB, Juni P, Ng VL. Paediatric reference values for total psoas muscle area. J Cachexia Sarcopenia Muscle. 2020 Apr;11(2):405-414. doi: 10.1002/jcsm.12514. Epub 2020 Jan 9. |
| D001284 | Atrophy |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |