Imaging Software-Based Sarcopenia Assessment in Gastroenterology: Evolution and Clinical Meaning
Sarcopenia is gaining attention as a negative prognostic factor in different fields of medicine, including chronic liver failure. However, the assessment of sarcopenia in patients with liver diseases is often neglected due to unawareness of reliable tools and methods and thus is limited to research...
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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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Series: | Canadian Journal of Gastroenterology and Hepatology |
Online Access: | http://dx.doi.org/10.1155/2021/6669480 |
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author | Giovanni Marasco Sinan Sadalla Giulio Vara Rita Golfieri Davide Festi Antonio Colecchia Matteo Renzulli |
author_facet | Giovanni Marasco Sinan Sadalla Giulio Vara Rita Golfieri Davide Festi Antonio Colecchia Matteo Renzulli |
author_sort | Giovanni Marasco |
collection | DOAJ |
description | Sarcopenia is gaining attention as a negative prognostic factor in different fields of medicine, including chronic liver failure. However, the assessment of sarcopenia in patients with liver diseases is often neglected due to unawareness of reliable tools and methods and thus is limited to research studies. Cross-sectional imaging is a diffuse diagnostic tool and is commonly performed in patients with chronic liver failure. The last advancements in radiology image analysis using dedicated software allow an easy and standardized method to assess skeletal muscle volume. Several measures can be obtained from cross-sectional imaging analysis to evaluate sarcopenia in patients affected by chronic liver disease. We aimed to review the recent advances in imaging-based sarcopenia assessment, in particular in patients with chronic liver diseases. As a result, we found that the skeletal muscle index (SMI) seems to be a reliable method to assess sarcopenia in cirrhotic patients. Even if further studies are needed to validate proper cut-offs for each clinical endpoint, physicians are invited to consider the assessment of sarcopenia in the work-up of patients with chronic liver disease. |
format | Article |
id | doaj-art-ce79614ad1ac44ae95fe9984c0fbb6cc |
institution | Kabale University |
issn | 2291-2789 2291-2797 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Canadian Journal of Gastroenterology and Hepatology |
spelling | doaj-art-ce79614ad1ac44ae95fe9984c0fbb6cc2025-02-03T01:10:08ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972021-01-01202110.1155/2021/66694806669480Imaging Software-Based Sarcopenia Assessment in Gastroenterology: Evolution and Clinical MeaningGiovanni Marasco0Sinan Sadalla1Giulio Vara2Rita Golfieri3Davide Festi4Antonio Colecchia5Matteo Renzulli6Division of Gastroenterology, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyDivision of Gastroenterology, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyDivision of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyDivision of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyDepartment of Medical and Surgical Sciences, University of Bologna, Via Massarenti 9, Bologna 40138, ItalyUnit of Gastroenterology, Borgo Trento University Hospital of Verona, Verona, ItalyDivision of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalySarcopenia is gaining attention as a negative prognostic factor in different fields of medicine, including chronic liver failure. However, the assessment of sarcopenia in patients with liver diseases is often neglected due to unawareness of reliable tools and methods and thus is limited to research studies. Cross-sectional imaging is a diffuse diagnostic tool and is commonly performed in patients with chronic liver failure. The last advancements in radiology image analysis using dedicated software allow an easy and standardized method to assess skeletal muscle volume. Several measures can be obtained from cross-sectional imaging analysis to evaluate sarcopenia in patients affected by chronic liver disease. We aimed to review the recent advances in imaging-based sarcopenia assessment, in particular in patients with chronic liver diseases. As a result, we found that the skeletal muscle index (SMI) seems to be a reliable method to assess sarcopenia in cirrhotic patients. Even if further studies are needed to validate proper cut-offs for each clinical endpoint, physicians are invited to consider the assessment of sarcopenia in the work-up of patients with chronic liver disease.http://dx.doi.org/10.1155/2021/6669480 |
spellingShingle | Giovanni Marasco Sinan Sadalla Giulio Vara Rita Golfieri Davide Festi Antonio Colecchia Matteo Renzulli Imaging Software-Based Sarcopenia Assessment in Gastroenterology: Evolution and Clinical Meaning Canadian Journal of Gastroenterology and Hepatology |
title | Imaging Software-Based Sarcopenia Assessment in Gastroenterology: Evolution and Clinical Meaning |
title_full | Imaging Software-Based Sarcopenia Assessment in Gastroenterology: Evolution and Clinical Meaning |
title_fullStr | Imaging Software-Based Sarcopenia Assessment in Gastroenterology: Evolution and Clinical Meaning |
title_full_unstemmed | Imaging Software-Based Sarcopenia Assessment in Gastroenterology: Evolution and Clinical Meaning |
title_short | Imaging Software-Based Sarcopenia Assessment in Gastroenterology: Evolution and Clinical Meaning |
title_sort | imaging software based sarcopenia assessment in gastroenterology evolution and clinical meaning |
url | http://dx.doi.org/10.1155/2021/6669480 |
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