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At least 1,171 records · Page 65Linked to original sources
PubMed1999

Quantitative assessment of myositis in thigh muscles using magnetic resonance imaging.

Magnetic resonance (MR) imaging has been suggested as a technique for diagnosing and monitoring myositis, an inflammatory muscle disease. To date, the assessment of disease from MR images has been by subjective visual analysis. We describe here an objective, semi-automatic, computer-based method for quantifying the degree of disease from MR images, without the need for a radiologist or physician trained in the visual assessment of the MR images. The method is based on analysis of the histogram of intensity values produced from the MR images. The analysis yielded measures of the intensity and extent of disease. These two measures were combined to produce a calculated myositis index (CMI) which described the degree of disease evident from the MR images. This index was compared with a clinical assessment of the patient's condition, based on currently accepted, invasive and non-invasive, non-imaging criteria. Receiver operating characteristic (ROC) curve analysis showed that calculated myositis index agreed at least as well with clinical assessment as did visual analysis (receiver operating characteristic area = 0.93 and 0.94, p = not significant (NS), respectively, for separating remission from disease). Even using only two central MR slices for each patient, the receiver operating characteristic area for calculated myositis index was 0.92, implying that very short acquisition times are possible. We conclude that quantitative histogram analysis of MR images can be successfully performed with minimal operator input and using few MR slices. Agreement with more invasive clinical assessment is good and the method has the advantages of repeatability, objectivity, and decreased scan and analysis time.

Adult↗
PubMed2002

Differences in oxygen re-saturation of thigh and calf muscles after two treadmill stress tests.

Spatially resolved near-infrared oximeters quantify non-invasively muscle haemoglobin oxygen saturation (TOI) and, indirectly, local venous oxygen saturation (SvO(2)) and blood flow (MBF). TOI, SvO(2) and MBF of vastus lateralis and medial gastrocnemius were investigated after 5-min walking (3.2 km/h) and running (9.6 km/h) (n=7). The values of TOI were unchanged in the vastus lateralis during walking, whilst decreased during running in both muscles. For both muscles, TOI and SvO(2) values after walking were significantly greater than those found after running (P=0.043). The TOI went back (in 2 min) to its baseline value after walking in both muscles, whilst more slowly (in 4 min) after running in vastus lateralis. After running TOI of medial gastrocnemius had a tendency to be higher than the baseline value (reactive hyperaemia), concomitantly to the high MBF (twice the control value). The diverse oxygen demand in the stress tests and the consequent different pattern of TOI recovery reflect the different engagement of the two muscles. In conclusion, these results demonstrated the utility of TOI, independent of MBF and SvO(2), to be measured upon specific stress testing for differentiating the severity of peripheral vascular diseases and for assessing the collateral blood flow.

Adult↗