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Department of Neurology and Magnetic Resonance Research Center, Aarhus University Hospital, 8000 Aarhus C, Denmark
The validity of
the methods used for determination of muscle mass has not been
evaluated previously. We determined muscle mass by estimating muscle
volume with assumption-free stereological techniques applied to
magnetic resonance imaging (MRI) in 18 healthy untrained subjects (6 women, 12 men) aged 41 yr (29-64 yr; median, range). Muscle mass
was also estimated by measuring leg circumference and cross-sectional
muscle areas (CSA) from MRIs at three predetermined levels. Power
[peak torque (PT)] of the ankle dorsiflexors and plantar
flexors was estimated by using isokinetic dynamometry. Dorsiflexor
volume (r2 = 0.76, P < 5 × 10
6) and CSA
(r2 = 0.73, P < 5 × 10
5) were related to PT,
whereas circumference was not
(r2 = 0.17, not
significant). Correspondingly, a relationship to plantar PT was
established for plantar flexor volume
(r2 = 0.69, P < 5 × 10
5) and CSA
(r2 = 0.46, P < 5 × 10
3) but not leg
circumference (r2 = 0.15, not significant). SDs of the residuals were smaller for the
relationship between dorsiflexor PT and volume than between PT and CSA
(0.42 vs. 0.45) for plantar flexors (1.5 vs. 2.0). By using the
Cavalieri method, six MRI sections and 15 min of point counting are
sufficient to obtain a valid estimate of the volume of the muscles of
the lower leg.
stereology; muscle volume; muscle strength; magnetic resonance imaging
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