超声在肌肉减少症中的肌肉评估应用：2020 SARCUS 更新,European Geriatric Medicine

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超声在肌肉减少症中的肌肉评估应用：2020 SARCUS 更新
European Geriatric Medicine ( IF 3.5 ) Pub Date : 2021-01-02 , DOI: 10.1007/s41999-020-00433-9
Stany Perkisas _{1,

2,

3} , Sophie Bastijns ₁ , Stéphane Baudry _{3,

4} , Jürgen Bauer ₅ , Charlotte Beaudart _{3,

6,

7} , David Beckwée _{8,

9} , Alfonso Cruz-Jentoft ₁₀ , Jerzy Gasowski ₁₁ , Hans Hobbelen _{12,

13} , Harriët Jager-Wittenaar _{14,

15} , Agnieszka Kasiukiewicz ₁₆ , Francesco Landi ₁₇ , Magdalena Małek ₁₁ , Ester Marco ₁₈ , Anna Maria Martone ₁₇ , Ana Merello de Miguel ₁₀ , Karolina Piotrowicz ₁₁ , Elisabet Sanchez ₁₀ , Dolores Sanchez-Rodriguez _{6,

19} , Aldo Scafoglieri _{3,

20} , Maurits Vandewoude _{1,

3} , Veronique Verhoeven ₂ , Zyta Beata Wojszel ₁₆ , Anne-Marie De Cock _{1,

2}

Affiliation

University Center of Geriatrics, University of Antwerp, Leopoldstraat 26, 2000, Antwerp, Belgium.
First Line and Interdisciplinary Care Medicine, ELIZA, University of Antwerp, 2650, Edegem, Belgium.
Belgian Ageing Muscle Society, Liège, Belgium.
Laboratory of Applied Biology and Research Unit in Applied Neurophysiologie (LAB Neuro), Belgian Ageing Muscle Society, Université libre de Bruxelles, Brussels, Belgium.
Department of Geriatric Medicine, Carl von Ossietzky University, Klinikum, Oldenburg, Germany.
World Health Organization Collaborating Center for Public Health Aspects of Musculoskeletal Health and Aging, Division of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium.
Department of Health Services Research, University of Maastricht, Maastricht, The Netherlands.
Rehabilitation Sciences Research Department, Vrije Universiteit Brussel, Brussels, Belgium.
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Servicio de Geriatría, Hospital Universitario Ramón y Cajal (IRYCIS), Madrid, Spain.
Department of Internal Medicine and Gerontology, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.
Healthy Lifestyle, Ageing and Healthcare Research Group Healthy Ageing, Allied Health Care and Nursing, Centre of Expertise Healthy Ageing, Hanze University of Applied Sciences Groningen, Groningen, The Netherlands.
Department of General Practice and Elderly Care Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Hanze University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing, University of Groningen, Groningen, The Netherlands.
Department of Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Geriatrics, Medical University, Bialystok, Poland.
Department of Geriatrics, Neuroscience and Orthopedics, Teaching Hospital "Agostino Gemelli", Catholic University of the Sacred Heart School of Medicine, Rome, Italy.
Physical and Rehabilitation Medicine, Parc de Salut Mar, Rehabilitation Research Group, Hospital del Mar Medical Research Institute, Universitat Autònoma de Barcelona, Universitat International de Catalunya, Barcelona, Spain.
Geriatrics Department, Rehabilitation Research Group, Hospital Del Mar Medical Research Institute (IMIM), Universitat Pompeu Fabra, Barcelona, Spain.
Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium.

目的标准化超声在肌肉和肌肉减少症评估中的使用。结果肌肉评估方法已根据最新文献进行了更新，并提供了 39 种不同肌肉的解剖标志。消息使用这些建议，超声肌肉评估可以在全球范围内标准化。目的 2018 年，SARCUS 工作组发表了第一篇关于标准化使用超声评估肌肉的文章。对患者定位、系统设置和要测量的组件提出了建议。此外，还提到了知识方面的不足。仍然需要标准化的一个重要问题是许多肌肉的解剖标志的定义。方法在 Medline 中进行了系统搜索，SCOPUS 和 Web of Sciences 查找所有描述使用超声波评估肌肉的文章，这些文章未在 2018 年 1 月 1 日至 2020 年 1 月 31 日发布的第一个建议中描述。使用了所有用于老年人、超声和肌肉的相关术语。结果对于 39 块肌肉，发现了可能影响测量值的不同超声评估方法。为所有肌肉/肌肉组提出了标准化的解剖标志和测量点。除了五个已知的肌肉参数（肌肉厚度、横截面积、羽状角、束长度和回声强度）外，还讨论了四个新参数（肌肉体积、刚度、收缩电位和微循环）。以前的 SARCUS 文章推荐使用包含新肌肉群的新信息进行了更新。结论新兴的肌肉质量超声评估领域只强调了对测量技术标准化的需求。在本文中，指南被更新和扩展，为大量肌肉提供标准化说明。

"点击查看英文标题和摘要"

Application of ultrasound for muscle assessment in sarcopenia: 2020 SARCUS update

Aim Standardizing the use of ultrasound in the assessment of muscle and sarcopenia. Findings Approach of muscle assessment has been updated according to the most recent literature and anatomical landmarks for 39 different muscles are provided. Message Using these recommendations, ultrasonographical muscle assessment can be standardized worldwide. Purpose In 2018, the SARCUS working group published a first article on the standardization of the use of ultrasound to assess muscle. Recommendations were made for patient positioning, system settings and components to be measured. Also, shortcomings in knowledge were mentioned. An important issue that still required standardization was the definition of anatomical landmarks for many muscles. Methods A systematic search was performed in Medline, SCOPUS and Web of Sciences looking for all articles describing the use of ultrasound in the assessment of muscle not described in the first recommendations, published from 01/01/2018 until 31/01/2020. All relevant terms used for older people, ultrasound and muscles were used. Results For 39 muscles, different approaches for ultrasound assessment were found that likely impact the values measured. Standardized anatomical landmarks and measuring points were proposed for all muscles/muscle groups. Besides the five already known muscle parameters (muscle thickness, cross-section area, pennation angle, fascicle length and echo-intensity), four new parameters are discussed (muscle volume, stiffness, contraction potential and microcirculation). The former SARCUS article recommendations are updated with this new information that includes new muscle groups. Conclusions The emerging field of ultrasound assessment of muscle mass only highlights the need for a standardization of measurement technique. In this article, guidelines are updated and broadened to provide standardization instructions for a large number of muscles.

更新日期：2021-01-02

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