The reproducibility of skeletal muscle signal intensity on routine magnetic resonance imaging in Crohn's disease
Background and Aim Myosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown recently, by magnetic resonance (MR) imaging. The primary aim was to analyze the reproducibility of skeletal muscle signal intensity on rout...
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Published in | Journal of gastroenterology and hepatology Vol. 35; no. 11; pp. 1902 - 1908 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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Australia
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01.11.2020
John Wiley and Sons Inc |
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Abstract | Background and Aim
Myosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown recently, by magnetic resonance (MR) imaging. The primary aim was to analyze the reproducibility of skeletal muscle signal intensity on routine MR‐enterographies, as indicator of myosteatosis, in Crohn's disease (CD) and to explore the association between skeletal muscle signal intensity at diagnosis with time to intestinal resection.
Methods
CD patients undergoing MR‐enterography within 6 months from diagnosis and having a maximum of 5 years follow‐up were included. Skeletal muscle signal intensity was analyzed on T1‐weighted fat‐saturated post‐contrast images. Intra‐observer and inter‐observer reproducibilities were assessed by intra‐class correlation coefficient and Cohen's kappa. Intra‐observer and inter‐observer variabilities were determined by Pearson correlation coefficient and displayed by Bland–Altman plots. Time to intestinal resection was studied by Kaplan–Meier analysis.
Results
Median time between diagnosis and MR‐enterography was 5 weeks (inter‐quartile range 1–9) in 35 CD patients. Skeletal muscle signal intensity showed good intra‐class correlation and substantial agreement (for intra‐observer, intraclass correlation coefficient = 0.948, κ = 0.677; and inter‐observer reproducibility, intraclass correlation coefficient = 0.858, κ = 0.622). Resection free survival was shorter in the low skeletal muscle signal intensity group (P = 0.037).
Conclusion
Skeletal muscle signal intensity on routine MR‐enterographies is reproducible and was associated with unfavorable disease outcome, indicating potential clinical relevance. |
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AbstractList | Myosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown recently, by magnetic resonance (MR) imaging. The primary aim was to analyze the reproducibility of skeletal muscle signal intensity on routine MR-enterographies, as indicator of myosteatosis, in Crohn's disease (CD) and to explore the association between skeletal muscle signal intensity at diagnosis with time to intestinal resection.
CD patients undergoing MR-enterography within 6 months from diagnosis and having a maximum of 5 years follow-up were included. Skeletal muscle signal intensity was analyzed on T1-weighted fat-saturated post-contrast images. Intra-observer and inter-observer reproducibilities were assessed by intra-class correlation coefficient and Cohen's kappa. Intra-observer and inter-observer variabilities were determined by Pearson correlation coefficient and displayed by Bland-Altman plots. Time to intestinal resection was studied by Kaplan-Meier analysis.
Median time between diagnosis and MR-enterography was 5 weeks (inter-quartile range 1-9) in 35 CD patients. Skeletal muscle signal intensity showed good intra-class correlation and substantial agreement (for intra-observer, intraclass correlation coefficient = 0.948, κ = 0.677; and inter-observer reproducibility, intraclass correlation coefficient = 0.858, κ = 0.622). Resection free survival was shorter in the low skeletal muscle signal intensity group (P = 0.037).
Skeletal muscle signal intensity on routine MR-enterographies is reproducible and was associated with unfavorable disease outcome, indicating potential clinical relevance. Abstract Background and Aim Myosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown recently, by magnetic resonance (MR) imaging. The primary aim was to analyze the reproducibility of skeletal muscle signal intensity on routine MR‐enterographies, as indicator of myosteatosis, in Crohn's disease (CD) and to explore the association between skeletal muscle signal intensity at diagnosis with time to intestinal resection. Methods CD patients undergoing MR‐enterography within 6 months from diagnosis and having a maximum of 5 years follow‐up were included. Skeletal muscle signal intensity was analyzed on T1‐weighted fat‐saturated post‐contrast images. Intra‐observer and inter‐observer reproducibilities were assessed by intra‐class correlation coefficient and Cohen's kappa. Intra‐observer and inter‐observer variabilities were determined by Pearson correlation coefficient and displayed by Bland–Altman plots. Time to intestinal resection was studied by Kaplan–Meier analysis. Results Median time between diagnosis and MR‐enterography was 5 weeks (inter‐quartile range 1–9) in 35 CD patients. Skeletal muscle signal intensity showed good intra‐class correlation and substantial agreement (for intra‐observer, intraclass correlation coefficient = 0.948, κ = 0.677; and inter‐observer reproducibility, intraclass correlation coefficient = 0.858, κ = 0.622). Resection free survival was shorter in the low skeletal muscle signal intensity group ( P = 0.037). Conclusion Skeletal muscle signal intensity on routine MR‐enterographies is reproducible and was associated with unfavorable disease outcome, indicating potential clinical relevance. Background and AimMyosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown recently, by magnetic resonance (MR) imaging. The primary aim was to analyze the reproducibility of skeletal muscle signal intensity on routine MR‐enterographies, as indicator of myosteatosis, in Crohn's disease (CD) and to explore the association between skeletal muscle signal intensity at diagnosis with time to intestinal resection.MethodsCD patients undergoing MR‐enterography within 6 months from diagnosis and having a maximum of 5 years follow‐up were included. Skeletal muscle signal intensity was analyzed on T1‐weighted fat‐saturated post‐contrast images. Intra‐observer and inter‐observer reproducibilities were assessed by intra‐class correlation coefficient and Cohen's kappa. Intra‐observer and inter‐observer variabilities were determined by Pearson correlation coefficient and displayed by Bland–Altman plots. Time to intestinal resection was studied by Kaplan–Meier analysis.ResultsMedian time between diagnosis and MR‐enterography was 5 weeks (inter‐quartile range 1–9) in 35 CD patients. Skeletal muscle signal intensity showed good intra‐class correlation and substantial agreement (for intra‐observer, intraclass correlation coefficient = 0.948, κ = 0.677; and inter‐observer reproducibility, intraclass correlation coefficient = 0.858, κ = 0.622). Resection free survival was shorter in the low skeletal muscle signal intensity group (P = 0.037).ConclusionSkeletal muscle signal intensity on routine MR‐enterographies is reproducible and was associated with unfavorable disease outcome, indicating potential clinical relevance. Background and Aim Myosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown recently, by magnetic resonance (MR) imaging. The primary aim was to analyze the reproducibility of skeletal muscle signal intensity on routine MR‐enterographies, as indicator of myosteatosis, in Crohn's disease (CD) and to explore the association between skeletal muscle signal intensity at diagnosis with time to intestinal resection. Methods CD patients undergoing MR‐enterography within 6 months from diagnosis and having a maximum of 5 years follow‐up were included. Skeletal muscle signal intensity was analyzed on T1‐weighted fat‐saturated post‐contrast images. Intra‐observer and inter‐observer reproducibilities were assessed by intra‐class correlation coefficient and Cohen's kappa. Intra‐observer and inter‐observer variabilities were determined by Pearson correlation coefficient and displayed by Bland–Altman plots. Time to intestinal resection was studied by Kaplan–Meier analysis. Results Median time between diagnosis and MR‐enterography was 5 weeks (inter‐quartile range 1–9) in 35 CD patients. Skeletal muscle signal intensity showed good intra‐class correlation and substantial agreement (for intra‐observer, intraclass correlation coefficient = 0.948, κ = 0.677; and inter‐observer reproducibility, intraclass correlation coefficient = 0.858, κ = 0.622). Resection free survival was shorter in the low skeletal muscle signal intensity group (P = 0.037). Conclusion Skeletal muscle signal intensity on routine MR‐enterographies is reproducible and was associated with unfavorable disease outcome, indicating potential clinical relevance. |
Author | Lodewick, Toine M. Bours, Martijn J.L. Haans, Jeoffrey J. Dijk, David P.J. Pierik, Marie J. Masclee, Ad A.M. Bakers, Frans C.H. Beelen, Evelien M.J. Spooren, Corinne E.G.M. Jonkers, Daisy M.A.E. |
AuthorAffiliation | 2 School for Nutrition and Translational Research in Metabolism (NUTRIM) Maastricht University Medical Centre Maastricht The Netherlands 4 Department of Surgery Maastricht University Medical Centre+ Maastricht The Netherlands 1 Division of Gastroenterology–Hepatology Maastricht University Medical Centre+ Maastricht The Netherlands 3 Department of Radiology and Nuclear Medicine Maastricht University Medical Centre Maastricht The Netherlands 5 Department of Epidemiology, GROW School for Oncology and Developmental Biology Maastricht University Maastricht The Netherlands |
AuthorAffiliation_xml | – name: 4 Department of Surgery Maastricht University Medical Centre+ Maastricht The Netherlands – name: 2 School for Nutrition and Translational Research in Metabolism (NUTRIM) Maastricht University Medical Centre Maastricht The Netherlands – name: 5 Department of Epidemiology, GROW School for Oncology and Developmental Biology Maastricht University Maastricht The Netherlands – name: 3 Department of Radiology and Nuclear Medicine Maastricht University Medical Centre Maastricht The Netherlands – name: 1 Division of Gastroenterology–Hepatology Maastricht University Medical Centre+ Maastricht The Netherlands |
Author_xml | – sequence: 1 givenname: Corinne E.G.M. orcidid: 0000-0003-2575-8400 surname: Spooren fullname: Spooren, Corinne E.G.M. email: c.spooren@maastrichtuniversity.nl organization: Maastricht University Medical Centre – sequence: 2 givenname: Toine M. surname: Lodewick fullname: Lodewick, Toine M. organization: Maastricht University Medical Centre – sequence: 3 givenname: Evelien M.J. orcidid: 0000-0003-0819-2054 surname: Beelen fullname: Beelen, Evelien M.J. organization: Maastricht University Medical Centre+ – sequence: 4 givenname: David P.J. surname: Dijk fullname: Dijk, David P.J. organization: Maastricht University Medical Centre+ – sequence: 5 givenname: Martijn J.L. surname: Bours fullname: Bours, Martijn J.L. organization: Maastricht University – sequence: 6 givenname: Jeoffrey J. surname: Haans fullname: Haans, Jeoffrey J. organization: Maastricht University Medical Centre+ – sequence: 7 givenname: Ad A.M. surname: Masclee fullname: Masclee, Ad A.M. organization: Maastricht University Medical Centre – sequence: 8 givenname: Marie J. surname: Pierik fullname: Pierik, Marie J. organization: Maastricht University Medical Centre – sequence: 9 givenname: Frans C.H. surname: Bakers fullname: Bakers, Frans C.H. organization: Maastricht University Medical Centre – sequence: 10 givenname: Daisy M.A.E. surname: Jonkers fullname: Jonkers, Daisy M.A.E. organization: Maastricht University Medical Centre |
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CitedBy_id | crossref_primary_10_1111_apt_17498 crossref_primary_10_1038_s41575_022_00619_5 crossref_primary_10_1055_s_0043_1776430 crossref_primary_10_1055_a_2330_8148 crossref_primary_10_3390_jcm10184214 crossref_primary_10_3390_biomedicines12061218 crossref_primary_10_1016_j_clnu_2023_05_002 crossref_primary_10_1186_s12893_023_02188_z crossref_primary_10_3390_ijerph20010656 crossref_primary_10_3390_nu15173824 crossref_primary_10_1007_s00384_022_04104_y crossref_primary_10_1002_jgh3_13033 |
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Notes | Declaration of conflict of interest CS, MP, and DJ report a grant from European commission outside the submitted work. Part of the work of DJ is financed by Grant Top Knowledge Institute (Well on Wheat), the Carbokinietics program as part of the NWO‐CCC Partnership program and H2020 Nr. 848228/DISCOvERIE. The other contributing authors have no conflicts of interest to declare in connection with this paper. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Declaration of conflict of interest: CS, MP, and DJ report a grant from European commission outside the submitted work. Part of the work of DJ is financed by Grant Top Knowledge Institute (Well on Wheat), the Carbokinietics program as part of the NWO‐CCC Partnership program and H2020 Nr. 848228/DISCOvERIE. The other contributing authors have no conflicts of interest to declare in connection with this paper. |
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Snippet | Background and Aim
Myosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown... Myosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown recently, by... Abstract Background and Aim Myosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or,... Background and AimMyosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown... BACKGROUND AND AIMMyosteatosis is a prognostic factor in cancer and liver cirrhosis. It can be determined noninvasively using computed tomography or, as shown... |
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SubjectTerms | Adult Cirrhosis Clinical Gastroenterology Computed tomography Crohn Disease - complications Crohn Disease - diagnostic imaging Crohn Disease - mortality Crohn Disease - surgery Crohn's disease Crohns disease Diagnosis disease outcome Female Gastroenterology Humans IBD Intestine Liver cancer Liver cirrhosis Magnetic Resonance Imaging Male Muscle, Skeletal - diagnostic imaging Musculoskeletal system myosteatosis Prognosis Reproducibility Reproducibility of Results Sarcopenia - diagnostic imaging Sarcopenia - etiology Skeletal muscle Survival Rate Time Factors Treatment Outcome |
Title | The reproducibility of skeletal muscle signal intensity on routine magnetic resonance imaging in Crohn's disease |
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