The Cross-Sectional Area Assessment of Pelvic Muscles Using the MRI Manual Segmentation among Patients with Low Back Pain and Healthy Subjects
The pain pathomechanism of chronic low back pain (LBP) is complex and the available diagnostic methods are insufficient. Patients present morphological changes in volume and cross-sectional area (CSA) of lumbosacral region. The main objective of this study was to assess if CSA measurements of pelvic...
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| Format: | Article |
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MDPI AG
2023-07-01
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| Series: | Journal of Imaging |
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| Online Access: | https://www.mdpi.com/2313-433X/9/8/155 |
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| author | Wiktoria Frącz Jakub Matuska Jarosław Szyszka Paweł Dobrakowski Wiktoria Szopka Elżbieta Skorupska |
| author_facet | Wiktoria Frącz Jakub Matuska Jarosław Szyszka Paweł Dobrakowski Wiktoria Szopka Elżbieta Skorupska |
| author_sort | Wiktoria Frącz |
| collection | DOAJ |
| description | The pain pathomechanism of chronic low back pain (LBP) is complex and the available diagnostic methods are insufficient. Patients present morphological changes in volume and cross-sectional area (CSA) of lumbosacral region. The main objective of this study was to assess if CSA measurements of pelvic muscle will indicate muscle atrophy between asymptomatic and symptomatic sides in chronic LBP patients, as well as between right and left sides in healthy volunteers. In addition, inter-rater reliability for CSA measurements was examined. The study involved 71 chronic LBP patients and 29 healthy volunteers. The CSA of gluteus maximus, medius, minimus and piriformis were measured using the MRI manual segmentation method. Muscle atrophy was confirmed in gluteus maximus, gluteus minimus and piriformis muscle for over 50% of chronic LBP patients (<i>p</i> < 0.05). Gluteus medius showed atrophy in patients with left side pain occurrence (<i>p</i> < 0.001). Muscle atrophy occurred on the symptomatic side for all inspected muscles, except gluteus maximus in rater one assessment. The reliability of CSA measurements between raters calculated using CCC and ICC presented great inter-rater reproducibility for each muscle both in patients and healthy volunteers (<i>p</i> < 0.95). Therefore, there is the possibility of using CSA assessment in the diagnosis of patients with symptoms of chronic LBP. |
| first_indexed | 2024-03-10T23:50:07Z |
| format | Article |
| id | doaj.art-119f2ed3b3c24e59955745f1d601bbf7 |
| institution | Directory Open Access Journal |
| issn | 2313-433X |
| language | English |
| last_indexed | 2024-03-10T23:50:07Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Imaging |
| spelling | doaj.art-119f2ed3b3c24e59955745f1d601bbf72023-11-19T01:43:34ZengMDPI AGJournal of Imaging2313-433X2023-07-019815510.3390/jimaging9080155The Cross-Sectional Area Assessment of Pelvic Muscles Using the MRI Manual Segmentation among Patients with Low Back Pain and Healthy SubjectsWiktoria Frącz0Jakub Matuska1Jarosław Szyszka2Paweł Dobrakowski3Wiktoria Szopka4Elżbieta Skorupska5Faculty of Biomedical Sciences, Medical University of Lodz, Al. Kosciuszki 4, 90-419 Lodz, PolandDepartment of Physiotherapy, Poznan University of Medical Sciences, ul. 28 czerwca 1956r. nr 135/147, 61-545 Poznan, PolandOpole Rehabilitation Centre in Korfantów, Wyzwolenia 11, 48-317 Korfantów, PolandPsychology Institute, Humanitas University in Sosnowiec, 41-200 Sosnowiec, PolandFaculty of Veterinary Medicine and Animal Science, Poznan University of Life Sciences, 60-637 Poznań, PolandDepartment of Physiotherapy, Poznan University of Medical Sciences, ul. 28 czerwca 1956r. nr 135/147, 61-545 Poznan, PolandThe pain pathomechanism of chronic low back pain (LBP) is complex and the available diagnostic methods are insufficient. Patients present morphological changes in volume and cross-sectional area (CSA) of lumbosacral region. The main objective of this study was to assess if CSA measurements of pelvic muscle will indicate muscle atrophy between asymptomatic and symptomatic sides in chronic LBP patients, as well as between right and left sides in healthy volunteers. In addition, inter-rater reliability for CSA measurements was examined. The study involved 71 chronic LBP patients and 29 healthy volunteers. The CSA of gluteus maximus, medius, minimus and piriformis were measured using the MRI manual segmentation method. Muscle atrophy was confirmed in gluteus maximus, gluteus minimus and piriformis muscle for over 50% of chronic LBP patients (<i>p</i> < 0.05). Gluteus medius showed atrophy in patients with left side pain occurrence (<i>p</i> < 0.001). Muscle atrophy occurred on the symptomatic side for all inspected muscles, except gluteus maximus in rater one assessment. The reliability of CSA measurements between raters calculated using CCC and ICC presented great inter-rater reproducibility for each muscle both in patients and healthy volunteers (<i>p</i> < 0.95). Therefore, there is the possibility of using CSA assessment in the diagnosis of patients with symptoms of chronic LBP.https://www.mdpi.com/2313-433X/9/8/155sciaticamuscle atrophyinter-rater reliabilitymanual segmentationmagnetic resonance imaging |
| spellingShingle | Wiktoria Frącz Jakub Matuska Jarosław Szyszka Paweł Dobrakowski Wiktoria Szopka Elżbieta Skorupska The Cross-Sectional Area Assessment of Pelvic Muscles Using the MRI Manual Segmentation among Patients with Low Back Pain and Healthy Subjects Journal of Imaging sciatica muscle atrophy inter-rater reliability manual segmentation magnetic resonance imaging |
| title | The Cross-Sectional Area Assessment of Pelvic Muscles Using the MRI Manual Segmentation among Patients with Low Back Pain and Healthy Subjects |
| title_full | The Cross-Sectional Area Assessment of Pelvic Muscles Using the MRI Manual Segmentation among Patients with Low Back Pain and Healthy Subjects |
| title_fullStr | The Cross-Sectional Area Assessment of Pelvic Muscles Using the MRI Manual Segmentation among Patients with Low Back Pain and Healthy Subjects |
| title_full_unstemmed | The Cross-Sectional Area Assessment of Pelvic Muscles Using the MRI Manual Segmentation among Patients with Low Back Pain and Healthy Subjects |
| title_short | The Cross-Sectional Area Assessment of Pelvic Muscles Using the MRI Manual Segmentation among Patients with Low Back Pain and Healthy Subjects |
| title_sort | cross sectional area assessment of pelvic muscles using the mri manual segmentation among patients with low back pain and healthy subjects |
| topic | sciatica muscle atrophy inter-rater reliability manual segmentation magnetic resonance imaging |
| url | https://www.mdpi.com/2313-433X/9/8/155 |
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