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Composition of skeletal muscle evaluated with computed tomography
B H Goodpaster1, F L Thaete, D E Kelley
1Department of Medicine, University of Pittsburgh, Pennsylvania 15261, USA. bgood+@pitt.edu
Annals of the New York Academy of Sciences
|June 24, 2000
Summary
Computed tomography (CT) quantifies skeletal muscle composition and fat infiltration. Muscle attenuation reflects fat content, impacting insulin resistance and potentially altered by weight loss, aging, or disease.
Area of Science:
- Radiology
- Body Composition Analysis
- Metabolic Research
Background:
- Computed tomography (CT) provides quantitative imaging data via linear attenuation coefficients.
- Skeletal muscle and adipose tissue attenuation can be measured in vivo.
- Muscle attenuation is a recognized marker for lipid content and fatty infiltration.
Purpose of the Study:
- To investigate the utility of CT in quantifying skeletal muscle composition.
- To explore the relationship between muscle attenuation, fat content, and metabolic health.
- To assess the impact of interventions and aging/disease on muscle composition using CT.
Main Methods:
- Quantification of linear attenuation coefficients in skeletal muscle and adipose tissue using CT.
- Analysis of mean muscle attenuation as a marker of lipid content.
- Correlation of regional body composition parameters with glucose metabolism.
Main Results:
- Mean muscle attenuation increases with higher fat content in obesity.
- Muscle attenuation is strongly correlated with insulin-resistant glucose metabolism.
- CT can detect alterations in muscle composition and adipose tissue distribution due to weight-loss interventions, aging, and disease.
Conclusions:
- CT offers valuable quantitative data on muscle composition and intramuscular adipose tissue distribution.
- These CT-derived metrics are significant for understanding skeletal muscle metabolism, lipid accumulation, and function.
- CT imaging plays a crucial role in assessing body composition changes relevant to metabolic health and disease.