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Related Experiment Video

Updated: Sep 15, 2025

Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
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Quantitative Muscle Ultrasound: A Non-Invasive Biomarker for Monitoring Duchenne Muscular Dystrophy.

Yu Jin Im1,2, Yumi Choe1, Jiwon Lee2,3

  • 1Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Seoul, Republic of Korea.

Muscle & Nerve
|July 17, 2025
PubMed
Summary

Quantitative muscle ultrasound (QMUS) can track Duchenne muscular dystrophy (DMD) progression. Composite QMUS scores correlate with functional capacity, offering a non-invasive biomarker for disease monitoring.

Keywords:
Duchenne muscular dystrophyfunctional capacitygrayscale level analysismuscle ultrasound

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Area of Science:

  • Neurology
  • Biomarkers
  • Medical Imaging

Background:

  • Duchenne muscular dystrophy (DMD) is a progressive genetic disorder characterized by muscle degeneration.
  • Non-invasive biomarkers are crucial for monitoring disease progression and treatment efficacy in DMD.
  • Quantitative muscle ultrasound (QMUS) has emerged as a promising tool for assessing muscle health.

Purpose of the Study:

  • To evaluate the correlation between QMUS parameters in various muscles and established functional capacity assessments in patients with DMD.
  • To compare the utility of composite QMUS scores versus single-muscle QMUS analyses for tracking DMD progression.

Main Methods:

  • Analysis of baseline data from 23 patients with DMD (aged 5-18 years).
  • High-resolution ultrasound scans assessed muscle echogenicity (mean grayscale values - MGV) in multiple muscle groups.
  • Functional capacity was evaluated using the 6-minute walk test (6MWT), North Star Ambulatory Assessment (NSAA), Performance of Upper Limb (PUL) module, timed function tests, and strength tests.

Main Results:

  • Composite QMUS scores for upper and lower limbs showed moderate to strong negative correlations with 6MWT and NSAA scores.
  • Composite QMUS scores demonstrated strong positive correlations with functional timed tests (e.g., rise-from-floor, stair climb).
  • MGV of the flexor carpi radialis correlated with upper limb function (PUL scores), but QMUS did not correlate significantly with muscle strength tests.

Conclusions:

  • QMUS provides a non-invasive method for assessing muscle integrity in DMD.
  • Composite QMUS scores effectively correlate with functional capacity and can serve as a comprehensive biomarker for DMD progression.