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Recent Issues on Body Composition Imaging for Sarcopenia Evaluation

Korean Journal of Radiology 2019³â 20±Ç 2È£ p.205 ~ 217
ÀÌ°íÀº, Shin Yong-Bin, ÇãÁö¹Ì, ¼ºÀ¯¼·, ÀÌÀμ·, À±±ÇÇÏ, ±è°æ¿ø,
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ÀÌ°íÀº ( Lee Ko-Eun ) 
University of Ulsan College of Medicine Asan Medical Center Department of Radiology

 ( Shin Yong-Bin ) 
University of Ulsan College of Medicine Asan Medical Center Department of Radiology
ÇãÁö¹Ì ( Huh Ji-Mi ) 
Ajou University School of Medicine Department of Radiology
¼ºÀ¯¼· ( Sung Yu-Sub ) 
University of Ulsan College of Medicine Asan Medical Center Department of Radiology
ÀÌÀμ· ( Lee In-Seob ) 
University of Ulsan College of Medicine Asan Medical Center Department of Surgery
À±±ÇÇÏ ( Yoon Kwon-Ha ) 
Wonkwang University Hospital Department of Radiology
±è°æ¿ø ( Kim Kyung-Won ) 
University of Ulsan College of Medicine Asan Medical Center Department of Radiology

Abstract


Recently, sarcopenia has garnered renewed interest. Sarcopenia is a disease characterized by decreased skeletal muscle mass and strength/function, which can impair the quality of life and increase physical disability, adverse metabolic effects, and mortality. Imaging tools for evaluating and diagnosing sarcopenia have developed rapidly. Radiologists should be aware of sarcopenia and its clinical implications. We review current knowledge about sarcopenia, its pathophysiological impact, and advantages and disadvantages of methods for evaluation of sarcopenia focusing on body composition imaging modalities such as whole-body dual-energy X-ray absorptiometry, CT, and MRI. Controversial issues are discussed, including the lack of consensus and standardization of the disease definition, imaging modality, measurement methods, and diagnostic cutoff points.

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Body composition; Computed tomography; Magnetic resonance imaging; Dual-energy X-ray absorptiometry; Sarcopenia

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