{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:38:45Z","timestamp":1790757525575,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,5,21]],"date-time":"2020-05-21T00:00:00Z","timestamp":1590019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Muscle wasting, prevalent in maintenance hemodialysis (HD) patients diagnosed with protein\u2010energy wasting, represents an assessment challenge in the outpatient HD setting. Quadriceps muscle thickness (QMT) and cross\u2010sectional area (CSA) assessment by ultrasound (US) is a potential surrogate measure for muscle wasting. We aimed to determine the validity of US to measure QMT and CSA against the gold standard\u2014computed tomography (CT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010six patients on HD underwent US and CT scans on the same day, postdialysis session. QMT for rectus femoris (RF) and vastus intermedius (VI) muscles was taken at the midpoint (MID) and two\u2010thirds (2\/3) of both thighs and CSA of the RF muscle (RF<jats:sub>CSA<\/jats:sub>), respectively. Correlation between US and CT measurements was determined by intraclass correlation coefficient (ICC) and Bland\u2010Altman plot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ICC (95% CI) computed between US and CT was 0.94 (0.87\u20130.97)<jats:sub>,<\/jats:sub> 0.97 (0.93\u20130.99)<jats:sub>,<\/jats:sub> 0.94 (0.87\u20130.97), 0.94 (0.86\u20130.97), and 0.92 (0.83\u20130.97) for RF<jats:sub>MID<\/jats:sub><jats:sub>,<\/jats:sub> VI<jats:sub>MID,<\/jats:sub> RF<jats:sub>2\/3,<\/jats:sub> VI<jats:sub>2\/3<\/jats:sub>, and RF<jats:sub>CSA<\/jats:sub>, respectively (all <jats:italic>P<\/jats:italic> &lt; 0.001). Bland\u2010Altman analysis indicated no bias in agreement between both methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The US imaging offers a valid and quick bedside assessment approach to assess muscle wasting in HD patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.1867","type":"journal-article","created":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T10:51:48Z","timestamp":1588935108000},"page":"422-426","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Validity of Ultrasound Imaging in Measuring Quadriceps Muscle Thickness and Cross\u2010Sectional Area in Patients Receiving Maintenance Hemodialysis"],"prefix":"10.1002","volume":"45","author":[{"given":"Sharmela","family":"Sahathevan","sequence":"first","affiliation":[{"name":"Dietetics Program Faculty of Health Sciences Universiti Kebangsaan Malaysia  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ban\u2010Hock","family":"Khor","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Universiti Kebangsaan Malaysia  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chai Hong","family":"Yeong","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Health &amp; Medical Sciences Taylor's University  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teik Hin","family":"Tan","sequence":"additional","affiliation":[{"name":"Nuclear Medicine Centre Sunway Medical Centre  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Kareem","family":"Meera Mohaideen","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Health &amp; Medical Sciences Taylor's University  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hi Ming","family":"Ng","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Health &amp; Medical Sciences Taylor's University  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gild Rick","family":"Ong","sequence":"additional","affiliation":[{"name":"School of BioSciences, Faculty of Health &amp; Medical Sciences Taylor's University  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sreelakshmi Sankara","family":"Narayanan","sequence":"additional","affiliation":[{"name":"School of BioSciences, Faculty of Health &amp; Medical Sciences Taylor's University  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3950-2844","authenticated-orcid":false,"given":"Abdul Halim","family":"Abdul Gafor","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Universiti Kebangsaan Malaysia  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bak Leong","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Nephrology Serdang Hospital  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boon Cheak","family":"Bee","sequence":"additional","affiliation":[{"name":"Department of Nephrology Selayang Hospital  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zulfitri 'Azuan","family":"Mat Daud","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences Universiti Putra Malaysia  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karuthan","family":"Chinna","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Health &amp; Medical Sciences Taylor's University  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5808-8074","authenticated-orcid":false,"given":"Tilakavati","family":"Karupaiah","sequence":"additional","affiliation":[{"name":"School of BioSciences, Faculty of Health &amp; Medical Sciences Taylor's University  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2018.08.006"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCO.0000000000000088"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2016.02.025"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-010-1402-1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2342-12-7"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1465-9921-13-119"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcsm.12429"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2018\/e392"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.05.004"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315385662"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfl064"},{"issue":"3","key":"e_1_2_7_13_1","first-page":"282","article-title":"Comparison of MRI and DXA to measure muscle size and age\u2010related atrophy in thigh muscles","volume":"13","author":"Maden\u2010Wilkinson TM","year":"2013","journal-title":"J Musculoskelet Neuronal Interact"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/02640414.2015.1020843"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjpen.1867","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpen.1867","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jpen.1867","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpen.1867","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T10:47:38Z","timestamp":1760870858000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1867"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,21]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1002\/jpen.1867"],"URL":"https:\/\/doi.org\/10.1002\/jpen.1867","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"value":"0148-6071","type":"print"},{"value":"1941-2444","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,21]]},"assertion":[{"value":"2020-02-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}