Quantitative MRI of core muscles at different activity levels: muscle-specific metrics and composite core fat fraction and lean-volume scores

Akuthota V, Nadler SF. Core strengthening1. Arch Phys Med Rehabil. 2004;85:86–92. https://doi.org/10.1053/j.apmr.2003.12.005.

Article  Google Scholar 

Elnaggar RK, Mahmoud WS, Moawd SA, Azab AR. Impact of core stability exercises on bone mineralization and functional capacity in children with polyarticular juvenile idiopathic arthritis: a randomized clinical trial. Clin Rheumatol. 2021;40:245–53. https://doi.org/10.1007/s10067-020-05219-9.

Article  PubMed  Google Scholar 

Gamble K, Chiu A, Peiris C. Core stability exercises in addition to usual care physiotherapy improve stability and balance after stroke: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2021;102:762–75. https://doi.org/10.1016/j.apmr.2020.09.388.

Article  PubMed  Google Scholar 

Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36:189–98. https://doi.org/10.2165/00007256-200636030-00001.

Article  PubMed  Google Scholar 

Dong K, Yu T, Chun B. Effects of core training on sport-specific performance of athletes: a meta-analysis of randomized controlled trials. Behav Sci (Basel). 2023;13:148. https://doi.org/10.3390/bs13020148.

Article  PubMed  PubMed Central  Google Scholar 

Luo S, Soh KG, Soh KL, Sun H, Nasiruddin NJM, Du C, et al. Effect of core training on skill performance among athletes: a systematic review. Front Physiol. 2022. https://doi.org/10.3389/fphys.2022.915259.

Article  PubMed  PubMed Central  Google Scholar 

Barrio ED, Ramirez-Campillo R, Garcia de Alcaraz Serrano A, RaquelHernandez-García R. Effects of core training on dynamic balance stability: a systematic review and meta-analysis. J Sports Sci. 2022;40:1815–23. https://doi.org/10.1080/02640414.2022.2110203.

Article  PubMed  Google Scholar 

Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13:316–25. https://doi.org/10.5435/00124635-200509000-00005.

Article  PubMed  Google Scholar 

Butowicz CM, Ebaugh DD, Noehren B, Silfies SP. Validation of two clinical measures of core stability. Int J Sports Phys Ther. 2016;11:15–23.

PubMed  PubMed Central  Google Scholar 

Kalia V, Leung DG, Sneag DB, Del Grande F, Carrino JA. Advanced MRI techniques for muscle imaging. Semin Musculoskelet Radiol. 2017;21:459–69. https://doi.org/10.1055/s-0037-1604007.

Article  PubMed  PubMed Central  Google Scholar 

Assi A, Ramadan B, Karam M, Rouyer J, Mitulescu A, Campana S. Muscle fat infiltration: a narrative review of the magnetic resonance (MR)-based evaluation methods and their clinical applications. Quant Imaging Med Surg. 2024;14:9563–88. https://doi.org/10.21037/qims-24-177.

Article  PubMed  PubMed Central  Google Scholar 

Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res. 1994. https://doi.org/10.1097/00003086-199407000-00014.

Article  PubMed  Google Scholar 

Devorski L, Skibski A, Mangum LC. Muscle function obtained with motion mode ultrasound and surface electromyography during core endurance exercise. J Vis Exp. 2022. https://doi.org/10.3791/64335.

Article  PubMed  Google Scholar 

Belzunce MA, Henckel J, Di Laura A, Hart AJ. Reference values for volume, fat content and shape of the hip abductor muscles in healthy individuals from Dixon MRI. NMR Biomed. 2022;35:e4636. https://doi.org/10.1002/NBM.4636.

Article  PubMed  Google Scholar 

Belzunce MA, Henckel J, Fotiadou A, Di Laura A, Hart A, Springer International Publishing. Automated multi-atlas segmentation of gluteus maximus from Dixon and T1-weighted magnetic resonance images. Magn Reson Mater Phys, Biol Med. 2020;33:677–88.

Article  Google Scholar 

Belzunce MA, Henckel J, Di Laura A, Hart A. Intramuscular fat in gluteus maximus for different levels of physical activity. Sci Rep. 2021;11(1):1–10. https://doi.org/10.1038/s41598-021-00790-w.

Article  CAS  Google Scholar 

Lipcamon JD, Chiu LC, Phillips JJ, Pattany PM. MRI of the upper abdomen using motion artifact suppression technique (MAST). Radiol Technol. 1988;59:415–8.

CAS  PubMed  Google Scholar 

Anstruther M, Sean M, Tétreault P, Fortin M. Paraspinal muscle changes in individuals with and without chronic low back pain over a 4-month period: a longitudinal MRI study. Medicina (Kaunas). 2024;60:490. https://doi.org/10.3390/medicina60030490.

Article  PubMed  PubMed Central  Google Scholar 

Wesselink EO, Pool-Goudzwaard A, De Leener B, Law CSW, Fenyo MB, Ello GM, et al. Investigating the associations between lumbar paraspinal muscle health and age, BMI, sex, physical activity, and back pain using an automated computer-vision model: a UK Biobank study. Spine J. 2024;24:1253–66. https://doi.org/10.1016/j.spinee.2024.02.013.

Article  PubMed  PubMed Central  Google Scholar 

General practice physical activity questionnaire (GPPAQ). GOV.UK. [cited 2026 Feb 16]. https://www.gov.uk/government/publications/general-practice-physical-activity-questionnaire-gppaq. Accessed 16 Feb 2026

Belzunce MA, Henckel J, Di Laura A, Horga LM, Hart AJ. Similarities and differences in skeletal muscle and body composition between sexes: an MRI study of recreational cyclists. BMJ Open Sport Exerc Med. 2023;9:e001672. https://doi.org/10.1136/BMJSEM-2023-001672.

Article  PubMed  PubMed Central  Google Scholar 

Belzunce MA, Henckel J, Fotiadou A, Di Laura A, Hart A. Automated measurement of fat infiltration in the hip abductors from Dixon magnetic resonance imaging. Magn Reson Imaging. 2020;72:61–70. https://doi.org/10.1016/j.mri.2020.06.019.

Article  PubMed  Google Scholar 

Belzunce MA, Henckel J, Laura AD, Horga LM, Hart AJ. Mid-life cyclists preserve muscle mass and composition: a 3D MRI study. BMC Musculoskelet Disord. 2023;24:209. https://doi.org/10.1186/s12891-023-06283-3.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Balerdi G, Henckel J, Di Laura A, Hart A, Belzunce M. Automatic segmentation technique for lumbar spine muscle evaluation from MRI images. IFMBE Proceedings. Springer, Cham; 2024;106:80–7. https://doi.org/10.1007/978-3-031-61960-1_8

Balerdi G, Henckel J, Laura AD, Hart AJ, Belzunce MA. Automated deep-learning quantification of intramuscular fat in lumbar spine muscles on Dixon MRI: validation and normative reference values from 173 healthy adults. Research Square; 2026 [cited 2026 Mar 1]. https://doi.org/10.21203/rs.3.rs-6591044/v1

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Routledge; 2013. https://doi.org/10.4324/9780203771587.

Book  Google Scholar 

Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol. 2013;0:863. https://doi.org/10.3389/FPSYG.2013.00863.

Article  Google Scholar 

Beck M, Dora CF, Ganz R, Gautier E, Sledge JB, Beck M, et al. The journal of bone and joint surgery The anatomy and function of the gluteus minimus muscle. J Bone Joint Surg . 2000 p. 358–63.

Yoshio M, Murakami G, Sato T, Sato S, Noriyasu S. The function of the psoas major muscle: passive kinetics and morphological studies using donated cadavers. J Orthop Sci. 2002;7:199–207. https://doi.org/10.1007/s007760200034.

Article  PubMed  Google Scholar 

Phillips S, Mercer S, Bogduk N. Anatomy and biomechanics of quadratus lumborum. Proc Inst Mech Eng H. 2008;222:151–9. https://doi.org/10.1243/09544119JEIM266.

Article  CAS  PubMed  Google Scholar 

Taylor EW, Ugbolue UC, Gao Y, Gu Y, Baker JS, Dutheil F. Erector spinae muscle activation during forward movement in individuals with or without chronic lower back pain: a systematic review and meta-analysis. Arch Rehabil Res Clin Transl. 2023. https://doi.org/10.1016/j.arrct.2023.100280.

Article  PubMed  PubMed Central  Google Scholar 

Wesselink EO, Pool JJM, Mollema J, Weber KA, Elliott JM, Coppieters MW, et al. Is fatty infiltration in paraspinal muscles reversible with exercise in people with low back pain? A systematic review. Eur Spine J. 2023;32:787–96. https://doi.org/10.1007/s00586-022-07471-w.

Article  CAS  PubMed  Google Scholar 

Han G, Jiang Y, Zhang B, Gong C, Li W. Imaging evaluation of fat infiltration in paraspinal muscles on MRI: a systematic review with a focus on methodology. Orthop Surg. 2021;13:1141–8. https://doi.org/10.1111/os.12962.

Article  PubMed  PubMed Central  Google Scholar 

Hides JA, Saide M, Stokes MJ, Jull GA, Cooper DH. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine. 1994;19:165–72. https://doi.org/10.1097/00007632-199401001-00009.

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