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García Pallarés, Jesús

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García Pallarés
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Jesús
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García Pallarés, Jesús

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Subject: Hypertrophy ×

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    Pectoralis cross-sectional area can be accurately measured using panoramic ultrasound: a validity and repeatability study
    (2021-11-30) Hernández Belmonte, Alejandro; Martínez Cava, Alejandro; García Pallarés, Jesús; Actividad Física y Deporte
    The objective of the current study was to examine the validity and repeatability of panoramic ultrasound in evaluating the anatomical cross-sectional area (ACSA) of the pectoralis major. Specifically, we aimed to quantify the measurement errors generated during the image acquisition and analysis (repeatability), as well as when comparing with magnetic resonance imaging (MRI) (validity). Moreover, we aimed to analyze the influence of the operator’s experience on these measurement errors. Both sides of the chest of 16 participants (n = 32) were included. Errors made by two operators (trained and novice) when measuring pectoralis major ACSA (50% of sternum areola mammae distance) were examined. Acquisition errors included the comparison of two images acquired 5 min apart. Acquisition 1 was analyzed twice to quantify analysis errors. Thereafter, acquisition 1 was compared with MRI. Statistics include the standard error of measurement (SEM), expressed in absolute (cm2) and relative (%) terms as a coefficient of variation (CV), and the calculation of systematic bias. Errors made by the trained operator were lower than those made by the novice, especially during the image acquisition (SEM = 0.25 vs. 0.66 cm2, CV = 1.06 vs. 2.98%) and when compared with MRI (SEM = 0.27 vs. 1.90 cm2, CV = 1.13 vs. 8.16%). Furthermore, although both operators underestimated the ACSA, magnitude and variability [SD] of these errors were lower for the trained operator (bias = 0.19 [0.34] cm2) than for the novice (bias = 1.97 [2.59] cm2). Panoramic ultrasound is a valid and repeatable technique for measuring pectoralis major ACSA, especially when implemented by a trained operator.
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    The 2-point method: A quick, accurate, and repeatable approach to estimate ultrasoundderived quadriceps femoris cross-sectional area
    (Human Kinetics, 2022-07-18) Hernández Belmonte, Alejandro; Martínez Cava, Alejandro; García Pallarés, Jesús; Actividad Física y Deporte
    Purpose: To analyze the feasibility of the 2-point method for estimating ultrasound-derived quadriceps femoris cross-sectional area (QUADACSA). First, (1) the agreement between QUADACSA measured by panoramic ultrasound and magnetic resonance imaging (MRI) was studied, and thereafter, we examined 2 approaches of the 2-point method in terms of (2) estimation errors and (3) test–retest repeatability. Methods: Both thighs of 16 young men were analyzed. Ultrasound-QUADACSA versus MRI-QUADACSA comparison was conducted at 6 thigh lengths (20%–70% of the thigh length). Thereafter, ultrasound-QUADACSA corresponding to 30% and 60% (2-point30%–60%) or 20% and 70% (2-point20%–70%) were used to estimate QUADACSA of the remaining regions. Estimated QUADACSA resulting from both 2-point approaches was compared with the measured one. Finally, the test–retest repeatability was examined by comparing the errors generated on 2 separate estimations. Statistics included the standard error of measurement (SEM) expressed in absolute (in square centimeters) and relative terms (in percentage) as a coefficient of variation (CV), as well as the intraclass correlation cofficient (ICC) and bias. Results: An excellent agreement (ICC ≥ 0.980) and reduced errors (SEM ≤ 2.43 cm2) resulted from the ultrasound-QUADACSA versus MRI-QUADACSA comparison. Although estimation errors found were reduced (CV ≤ 7.50%), they proved to be lower and less biased for the 2-point30%–60%, especially at the central regions (SEM ≤ 2.01 cm2; bias ≤ 0.89 cm2). Similarly, repeatability analysis revealed lower test–retest errors for the 2-point30%–60% (CV ≤ 1.9%) than for the 2-point20%–70% (CV ≤ 4.6%). Conclusion: The 2-point method, especially that implemented using the 30% and 60% regions, represents an accurate and repeatable strategy to evaluate QUADACSA.
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    Panoramic ultrasound requires a trained operator and specific evaluation sites to maximize its sensitivity: a comprehensive analysis of the measurement errors
    (Elsevier, 2022-02-08) Hernández Belmonte, Alejandro; Martínez Cava, Alejandro; García Pallarés, Jesús; Actividad Física y Deporte
    This study aimed to examine the validity and repeatability of panoramic ultrasound to evaluate the anatomical cross-sectional area (ACSA) of quadriceps femoris muscles. Specifically, we aimed to quantify the errors generated during the image acquisition and analysis (repeatability), as well as when comparing with magnetic resonance imaging (MRI) (validity). Moreover, we analyzed the influence of the operator's experience and the region of the thigh, on these errors. Both thighs of 16 subjects were included. The validity and repeatability study quantified the errors made by two operators (trained and novice) when measuring ACSA of vastus lateralis (VL), vastus medialis-intermedius (VMVI), and rectus femoris (RF), in six thigh regions (from 20 to 70%). Two ACSA images were acquired 5 min apart to examine acquisition errors, whereas acquisition #1 was analyzed twice to quantify analysis errors. Thereafter, ACSA of acquisition #1 was compared with that measured by MRI. Statistics included the standard error of measurement (SEM) expressed in absolute (cm2) and relative terms (%) as a coefficient of variation (CV). Measurement errors were lower for the trained operator than for the novice: Acquisition (SEM = 0.05 – 0.78 vs. 0.25 – 1.42 cm2), analysis (SEM = 0.13 – 1.93 vs. 0.30 – 3.05 cm2) and compared-with-MRI (SEM = 0.13 – 1.93 vs. 0.30 – 3.05 cm2). Regions with the lowest errors were those located at the middle of the thigh (40–50%), although slight between-muscle differences were found: VMVI (30–40%), VL (40–50%), RF (50–60%). These findings suggest that the accurate implementation of panoramic ultrasound to measure ACSA of quadriceps femoris muscles requires a trained operator and specific evaluation sites.
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