The use of non-invasive imaging modalities for the assessment of skeletal muscle quantity and quality in people with HIV: A narrative review

HIV Med. 2023 Dec;24(12):1176-1189. doi: 10.1111/hiv.13539. Epub 2023 Aug 31.

Abstract

Background: People with HIV (PWH) are prone to mobility impairments and physical dysfunction, with the loss of skeletal muscle quantity and quality being a major contributor to the dysfunction. Assessment of skeletal muscle is an important component of care for this patient population for early intervention and treatment. The use of non-invasive imaging techniques to evaluate skeletal muscle, such as dual X-ray absorptiometry, computer tomography and magnetic resonance imaging, has increased in popularity in recent years.

Purpose: This narrative review synthesizes the use of these techniques and summarizes the associations between outcomes from these imaging modalities and physical function in PWH.

Keywords: HIV; frailty; imaging; myosteatosis; physical function; sarcopenia.

Publication types

  • Review

MeSH terms

  • HIV Infections*
  • Humans
  • Magnetic Resonance Imaging / methods
  • Muscle, Skeletal / diagnostic imaging
  • Muscle, Skeletal / pathology
  • Muscle, Skeletal / physiology
  • Sarcopenia* / pathology