Table 1.
Modality
|
Accuracy
|
Advantage
|
Disadvantage
|
Anthropometry | Low | Simple, rapid, not affected by fluid retention | Interobserver variability |
BIA | Moderate | Easy, portable, relatively inexpensive | Influenced by volume status, requires special equipment |
Ultrasound | Moderate to high | Inexpensive, radiation-free, bedside | Interobserver variability |
DEXA scan | High | Suitable for repeat testing | Radiation exposure & high cost (but less than CT scan) |
CT scan | High | Allows direct assessment of muscle mass | Radiation and contrast exposure, high cost |
MRI | High | No radiation exposure, allows direct assessment of muscle mass | Expensive, lacks cut-off values |
BIA: Bioelectrical impedance analysis; DEXA: Dual energy X-ray absorptiometry; CT: Computed tomography; MRI: Magnetic resonance imaging.