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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">rpmj</journal-id><journal-title-group><journal-title xml:lang="ru">Research'n Practical Medicine Journal</journal-title><trans-title-group xml:lang="en"><trans-title>Research and Practical Medicine Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2410-1893</issn><publisher><publisher-name>"QUASAR", LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17709/2409-2231-2019-6-4-13</article-id><article-id custom-type="elpub" pub-id-type="custom">rpmj-456</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Обзоры</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Review</subject></subj-group></article-categories><title-group><article-title>Лучевые методы диагностики саркопении</article-title><trans-title-group xml:lang="en"><trans-title>Radiology methods of the sarcopenia diagnosis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3970-4294</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Масенко</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Masenko</surname><given-names>V. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Масенко Владислава Леонидовна - кандидат медицинских наук, младший научный сотрудник лаборатории рентгеновской и томографической диагностики.</p><p>650002, Кемерово, Сосновый бульвар, д. 6.</p></bio><bio xml:lang="en"><p>Vladislav L. Masenko - MD, PhD, junior researcher of the laboratory of x-ray and tomographic diagnostics Research Institute for Complex Issues of Cardiovascular Diseases.</p><p>22a Voroshilova str., Kemerovo 650056.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7573-0636</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коков</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kokov</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Коков Александр Николаевич - кандидат медицинских наук, заведующий лабораторией рентгеновской и томографической диагностики.</p><p>650002, Кемерово, Сосновый бульвар, д. 6.</p></bio><bio xml:lang="en"><p>Alexander N. Kokov - MD, PhD, head of laboratory of x-ray and tomographic diagnostics Research Institute for Complex Issues of Cardiovascular Diseases.</p><p>22a Voroshilova str., Kemerovo 650056.</p></bio><email xlink:type="simple">radiology@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Григорьева</surname><given-names>И. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigoreva</surname><given-names>I. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Григорьева Инесса Игоревна - клинический аспирант кафедры пропедевтики внутренних болезней.</p><p>650002, Кемерово, Сосновый бульвар, д. 6.</p></bio><bio xml:lang="en"><p>Inessa I. Grigoreva - clinical post-graduate student of the department of propaedeutics of internal diseases Kemerovo State Medical University.</p><p>22a Voroshilova str., Kemerovo 650056.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2384-5682</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кривошапова</surname><given-names>К. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Krivoshapova</surname><given-names>K. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кривошапова Кристина Евгеньевна - кандидат медицинских наук, научный сотрудник лаборатории патофизиологии мультифокального атеросклероза.</p><p>650002, Кемерово, Сосновый бульвар, д. 6.</p></bio><bio xml:lang="en"><p>Kristina E. Krivoshapova - MD, PhD, researcher laboratory of pathophysiology of multifocal atherosclerosis Research Institute for Complex Issues of Cardiovascular Diseases.</p><p>22a Voroshilova str., Kemerovo 650056.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute for Complex Issues of Cardiovascular Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Кемеровский государственный медицинский университет Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kemerovo State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>27</day><month>12</month><year>2019</year></pub-date><volume>6</volume><issue>4</issue><fpage>127</fpage><lpage>137</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Масенко В.Л., Коков А.Н., Григорьева И.И., Кривошапова К.Е., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Масенко В.Л., Коков А.Н., Григорьева И.И., Кривошапова К.Е.</copyright-holder><copyright-holder xml:lang="en">Masenko V.L., Kokov A.N., Grigoreva I.I., Krivoshapova K.E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.rpmj.ru/rpmj/article/view/456">https://www.rpmj.ru/rpmj/article/view/456</self-uri><abstract><p>Одним из процессов, сопровождающих старение организма и снижение качества жизни пожилых людей, является саркопения, или утрата мышечной ткани, и связанное с ней ограничение подвижности. Выявление этого состояния у пациентов на стадии, когда имеет место лишь начальное уменьшение мышечной массы без снижения мышечной силы, имеет большое значение для определения причины заболевания и своевременного начала лечения. В настоящем обзоре приведено описание возможностей методов лучевой диагностики в оценке количества и качества мышечной ткани и их недостатков с позиции верификации и динамического наблюдения саркопении. Отсутствие единого стандарта инструментальной диагностики данной патологии и настороженности специалистов в отношении саркопении при рутинном обследовании является одной из основных причин недостаточного выявления утраты мышечной массы в когорте пожилых пациентов. Настоящий обзор представляет интерес для широкого круга врачей клинических специальностей, представителей лучевой диагностики, встречающихся в своей практической деятельности с пациентами старших возрастных групп.</p></abstract><trans-abstract xml:lang="en"><p>One of the processes that accompany the aging of the body and the decline in the quality of life of older people is sarcopenia or loss of muscle tissue and the associated restriction of mobility. The identification of this condition in patients at the stage when there is only an initial decrease in muscle mass without a decrease in muscle strength is of great importance for determining the cause of the disease and the timely start of treatment. This review describes the capabilities of the methods of radiation diagnosis in assessing the quantity and quality of muscle tissue and their shortcomings from the standpoint of verification and dynamic observation of sarcopenia. The lack of a unified standard for the instrumental diagnosis of this pathology and the alertness of specialists regarding sarcopenia during routine examination is one of the main reasons for the insufficient detection of muscle loss in the cohort of elderly patients. This review is of interest to a wide range of clinical physicians and radiologists, who are found in their practice with patients of older age groups.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>саркопения</kwd><kwd>лучевая диагностика</kwd><kwd>магнитно-резонансная томография</kwd><kwd>компьютерная томография</kwd><kwd>двухэнергетическая рентгеновская абсорбциометрия</kwd><kwd>ультразвуковая диагностика</kwd></kwd-group><kwd-group xml:lang="en"><kwd>sarcopenia</kwd><kwd>radiodiagnosis</kwd><kwd>magnetic resonance imaging</kwd><kwd>computed tomography</kwd><kwd>dual-energy x-ray absorptiometry</kwd><kwd>ultrasound diagnostics</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia. 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