Quantification of noninvasive fat reduction: A systematic review

被引:14
作者
Auh, Sogyong L. [1 ]
Iyengar, Sanjana [2 ]
Weil, Alexandra [2 ]
Bolotin, Diana [1 ]
Cartee, Todd V. [3 ]
Dover, Jeffrey S. [4 ,5 ,6 ]
Maher, Ian A. [7 ]
Sobanko, Joseph F. [8 ]
Cohen, Joel L. [9 ,10 ,11 ]
Poon, Emily [2 ]
Alam, Murad [2 ,12 ]
机构
[1] Univ Chicago Med, Dermatol Sect, Chicago, IL USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Dermatol, Chicago, IL 60611 USA
[3] Penn State Hershey Med Ctr, Dept Dermatol, Hershey, PA USA
[4] Brown Med Sch, Dept Dermatol, Providence, RI USA
[5] Dartmouth Med Sch, Dept Dermatol, Hanover, NH USA
[6] Yale Univ, Sch Med, Dept Dermatol, New Haven, CT 06510 USA
[7] St Louis Univ, Dept Dermatol, St Louis, MO 63103 USA
[8] Northwestern Univ, Dept Surg, Feinberg Sch Med, Chicago, IL 60611 USA
[9] AboutSkin Dermatol & DermSurg, Greenwood Village, CO USA
[10] Univ Aurora, Dept Dermatol, Englewood, CO USA
[11] Univ Calif Irvine, Dept Dermatol, Irvine, CA 92717 USA
[12] Northwestern Univ, Dept Otolaryngol, Feinberg Sch Med, Chicago, IL 60611 USA
关键词
quantification; measurement; non-invasive; fat; reduction; cryolipolysis; adipocytolysis; ultrasound; radiofrequency; systematic review; LEVEL LASER THERAPY; INTENSITY FOCUSED ULTRASOUND; VALIDATED GRADING SCALE; SUBCUTANEOUS FAT; CIRCUMFERENCE REDUCTION; CONTROLLED-TRIAL; RADIO-FREQUENCY; ADIPOSE-TISSUE; BODY; CRYOLIPOLYSIS;
D O I
10.1002/lsm.22761
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background and ObjectiveNoninvasive fat reduction appears effective, but there are various methods for quantifying changes. The objective of this review is to assess comparative utility measures of subcutaneous fat. Study Design/Materials and MethodsArticles describing noninvasive fat reduction were searched using MEDLINE, EMBASE, CINAHL and Scopus electronic databases on two dates (January 28, 2014 and February 16, 2016). Titles of studies and abstracts were screened for eligibility. Manual review was performed by two investigators to detect those that: (1) included original data; (2) were randomized controlled trials, or prospective or retrospective cohort studies; (3) quantified fat outcomes; and (4) enrolled at least 10 subjects. ResultsOf 1,057 retrieved articles, 36 met criteria. Most reported four or more measurement techniques. Circumference measurements were most commonly cited. Other objective techniques, like caliper thickness, ultrasound, magnetic resonance imaging (MRI), and three-dimensional (3D) photography, were also used. Common subjective methods were evaluation of standardized photographs by blinded raters and patient satisfaction surveys. ConclusionsFor quantifying noninvasive fat reduction, all available methods had significant limitations: photographic comparisons were subjective; circumference or caliper measurements were confounded; ultrasound was operator dependent; MRI was expensive; computed models and simulations were in early development. As new technologies are developed, the need for reliable, accurate and practical measures of subcutaneous fat will increase. Lasers Surg. Med. 50:96-110, 2018. (c) 2017 Wiley Periodicals, Inc.
引用
收藏
页码:96 / 110
页数:15
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