Background: Quantitative muscle MRI is a robust tool to monitor intramuscular fatty replacement and disease activity in patients with neuromuscular disorders (NMDs).
Purpose: To implement a 3D sequence for quantifying simultaneously fat fraction (FF) and water T (T ) in the skeletal muscle, evaluate regular undersampling in the partition-encoding direction, and compare it to a recently proposed 2D MR fingerprinting sequence with water and fat separation (MRF T -FF).
Study Type: Prospective.
Phantom/subjects: Seventeen-vial phantom at different FF and T , 11 healthy volunteers, and 6 subjects with different NMDs.
Field Strength/sequence: 3T/3D MRF T -FF, 2D MRF T -FF, STEAM MRS ASSESSMENT: FF and T measured with the 2D and 3D sequences were compared in the phantom and in vivo at different undersampling factors (US). Data were acquired in healthy subjects before and after plantar dorsiflexions and at rest in patients.
Statistical Tests: Linear correlations, Bland-Altman analysis, two-way repeated measures analysis of variance (ANOVA), Student's t-test.
Results: Up to a US factor of 3, the undersampled acquisitions were in good agreement with the fully sampled sequence (R ≥ 0.98, T bias ≤10 msec, FF bias ≤4 × 10 ) both in phantom and in vivo. The 2D and 3D MRF T -FF sequences provided comparable T and FF values (R ≥ 0.95, absolute T bias ≤35 msec, and absolute FF bias ≤0.003). The plantar dorsiflexion induced a significant increase of T in the tibialis anterior and extensor digitorum (relative increase of +10.8 ± 1.7% and + 7.7 ± 1.4%, respectively, P < 0.05), that was accompanied by a significant reduction of FF in the tibialis anterior (relative decrease of -16.3 ± 4.0%, P < 0.05). Some subjects with NMDs presented increased and heterogeneous T and FF values throughout the leg.
Data Conclusion: Quantitative 3D T and FF maps covering the entire leg were obtained within acquisition times compatible with clinical research (4 minutes 20 seconds) and a 1 × 1 × 5 mm spatial resolution.
Level Of Evidence: 2 TECHNICAL EFFICACY: Stage 2.
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http://dx.doi.org/10.1002/jmri.27381 | DOI Listing |
Res Sq
September 2024
Indee Labs, Berkeley, CA, USA.
bioRxiv
July 2024
Indee Labs, Berkeley, CA, USA.
medRxiv
January 2024
Johns Hopkins University School of Medicine, Department of Neurology, Baltimore, United States.
Background: Bile acid metabolism is altered in multiple sclerosis (MS) and tauroursodeoxycholic acid (TUDCA) supplementation ameliorated disease in mouse models of MS.
Methods: Global metabolomics was performed in an observational cohort of people with MS followed by pathway analysis to examine relationships between baseline metabolite levels and subsequent brain and retinal atrophy. A double-blind, placebo-controlled trial, was completed in people with progressive MS (PMS), randomized to receive either TUDCA (2g daily) or placebo for 16 weeks.
Magn Reson Med
March 2024
Institute of Myology, Neuromuscular Investigation Center, NMR Laboratory, Paris, France.
Purpose: To propose an efficient bi-component MR fingerprinting (MRF) fitting method using a Variable Projection (VARPRO) strategy, applied to the quantification of fat fraction (FF) and water T1 ( ) in skeletal muscle tissues.
Methods: The MRF signals were analyzed in a two-step process by comparing them to the elements of separate water and fat dictionaries (bi-component dictionary matching). First, each pair of water and fat dictionary elements was fitted to the acquired signal to determine an optimal FF that was used to merge the fingerprints in a combined water/fat dictionary.
Sci Rep
March 2022
Institute of Radiology, Schwarzwald-Baar Klinikum, Villingen-Schwenningen, Germany.
Multi-frequency processing (MFP) leads to enhanced image quality (IQ) of radiographs. This study is to determine the effect of third generation MFP (M3) on IQ in comparison to standard second-generation MFP (M2). 20 cadavers were examined and post-processing of radiographs was performed with both M2 and M3.
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