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04.06.2018 | Musculoskeletal

MRI assessment of the thigh musculature in dermatomyositis and healthy subjects using diffusion tensor imaging, intravoxel incoherent motion and dynamic DTI

verfasst von: E. E. Sigmund, S. H. Baete, T. Luo, K. Patel, D. Wang, I. Rossi, A. Duarte, M. Bruno, D. Mossa, A. Femia, S. Ramachandran, D. Stoffel, J. S. Babb, A. G. Franks, J. Bencardino

Erschienen in: European Radiology | Ausgabe 12/2018

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Abstract

Introduction

Dermatomyositis (DM) is an idiopathic inflammatory myopathy involving severe debilitation in need of diagnostics. We evaluated the proximal lower extremity musculature with diffusion tensor imaging (DTI), intravoxel incoherent motion (IVIM) and dynamic DTI in DM patients and controls and compared with standard clinical workup.

Methods

In this IRB-approved, HIPAA-compliant study with written informed consent, anatomical, Dixon fat/water and diffusion imaging were collected in bilateral thigh MRI of 22 controls and 27 DM patients in a 3T scanner. Compartments were scored on T1/T2 scales. Single voxel dynamic DTI metrics in quadriceps before and after 3-min leg exercise were measured. Spearman rank correlation and mixed model analysis of variance/covariance (ANOVA/ANCOVA) were used to correlate with T1 and T2 scores and to compare patients with controls.

Results

DM patients showed significantly lower pseudo-diffusion and volume in quadriceps than controls. All subjects showed significant correlation between T1 score and signal-weighted fat fraction; tissue diffusion and pseudo-diffusion varied significantly with T1 and T2 score in patients. Radial and mean diffusion exercise response in patients was significantly higher than controls.

Conclusion

Static and dynamic diffusion imaging metrics show correlation with conventional imaging scores, reveal spatial heterogeneity, and provide means to differentiate dermatomyositis patients from controls.

Key Points

• Diffusion imaging shows regional differences between thigh muscles of dermatomyositis patients and controls.

• Signal-weighted fat fraction and diffusion metrics correlate with T1/T2 scores of disease severity.

• Dermatomyositis patients show significantly higher radial diffusion exercise response than controls.

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Titel: MRI assessment of the thigh musculature in dermatomyositis and healthy subjects using diffusion tensor imaging, intravoxel incoherent motion and dynamic DTI
verfasst von: E. E. Sigmund
S. H. Baete
T. Luo
K. Patel
D. Wang
I. Rossi
A. Duarte
M. Bruno
D. Mossa
A. Femia
S. Ramachandran
D. Stoffel
J. S. Babb
A. G. Franks
J. Bencardino
Publikationsdatum: 04.06.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 12/2018
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-018-5458-3

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MRI assessment of the thigh musculature in dermatomyositis and healthy subjects using diffusion tensor imaging, intravoxel incoherent motion and dynamic DTI