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Abstract #0499

Increased fatty infiltration of individual extraocular muscles in myasthenia gravis and graves’ orbitopathy

Kevin Keene1, Luc Van Vught2, Isabeau Ciggaar2, Irene Notting3, Stijn Genders3, Jan Verschuuren4, Martijn Tannemaat4, Hermien Kan5, and Jan-Willem Beenakker2

1Neurology and Radiology, CJ Gorter center for high field MRI, Leiden University Medical Center, Leiden, Netherlands, 2Ophthalmology and radiology, CJ Gorter center for high field MRI, Leiden University Medical Center, Leiden, Netherlands, 3Ophthalmology, Leiden University Medical Center, Leiden, Netherlands, 4Neurology, Leiden University Medical Center, Leiden, Netherlands, 5Radiology, CJ Gorter center for high field MRI, Leiden University Medical Center, Leiden, Netherlands

We explored the feasibility of 7 Tesla quantitative MRI for quantifying fat fraction and muscle volume of individual extraocular muscles in myasthenia gravis (MG) and Graves’ orbitopathy (GO) patients and healthy controls. The Dixon scans show a high reproducibility for individual extraocular muscles. The fat fractions are higher in MG and GO patients than in healthy controls. Quantitative MRI of individual extraocular muscles may provide a first step to understand the pathophysiology and pattern of muscle involvement of the eyes in MG and GO patients.

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