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Abstract #4008

MR supports therapeutic effects of corticosteroids in 5-7 year old boys with DMD

Ishu Arpan 1 , Rebecca Willcocks 1 , Sean Forbes 1 , Donovan Lott 1 , Claudia Senesac 1 , William Triplett 1 , Michael Daniels 2 , Barry Byrne 3 , Bill Rooney 4 , Erika Finanger 4 , Richard Finkel 5 , Barry Russman 4,6 , Gihan Tennekoon 5 , Dah-Jyuu Wang 7 , Glenn Walter 8 , H. Lee Sweeney 9 , and Krista Vandenborne 1

1 Physical Therapy, University of Florida, Gainesville, Florida, United States, 2 University of Texas, Texas, United States, 3 Pediatrics and Molecular Genetics & Microbiology, University of Florida, Gainesville, Florida, United States, 4 Oregon Health & Science University, Oregon, United States, 5 Neurology, The Childrens Hospital of Philadelphia, Pennsylvania, United States, 6 Shriners Hospital for Children, Oregon, United States, 7 Radiology, The Childrens Hospital of Philadelphia, Pennsylvania, United States, 8 Physiology and Functional Genomics, University of Florida, Gainesville, Florida, United States, 9 Physiology, University of Pennsylvania, Pennsylvania, United States

The aim of this study was to evaluate impact of corticosteroids on lower extremity muscles of 5-7 year old boys with DMD using MRI and MRS. 15 boys with DMD on corticosteroids and 15 age-matched corticosteroid-naive boys were recruited. Inherent MR relaxation properties of muscle (T 2 by imaging and spectroscopy) and lipid fraction were measured. MRI/MRS results showed that T 2 values and fat fraction were lower in muscles of boys in treatment group; suggesting reduced inflammation/ damage and fat infiltration with corticosteroid treatment. Further, there was less change in fat fraction over one year in muscles of boys taking corticosteroids.

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