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Abstract #3591

A novel application of quantitative sodium MRI for distinguishing lipedema from obesity

Rachelle Crescenzi1, Adriana Marton2, Paula MC Donahue3,4, Helen B Mahany1, Ping Wang1, Joshua A Beckman5, Manus J Donahue1,6,7,8, and Jens Titze2

1Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 2Pharmacology and Physiology, Vanderbilt University, Nashville, TN, United States, 3Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, United States, 4Vanderbilt Dayani Center for Health and Wellness, Nashville, TN, United States, 5Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN, United States, 6Neurology, Vanderbilt University Medical Center, Nashville, TN, United States, 7Psychiatry, Vanderbilt University Medical Center, Nashville, TN, United States, 8Physics and Astronomy, Vanderbilt University, Nashville, TN, United States

Sodium MRI is a molecular imaging tool that may be sensitive to the impact of lymphatic impairment on tissue homeostasis, yet has not been evaluated in a clinical population with a lymphatic disorder. Lipedema is a lymphatic fat-disorder that is under-recognized due to a need for further advanced MR imaging to diagnosis and assess treatment efficacy of the condition. Here, we apply quantitative 3T sodium imaging for the first time in a lipedema cohort to quantify tissue sodium levels and found elevated sodium concentration in the skin and muscle of patients with lipedema compared to BMI- and age-matched controls.

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