Recently, MR fingerprinting with water and fat separation was proposed to quantify water T1 (T1H2O) in the muscles of patients with neuromuscular disorders. In this study, we investigated the sensitivity of T1H2O as a quantitative biomarker of disease activity, by comparing it with fat suppressed T2-weighted (FatSup-T2w) imaging and quantitative water T2 (T2H2O) mapping, in a dataset of 61 subjects with different NMDs. We observed a significant increase of T1H2O values in muscles with FatSup-T2w signal hyperintensities. We also investigated different hypothesis explaining the moderate correlation (ρ = 0.54) observed between T1H2O and T2H2O in the muscles of these patients.
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