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Abstract #0100

Lower limb muscle-water T2 as a marker of disease severity and progression in amyotrophic lateral sclerosis

Nick Zafeiropoulos1, Uros Klickovic1, Luca Zampedri1, Stephen Wastling1, Jasper Morrow1, Tarek Yousry1, Michael Hanna1, Linda Greensmith1, Pietro Fratta1, and John Thornton1
1Queen Square Institute of Neurology, University College London, London, United Kingdom

Synopsis

Keywords: Muscle, Quantitative Imaging

Using optimised maximum-likelihood-estimation extended-phase-graph-model relaxometry in ALS patients, elevated muscle water T2 (T2m) were revealed for all calf muscles and most thigh muscles vs. controls, with evidence of sparing of particular muscles. Similar but les consistent increases were seen in the associated fat fraction (ffa, relaxometry estimated). T2m correlated significantly with both functional rating scores and myometry, most consistently at the calf level. Associated ffa changes and correlations were less significant.

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Keywords