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Abstract #5033

T2 relaxometry of foot muscles in young patients with Charcot-Marie-Tooth disease: comparison between centres and scanner vendors

Nick Zafeiropoulos1, Carolynne M Doherty1, Howard Paige2, Stephen Wastling1, Riccardo Zuccarino2,3, Evelin Milev4, Tina Banks4, Sachit Shah5, Katherine Stephens2, Tiffany Grider2, Shawna M Feely2, Peggy Nopoulos2, Mariola Skorupinska1, Menelaos Pipis1, Emma J Nicolaisen2, Amy McDowell1, Luke O'Donnell1, Alex M Rossor1, Laura Matilde1, Francesco Muntoni1, Tarek Yousry1, Daniel Thedens2, Jasper M Morrow1, Michael E Shy2, Mary M Reilly1, David Thomas1, and John Thornton1
1University College London, London, United Kingdom, 2University of Iowa, Iowa, IA, United States, 3Centro Clinico NeMO Trento, Trento, Italy, 4Great Ormond Street Hospital, London, United Kingdom, 5National Hospital for Neurology and Neurosurgery, London, United Kingdom

Synopsis

Keywords: Muscle, Relaxometry, T2 mapping

Motivation: Current clinical use of quantitative MRI biomarkers for the assessment of neuromuscular disease is limited by accuracy and reliability

Goal(s): To develop a robust processing strategy for multi-vendor muscle-water T2 mapping (T2m) in foot muscle

Approach: A multi-component CPMG extended phase graph signal model was used to determine T2m and apparent fat fraction (ffa) in fat-infiltrated foot muscle using maximum likelihood estimation

Results: Stable estimates of foot muscle T2m and ffa were obtained in patients with Charcot-Marie-Tooth disease and healthy controls, at baseline and 1 year follow up. In patients, T2m and ffa were both elevated at each time point

Impact: T2m and ffa obtained from CPMG images using extended phase graph modelling and maximum likelihood estimation may be sensitive measures of neuromuscular pathology

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Keywords