Quantitative magnetic resonance imaging in limb-girdle muscular dystrophy 2I: a multinational cross-sectional study.

We conducted a prospective multinational study of muscle pathology using magnetic resonance imaging (MRI) in patients with limb-girdle muscular dystrophy 2I (LGMD2I). Thirty eight adult ambulant LGMD2I patients (19 male; 19 female) with genetically identical mutations (c.826C>A) in the fukutin-re...

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Main Authors: Tracey A Willis, Kieren G Hollingsworth, Anna Coombs, Marie-Louise Sveen, Soren Andersen, Tanya Stojkovic, Michelle Eagle, Anna Mayhew, Paulo Loureiro de Sousa, Liz Dewar, Jasper M Morrow, Christopher D J Sinclair, John S Thornton, Kate Bushby, Hanns Lochmuller, Michael G Hanna, Jean-Yves Hogrel, Pierre G Carlier, John Vissing, Volker Straub
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0090377&type=printable
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author Tracey A Willis
Kieren G Hollingsworth
Anna Coombs
Marie-Louise Sveen
Soren Andersen
Tanya Stojkovic
Michelle Eagle
Anna Mayhew
Paulo Loureiro de Sousa
Liz Dewar
Jasper M Morrow
Christopher D J Sinclair
John S Thornton
Kate Bushby
Hanns Lochmuller
Michael G Hanna
Jean-Yves Hogrel
Pierre G Carlier
John Vissing
Volker Straub
author_facet Tracey A Willis
Kieren G Hollingsworth
Anna Coombs
Marie-Louise Sveen
Soren Andersen
Tanya Stojkovic
Michelle Eagle
Anna Mayhew
Paulo Loureiro de Sousa
Liz Dewar
Jasper M Morrow
Christopher D J Sinclair
John S Thornton
Kate Bushby
Hanns Lochmuller
Michael G Hanna
Jean-Yves Hogrel
Pierre G Carlier
John Vissing
Volker Straub
author_sort Tracey A Willis
collection DOAJ
description We conducted a prospective multinational study of muscle pathology using magnetic resonance imaging (MRI) in patients with limb-girdle muscular dystrophy 2I (LGMD2I). Thirty eight adult ambulant LGMD2I patients (19 male; 19 female) with genetically identical mutations (c.826C>A) in the fukutin-related protein (FKRP) gene were recruited. In each patient, T1-weighted (T1w) imaging was assessed by qualitative grading for 15 individual lower limb muscles and quantitative Dixon imaging was analysed on 14 individual lower limb muscles by region of interest analysis. We described the pattern and appearance of muscle pathology and gender differences, not previously reported for LGMD2I. Diffuse fat infiltration of the gastrocnemii muscles was demonstrated in females, whereas in males fat infiltration was more prominent in the medial than the lateral gastrocnemius (p = 0.05). In the anterior thigh of males, in contrast to females, median fat infiltration in the vastus medialis muscle (45.7%) exceeded that in the vastus lateralis muscle (11.2%) (p<0.005). MRI is non-invasive, objective and does not rely on patient effort compared to clinical and physical measures that are currently employed. We demonstrated (i) that the quantitative Dixon technique is an objective quantitative marker of disease and (ii) new observations of gender specific patterns of muscle involvement in LGMD2I.
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spelling doaj-art-809289b1bcdc4a229f182469ffcb12562025-08-20T02:22:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0192e9037710.1371/journal.pone.0090377Quantitative magnetic resonance imaging in limb-girdle muscular dystrophy 2I: a multinational cross-sectional study.Tracey A WillisKieren G HollingsworthAnna CoombsMarie-Louise SveenSoren AndersenTanya StojkovicMichelle EagleAnna MayhewPaulo Loureiro de SousaLiz DewarJasper M MorrowChristopher D J SinclairJohn S ThorntonKate BushbyHanns LochmullerMichael G HannaJean-Yves HogrelPierre G CarlierJohn VissingVolker StraubWe conducted a prospective multinational study of muscle pathology using magnetic resonance imaging (MRI) in patients with limb-girdle muscular dystrophy 2I (LGMD2I). Thirty eight adult ambulant LGMD2I patients (19 male; 19 female) with genetically identical mutations (c.826C>A) in the fukutin-related protein (FKRP) gene were recruited. In each patient, T1-weighted (T1w) imaging was assessed by qualitative grading for 15 individual lower limb muscles and quantitative Dixon imaging was analysed on 14 individual lower limb muscles by region of interest analysis. We described the pattern and appearance of muscle pathology and gender differences, not previously reported for LGMD2I. Diffuse fat infiltration of the gastrocnemii muscles was demonstrated in females, whereas in males fat infiltration was more prominent in the medial than the lateral gastrocnemius (p = 0.05). In the anterior thigh of males, in contrast to females, median fat infiltration in the vastus medialis muscle (45.7%) exceeded that in the vastus lateralis muscle (11.2%) (p<0.005). MRI is non-invasive, objective and does not rely on patient effort compared to clinical and physical measures that are currently employed. We demonstrated (i) that the quantitative Dixon technique is an objective quantitative marker of disease and (ii) new observations of gender specific patterns of muscle involvement in LGMD2I.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0090377&type=printable
spellingShingle Tracey A Willis
Kieren G Hollingsworth
Anna Coombs
Marie-Louise Sveen
Soren Andersen
Tanya Stojkovic
Michelle Eagle
Anna Mayhew
Paulo Loureiro de Sousa
Liz Dewar
Jasper M Morrow
Christopher D J Sinclair
John S Thornton
Kate Bushby
Hanns Lochmuller
Michael G Hanna
Jean-Yves Hogrel
Pierre G Carlier
John Vissing
Volker Straub
Quantitative magnetic resonance imaging in limb-girdle muscular dystrophy 2I: a multinational cross-sectional study.
PLoS ONE
title Quantitative magnetic resonance imaging in limb-girdle muscular dystrophy 2I: a multinational cross-sectional study.
title_full Quantitative magnetic resonance imaging in limb-girdle muscular dystrophy 2I: a multinational cross-sectional study.
title_fullStr Quantitative magnetic resonance imaging in limb-girdle muscular dystrophy 2I: a multinational cross-sectional study.
title_full_unstemmed Quantitative magnetic resonance imaging in limb-girdle muscular dystrophy 2I: a multinational cross-sectional study.
title_short Quantitative magnetic resonance imaging in limb-girdle muscular dystrophy 2I: a multinational cross-sectional study.
title_sort quantitative magnetic resonance imaging in limb girdle muscular dystrophy 2i a multinational cross sectional study
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0090377&type=printable
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