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  • Multi‐center evaluation of ...
    Schlaffke, Lara; Rehmann, Robert; Rohm, Marlena; Otto, Louise A.M.; Luca, Alberto; Burakiewicz, Jedrzej; Baligand, Celine; Monte, Jithsa; Harder, Chiel; Hooijmans, Melissa T.; Nederveen, Aart; Schlaeger, Sarah; Weidlich, Dominik; Karampinos, Dimitrios C.; Stouge, Anders; Vaeggemose, Michael; D'Angelo, Maria Grazia; Arrigoni, Filippo; Kan, Hermien E.; Froeling, Martijn

    NMR in biomedicine, September 2019, Volume: 32, Issue: 9
    Journal Article

    The purpose of this study was to evaluate temporal stability, multi‐center reproducibility and the influence of covariates on a multimodal MR protocol for quantitative muscle imaging and to facilitate its use as a standardized protocol for evaluation of pathology in skeletal muscle. Quantitative T2, quantitative diffusion and four‐point Dixon acquisitions of the calf muscles of both legs were repeated within one hour. Sixty‐five healthy volunteers (31 females) were included in one of eight 3‐T MR systems. Five traveling subjects were examined in six MR scanners. Average values over all slices of water‐T2 relaxation time, proton density fat fraction (PDFF) and diffusion metrics were determined for seven muscles. Temporal stability was tested with repeated measured ANOVA and two‐way random intraclass correlation coefficient (ICC). Multi‐center reproducibility of traveling volunteers was assessed by a two‐way mixed ICC. The factors age, body mass index, gender and muscle were tested for covariance. ICCs of temporal stability were between 0.963 and 0.999 for all parameters. Water‐T2 relaxation decreased significantly (P < 10−3) within one hour by ~ 1 ms. Multi‐center reproducibility showed ICCs within 0.879–0.917 with the lowest ICC for mean diffusivity. Different muscles showed the highest covariance, explaining 20–40% of variance for observed parameters. Standardized acquisition and processing of quantitative muscle MRI data resulted in high comparability among centers. The imaging protocol exhibited high temporal stability over one hour except for water T2 relaxation times. These results show that data pooling is feasible and enables assembling data from patients with neuromuscular diseases, paving the way towards larger studies of rare muscle disorders. Quantitative MR images from calf muscles were evaluated from eight different scanners and a traveling cohort. Standardized acquisition protocols and processing methods allow for highly reproducible quantitative (water‐T2, Dixon proton density fat fraction and DTI parameters) descriptions of muscle status. The temporal order of scans plays a key role when assessing T2 relaxation times. Data from different centers (but the same vendor with identical acquisition and processing) could be pooled in one database when the same scanning protocol is used.