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  4. Short- and long-term reproducibility of diffusion-weighted magnetic resonance imaging of lower extremity musculature in asymptomatic individuals and a comparison to individuals with spinal cord injury

Short- and long-term reproducibility of diffusion-weighted magnetic resonance imaging of lower extremity musculature in asymptomatic individuals and a comparison to individuals with spinal cord injury

BMC Musculoskeletal Disorders, 2018 · DOI: https://doi.org/10.1186/s12891-018-2361-7 · Published: December 5, 2018

Spinal Cord InjuryNeurologyMedical Imaging

Simple Explanation

This study uses diffusion-weighted magnetic resonance imaging (DW-MRI) to examine skeletal muscle. DW-MRI can show how water moves through soft tissues, which can help diagnose muscle conditions. The researchers measured the apparent diffusion coefficient (ADC) in lower limb muscles. They looked at how reliable and reproducible these measurements are, both in the short term and over a longer period. The study included healthy individuals and those with motor incomplete spinal cord injury. The goal was to create a reference for future DW-MRI studies of skeletal muscle.

Study Duration
9 months
Participants
20 individuals without neuromusculoskeletal injury and 14 individuals with motor incomplete spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    The intra- and inter-rater reliability of the ADC measurements were high, averaging 0.89 and 0.79, respectively.
  • 2
    The least significant change (LSC) for short-term reproducibility was 4.50%, while for long-term reproducibility (9-month interval), it was 11.98%.
  • 3
    Individuals with spinal cord injury showed significantly elevated ADC values in their muscles compared to those without neurological or musculoskeletal injury.

Research Summary

This study assessed the reliability and reproducibility of diffusion-weighted MRI (DW-MRI) in lower limb muscles, both in healthy individuals and those with motor incomplete spinal cord injury (SCI). The apparent diffusion coefficient (ADC) was measured, and its rater-based reliability and short- and long-term reproducibility were evaluated. The ADC was also quantified in individuals with SCI. The study found high rater-based reliability and short-term reproducibility of ADC measurements. Individuals with SCI had elevated ADC values compared to healthy individuals, suggesting DW-MRI's potential in assessing muscle changes post-SCI.

Practical Implications

Future Research

The findings provide a foundation for future studies to track longitudinal changes in skeletal muscle ADC in the lower extremity.

Clinical Tool

DW-MRI of skeletal muscle is sufficiently reproducible for longitudinal analyses in controlled experiments.

Diagnostic Potential

DW-MRI may prove to be a highly sensitive measure of physiological changes to peripheral muscles after neurological injury.

Study Limitations

  • 1
    ROI definition was performed by raters with minimal imaging experience.
  • 2
    The same MRI scanner was used for all imaging sessions.
  • 3
    Leg temperature was not controlled in the SCI cohort.

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