Quote
R. Zeng, S. Schlaeger, M. Türk, T. Baum, M. Deschauer, R. Janka, D. Karampinos, J. Kassubek, S. Keller-Yamamura, C. Kornblum, H. Lehmann, T. Lichtenstein, A. M. Nagel, J. Reimann, A. Rosenbohm, L. Schlaffke, M. Schmidt, C. Schneider-Gold, B. Schoser, R. Trollmann, M. Vorgerd, M.-A. Weber, J. S. Kirschke, and J. Schmidt, "Expert recommendation for magnetic resonance imaging in muscle diseases," Der Nervenarzt, vol. 95, no. August 2024, pp. 721-729, 2024.
Content
Background: Magnetic resonance (MRI) imaging of the skeletal muscles (muscle MRI for short) is increasingly being used in clinical routine for diagnosis and longitudinal assessment of muscle disorders. However, cross-center standards for measurement protocol and radiological assessment are still lacking.
Objectives: The aim of this expert recommendation is to present standards for the application and interpretation of muscle MRI in hereditary and inflammatory muscle disorders.
Methods: This work was developed in collaboration between neurologists, neuroradiologists, radiologists, neuropaediatricians, neuroscientists and MR physicists from different university hospitals in Germany. The recommendations are based on expert knowledge and a focused literature search.
Results: The indications for muscle MRI are explained, including the detection and monitoring of structural tissue changes and oedema in the muscle, as well as the identification of a suitable biopsy site. Recommendations for the examination procedure and selection of appropriate MRI sequences are given. Finally, steps for a structured radiological assessment are presented.
Conclusions: The present work provides concrete recommendations for the indication, implementation and interpretation of muscle MRI in muscle disorders. Furthermore, it provides a possible basis for the standardization of the measurement protocols at all clinical centres in Germany.
References
DOI 10.1007/s00115-024-01673-x
PMID 38683354
Scopus ID 2-s2.0-85191729183
WoSID 001209658500003