Quantification of early fatty infiltration of the rotator cuff muscles: comparison of multi-echo Dixon with single-voxel MR spectroscopy.

Objectives: To evaluate quantification of early fatty infiltration in supraspinatus muscles with magnetic resonance (MR) imaging using a T2*-corrected multi-echo 3D-gradient-echo Dixon-based sequence (multi-echo Dixon) and compare it to proton-MR-spectroscopy.Methods: Sixty subjects (mean age 46 yea...

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Publicado en:European Radiology Vol. 26; no. 10; pp. 3719 - 3728
Autores principales: Agten, Christoph, Rosskopf, Andrea, Gerber, Christian, Pfirrmann, Christian, Agten, Christoph A, Rosskopf, Andrea B, Pfirrmann, Christian W A
Formato: research Journal Article
Publicado: Springer Nature Oct2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2016
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      pub: Springer Nature
      place: New York, New York
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        atl: Quantification of early fatty infiltration of the rotator cuff muscles: comparison of multi-echo Dixon with single-voxel MR spectroscopy.
      aug:
        au:
          Agten, Christoph
          Rosskopf, Andrea
          Gerber, Christian
          Pfirrmann, Christian
          Agten, Christoph A
          Rosskopf, Andrea B
          Pfirrmann, Christian W A
        affil: Radiology, Balgrist University Hospital, Forchstrasse 340, CH-8008, Zurich, Switzerland
      sug:
        subj:
          Rotator Cuff
          Adipose Tissue
          Observer Bias
          Young Adult
          Female
          Male
          Rotator Cuff Pathology
          Reproducibility of Results
          Aged, 80 and Over
          Adult
          Aged
          Adolescence
          Human
          Magnetic Resonance Spectroscopy Methods
          Middle Age
          Magnetic Resonance Imaging Methods
          Adipose Tissue Pathology
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Ferrans and Powers Quality of Life Index
          Aged, 80 & over
          Adult: 19-44 years
          Aged: 65+ years
          Adolescent: 13-18 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: To evaluate quantification of early fatty infiltration in supraspinatus muscles with magnetic resonance (MR) imaging using a T2*-corrected multi-echo 3D-gradient-echo Dixon-based sequence (multi-echo Dixon) and compare it to proton-MR-spectroscopy.Methods: Sixty subjects (mean age 46 years, 41 men) with good supraspinatus muscle quality on 1.5 T MR imaging were included. Fat percentage (FP) in the supraspinatus muscle was quantified using a multi-echo Dixon compared to single-voxel MR spectroscopy as reference standard. In 18 subjects the multi-echo Dixon was repeated to assess test-retest reliability. Measurements based on multi-echo Dixon were performed by two independent readers by placing regions-of-interest (ROIs) in the supraspinatus muscle corresponding to the MR-spectroscopy voxel. Intraclass and concordance correlation coefficients (ICC/CCC) were used for statistical analysis.Results: Test-retest reliability was substantial for reader 1 (ICC = 0.757) and almost perfect for reader 2 (ICC = 0.873). Inter-reader reliability for multi-echo Dixon was almost perfect (ICC = 0.893, P < .0005). Mean FP in all 60 subjects with multi-echo Dixon was 3.5 ± 1.6 for reader 1, 3.7 ± 1.8 for reader 2, and 2.8 ± 1.4 with MR spectroscopy. Correlation between multi-echo Dixon and MR spectroscopy was moderate (CCC = 0.641).Conclusion: The multi-echo Dixon sequence is a reliable method and comparable to MR-spectroscopy for quantification of low levels of fatty infiltration in the supraspinatus muscle.Key Points: • Multi-echo Dixon for low fat quantification in muscles is reliable. • Multi-echo Dixon low fat quantification is comparable to single-voxel MR spectroscopy • Multi-echo Dixon detects substantial differences in fatty infiltration within Goutallier 0-1.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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