Intramyocellular lipid quantification:: Repeatability with 1H MR spectroscopy
Intramyocellular lipid quantification:: Repeatability with 1H MR spectroscopy
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DOI:
10.1148/radiol.2362041661
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发表时间:
2005-08-01
期刊:
影响因子:
19.7
通讯作者:
Palmer, WE
中科院分区:
文献类型:
--
作者:
Torriani, M;Thomas, BJ;Palmer, WE
PURPOSE: To prospectively determine the repeatability and variability of tibialis anterior intramyocellular lipid (IMCL) quantifications performed by using 1.5-T hydrogen 1(H-1) magnetic resonance (MR) spectroscopy in healthy subjects.MATERIALS AND METHODS: Institutional review board approval and written informed consent were obtained for this Health Insurance Portability and Accountability Act-compliant study. The authors examined the anterior tibial muscles of 27 healthy subjects aged 19-48 years (12 men, 15 women; mean age, 25 years) by using single-voxel short-echo-time point-resolved H-1 MR spectroscopy. During a first visit, the subjects underwent H-1 MR spectroscopy before and after being repositioned in the magnet bore, with voxels carefully placed on the basis of osseous landmarks. Measurements were repeated after a mean interval of 12 days. All spectra were fitted by using lava-based MR user interface (jMRUI) and LCModel software, and lipid peaks were scaled to the unsuppressed water peak (at 4.7 ppm) and the total creatine peak (at approximately 3.0 ppm). A one-way random-effects variance components model was used to determine intraday and intervisit coefficients of variation (CVs). A power analysis was performed to determine the detectable percentage change in lipid measurements for two subject sample sizes.RESULTS: Measurements of the IMCL methylene protons peak at a resonance of 1.3 ppm scaled to the unsuppressed water peak (IMCLW) that were obtained by using jMRUI software yielded the lowest CVs overall (intraday and intervisit CVs, 13.4% and 14.4%, respectively). The random-effects variance components model revealed that nonbiologic factors (equipment and repositioning) accounted for 50% of the total variability in IMCL quantifications. Power analysis for a sample size of 20 subjects revealed that changes in IMCLW of greater than 15% could be confidently detected between H-1 MR spectroscopic measurements obtained on different days.CONCLUSION: H-1 MR spectroscopy is feasible for repeatable quantification of IMCL concentrations in longitudinal studies of muscle metabolism. (c) RSNA, 2005