Comparison of MR T1 and T2 mapping parameters to characterize myocardial and skeletal muscle involvement in systemic idiopathic inflammatory myopathy (IIM).

Huber, Adrian Thomas; Lamy, Jérôme; Bravetti, Marine; Bouazizi, Khaoula; Bacoyannis, Tania; Roux, Charles; De Cesare, Alain; Rigolet, Aude; Benveniste, Olivier; Allenbach, Yves; Kerneis, Mathieux; Cluzel, Philippe; Redheuil, Alban; Kachenoura, Nadjia (2019). Comparison of MR T1 and T2 mapping parameters to characterize myocardial and skeletal muscle involvement in systemic idiopathic inflammatory myopathy (IIM). European radiology, 29(10), pp. 5139-5147. Springer-Verlag 10.1007/s00330-019-06054-6

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OBJECTIVES To compare the performance of magnetic resonance (MR) relaxometry parameters to discriminate myocardial and skeletal muscle inflammation in idiopathic inflammatory myopathy (IIM) patients from healthy controls. MATERIALS AND METHODS For this retrospective case-control study, 20 consecutive IIM patients (54 ± 18 years, 11 females) with cardiac involvement (troponin level > 50 ng/l) and 20 healthy controls (47 ± 12 years, 9 females) were included. All patients without cardiac MR imaging < 2 weeks prior to the laboratory testings were excluded. T1/T2 relaxation times, as well as T1-derived extracellular volume (ECV), relative tissue T1 shortening ΔT1 = (native T1-post contrast T1)/native T1), and enhancement fraction EHF = (native T1-post contrast T1)/(native T1-post contrast T1), were compared using Mann-Whitney U test and ROC analysis. RESULTS All measured MR relaxometry parameters significantly discriminated IIM patients and healthy controls, except T2 in skeletal muscles and ECV in the myocardium. In skeletal muscles, post contrast T1 and T1-derived parameters showed the best performance to discriminate IIM patients from healthy controls (AUC = 0.98 for post contrast T1 and AUC 0.94-0.97 for T1-derived parameters). Inversely, in the myocardium, native T1 and T2 showed better diagnostic performance (AUC = 0.89) than post contrast T1 (AUC = 0.76), ECV (AUC = 0.58), ΔT1 (AUC = 0.80) and EHF (0.82). CONCLUSIONS MR relaxometry parameters applied to the myocardium and skeletal muscles might be useful to separate IIM patients from healthy controls. However, different tissue composition and vascularization should be taken into account for their interpretation. ΔT1 and EHF may be simple alternatives to ECV in highly vascularized tissues such as the myocardium. KEY POINTS • MR relaxometry parameters applied to the myocardium and skeletal muscles are highly useful to separate IIM patients from healthy controls. • Different tissue composition and vascularization should be taken into account for T1 and T2 mapping parameter interpretation. • ΔT1 and EHF may be simple alternatives to ECV in highly vascularized tissues such as the myocardium.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Huber, Adrian Thomas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0938-7994

Publisher:

Springer-Verlag

Language:

English

Submitter:

Maria de Fatima Henriques Bernardo

Date Deposited:

06 May 2019 17:29

Last Modified:

22 Oct 2019 23:46

Publisher DOI:

10.1007/s00330-019-06054-6

PubMed ID:

30847587

Uncontrolled Keywords:

Extracellular space Idiopathic inflammatory myopathy Magnetic resonance imaging Myocarditis Skeletal muscle

BORIS DOI:

10.7892/boris.127944

URI:

https://boris.unibe.ch/id/eprint/127944

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