1. Repeatability of alkaline inorganic phosphate quantification in the skeletal muscle using 31 P-magnetic resonance spectroscopy at 3 T.
- Author
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Matias AA, Serviente CF, Decker ST, Erol ME, Giuriato G, Le Fur Y, Nagarajan R, Bendahan D, and Layec G
- Subjects
- Humans, Male, Female, Reproducibility of Results, Young Adult, Adult, Phosphorus Isotopes, Alkalies, Magnetic Resonance Spectroscopy methods, Phosphates metabolism, Muscle, Skeletal diagnostic imaging, Muscle, Skeletal metabolism
- Abstract
The detection of a secondary inorganic phosphate (Pi) resonance, a possible marker of mitochondrial content in vivo, using phosphorus magnetic resonance spectroscopy (
31 P-MRS), poses technical challenges at 3 Tesla (T). Overcoming these challenges is imperative for the integration of this biomarker into clinical research. To evaluate the repeatability and reliability of measuring resting skeletal muscle alkaline Pi (Pialk ) using with31 P-MRS at 3 T. After an initial set of experiments on five subjects to optimize the sequence, resting31 P-MRS of the quadriceps muscles were acquired on two visits (~4 days apart) using an intra-subjects design, from 13 sedentary to moderately active young male and female adults (22 ± 3 years old) within a whole-body 3 T MR system. Measurement variability attributed to changes in coil position, shimming procedure, and spectral analysis were quantified.31 P-MRS data were acquired with a31 P/-proton (1 H) dual-tuned surface coil positioned on the quadriceps using a pulse-acquire sequence. Test-retest absolute and relative repeatability was analyzed using the coefficient of variation (CV) and intra-class correlation coefficients (ICC), respectively. After sequence parameter optimization, Pialk demonstrated high intra-subject repeatability (CV: 10.6 ± 5.4%, ICC: 0.80). Proximo-distal change in coil position along the length of the quadriceps introduced Pialk quantitation variability (CV: 28 ± 5%), due to magnetic field inhomogeneity with more distal coil locations. In contrast, Pialk measurement variability due to repeated shims from the same muscle volume (0.40 ± 0.09mM; CV: 6.6%), and automated spectral processing (0.37 ± 0.01mM; CV: 2.3%), was minor. The quantification of Pialk in skeletal muscle via surface coil 31P-MRS at 3 T demonstrated excellent reproducibility. However, caution is advised against placing the coil at the distal part of the quadriceps to mitigate shimming inhomogeneity., (© 2024 The Author(s). NMR in Biomedicine published by John Wiley & Sons Ltd.)- Published
- 2024
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