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Quantitative Muscle Mri Study of Patients With Sporadic Inclusion Body Myositis Publisher Pubmed



Ansari B1, 2, 3 ; Salortcampana E1, 4, 5 ; Ogier A2 ; Le Troter Phd A2 ; De Sainte Marie B1 ; Guye M2 ; Delmont E1, 5 ; Grapperon AM1, 5 ; Verschueren A1, 5 ; Bendahan D2 ; Attarian S1, 4, 5
Authors
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Authors Affiliations
  1. 1. Centre de reference PACA Reunion Rhone Alpes, La Timone University Hospital, Aix-Marseille University, Marseille, United States
  2. 2. Aix-Marseille University, Centre de Resonance Magnetique Biologique et Medicale, UMR CNRS, Marseille, France
  3. 3. Isfahan Neurosciences Research Center, Alzahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. INSERM, GMGF, Aix Marseille University, Marseille, France
  5. 5. FILNEMUS, United States

Source: Muscle and Nerve Published:2020


Abstract

Background: Fat infiltration in individual muscles of sporadic inclusion body myositis (sIBM) patients has rarely been assessed. Methods: Sixteen sIBM patients were assessed using MRI of the thighs and lower legs (LL). The severity of fat infiltration, proximal-to-distal and side asymmetries, and the correlations with clinical and functional parameters were investigated. Results: All the patients had fat-infiltrated muscles, and thighs were more severely affected than LL. A proximal-to-distal gradient of fat infiltration was mainly observed for adductors, quadriceps, sartorius, and medial gastrocnemius muscles. A strong negative correlation was observed between the whole muscle fat fraction in the thighs and LL and the Inclusion Body Myositis Functional Rating Scale and Medical Research Council scores for the lower limbs. Conclusions: Fat infiltration in individual muscles of sIBM patients is heterogeneous in terms of proximal-to-distal gradient and severity was correlated with clinical scores. These results should be considered for both natural history investigation and clinical trials. © 2020 Wiley Periodicals, Inc.