Acta Neurol Belg (2017) 117:635–636 DOI 10.1007/s13760-017-0804-9 N E URO- IMA G ES Lower limb muscle atrophy on MRI as a guide in the diagnosis of muscle diseases 1 1,2 Dimitri Renard Eric Thouvenot Received: 24 March 2017 / Accepted: 1 June 2017 / Published online: 10 June 2017 Belgian Neurological Society 2017 Muscle MRI is increasingly used as a diagnostic tool to We conducted an extensive review of the literature describe the degree and the pattern of muscle involvement reporting on fatty degeneration in the lower limbs in dif- and to guide in the localisation of future muscle biopsy ferent muscle diseases (by Pubmed search using the fol- when needed [1–3]. Fatty degeneration (i.e. the most fre- lowing keywords: MRI, magnetic resonance imaging, quently observed abnormality in muscle diseases) can be muscle atrophy, fatty degeneration, T1 hyperintensity, detected by T1-weighted imaging showing hyperintensity. myopathy, myopathies, muscle disease) in order to make a Most of the rating scales used to score the degree of ﬁgure (Fig. 1) showing a semi-quantitative representation muscular dystrophy are based on the amount of fatty of muscle involvement in the different muscles (red degeneration. T2-weighted imaging (short tau inversion showing the most frequently, most
Acta Neurologica Belgica – Springer Journals
Published: Jun 10, 2017
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