Expertenempfehlung zur Magnetresonanztomographie bei Muskelerkrankungen

期刊论文
发表日期：

2024年4月29日

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Rachel Zeng,
Sarah Schlaeger,
Matthias Türk,
Thomas Baum,
Marcus Deschauer,
Rolf Janka,
Dimitrios Karampinos,
Jan Kassubek,
Sarah Keller-Yamamura,
Cornelia Kornblum,
Helmar Lehmann,
Thorsten Lichtenstein,
Armin M. Nagel,
Jens Reimann,
Angela Rosenbohm,
Lara Schlaffke,
Manuel Schmidt,
Christiane Schneider-Gold,
Benedikt Schoser,
Regina Trollmann,
Matthias Vorgerd,
Marc-André Weber,
Jan S. Kirschke,
Jens Schmidt

摘要

Background

Magnetic resonance (MRI) imaging of the skeletal muscles (muscle MRI for short) is increasingly being used in clinical routine for diagnosis and longitudinal assessment of muscle disorders. However, cross-centre standards for measurement protocol and radiological assessment are still lacking.

Objectives

The aim of this expert recommendation is to present standards for the application and interpretation of muscle MRI in hereditary and inflammatory muscle disorders.

Methods

This work was developed in collaboration between neurologists, neuroradiologists, radiologists, neuropaediatricians, neuroscientists and MR physicists from different university hospitals in Germany. The recommendations are based on expert knowledge and a focused literature search.

Results

The indications for muscle MRI are explained, including the detection and monitoring of structural tissue changes and oedema in the muscle, as well as the identification of a suitable biopsy site. Recommendations for the examination procedure and selection of appropriate MRI sequences are given. Finally, steps for a structured radiological assessment are presented.

Conclusions

The present work provides concrete recommendations for the indication, implementation and interpretation of muscle MRI in muscle disorders. Furthermore, it provides a possible basis for the standardisation of the measurement protocols at all clinical centres in Germany.