Synopsis
The purpose
of this presentation is to give an overview of emerging MRS/MRI methods
allowing to investigate skeletal muscle physiology.
target Audience
Physicists
and clinicians involved in the field of muscle physiology, sports sciences, neuromuscular
disorders
Abstract
Contractile
activity of skeletal muscle is tightly linked to a number of variables
including, among others, energy production, mitochondrial function,
blood flow,
oxygen consumprion... Fourty years ago, 31-phosphorus (31P) MR
spectroscopy (MRS) was introduced as a non invasive investigative
technique of
muscle energetics. For a period of more than 30 years, it has been used
in
order to document muscle energy production in a variety of contexts
including sports
physiology and muscle physiopathology. This approach has been clearly
recognized as a tool which can be used for improving our knowledge about
energy
production and the corresponding regulatory mechanisms and a large
amount of
papers have been published on that topic [1]. Over the past decade,
methodological progress has
been made in the field of MRI/MRS regarding magnetic field, gradients
and coils.
Some of them have been translated as valuable tools allowing to address
directly
or indirectly biological issues mainly regarding muscle energy
production in various
physiological and pathological conditions.
Mitochondrial function,
oxygen consumption, blood flow and muscle contraction will be addressed
in this
talk with a particular emphasis on new technological developments and
applications. Among these methodological progresses, ultra high-field
(UHF) MRS
has played a major role for the investigation of mitochondrial function.
Using 31P
MRS measurements performed at 7T, it has been possible to detect in
human
skeletal muscle at rest a new inorganic phosphate (Pi) pool with a
higher T1
relaxation time. While it has been assigned to the intra-mitochondrial
pool [2], it has been suggested as an interesting index of mitochondrial
function [3]. Taking advantage of the higher spectral resolution
and signal-to-noise at 7T, a 3D mapping of the PCr resynthesis rate
after a
standardized exercise has been reported with a 12s temporal resolution
[4]. As an extension of this work, a 3D gradient-echo
sequence for frequency-selective excitations of the PCr and Pi signals
in an
interleaved sampling has been developed in order to assay PCr and pH
changes in
exercising and recovering skeletal muscle [5].
Besides 31P MRS measurements, original
imaging techniques such as DTI and strain tensor measurements have been
combined to assess tri-dimensionally strain during muscle contraction
[6] while ultra-high field DTI has been used in order to
investigate the intramuscular
variability and sex differences in young adults [7].
Oxygenation and perfusion are key parameters
of muscle function which have been documented in skeletal muscle using
non-contrast
MRI techniques combining ASL and magnetic susceptibility-based
techniques [8, 9].
Overall, this whole set of newly-developed technique
might offer the opportunities to assay muscle function non invasively in
the
coming future Acknowledgements
No acknowledgement found.References
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