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Pierre G. Carlier Imaging рактическая конфереваний" Institute of Myology, CHU Pitié-Salpêtrière, Paris, France, CEA, IBFJ, MIRCen, Fontenay-aux-Roses, France, [email protected]

Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

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Page 1: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Pierre G. Carlier

Imagingрактическая конфереваний"

Institute of Myology, CHU Pitié-Salpêtrière, Paris, France, CEA, IBFJ, MIRCen, Fontenay-aux-Roses, France,

[email protected]

Page 2: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroupobjectivesрактическая конфереваний"

•  ToassistHCPswithdiagnosticimaging

Page 3: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroupobjectivesрактическая конфереваний"

•  ToassistHCPswithdiagnosticimaging

•  TopromotebetterNMDimagingprotocols

Page 4: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroupobjectivesрактическая конфереваний"

•  ToassistHCPswithdiagnosticimaging

•  TopromotebetterNMDimagingprotocols Educationgroup

Page 5: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroupobjectivesрактическая конфереваний"

•  ToassistHCPswithdiagnosticimaging

•  TopromotebetterNMDimagingprotocols

•  TohelpdevelopingmoreadvancedNMDimagingprotocols

Educationgroup

Page 6: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroupobjectivesрактическая конфереваний"

•  ToassistHCPswithdiagnosticimaging

•  TopromotebetterNMDimagingprotocols

•  TohelpdevelopingmoreadvancedNMDimagingprotocols

Educationgroup

Researchgroup

Page 7: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Routineexam1

T1wimaging

Ø  Whole-body

Ø  QualitativeØ  IdentificationofdiseasespecificpatternsofmuscleinvolvementØ  Diagnosis

RSMD1-SEPN1BethlemMUllrichCMDLGMD2AEmery-Dreyfuss MD2-LMNA

MuscularDystrophieswithRigidityoftheSpine

Mercurietal.,Ann.Neurol.,2010

SkeletalmuscleNMRimaginginneuromusculardisorders

7/12

Page 8: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

2

Fat/waterseparationtechniques(Dixon)

Ø  Oftenspatiallylimited

Ø  QuantitativeØ  PreciseassessmentoffattydegenerativechangesØ  Monitordiseaseprogressioninnaturalhistory/therapeutictrials

Quantitativefatimagingwasabletomeasurediseaseprogressionina cohort of limb-girdle musculardystrophy 2I (LGMD2I) patientsovera12-monthperiod

Willisetal.,PLoSONE,2013

SkeletalmuscleNMRimaginginneuromusculardisorders

Routineexam

8/12

Page 9: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø
Page 10: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø
Page 11: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:diagnosticactivitiesрактическая конфереваний"

•  Musclediseases:fattyinfiltrationpatterns

•  Peripheralnervediseases:fastlygrowingbutnotestablishedyet

•  Motorneuron,NMjunction,mitochondrialdiseases: littleornorole

Page 12: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:diagnosticactivitiesрактическая конфереваний"

•  R.Y.Carlier(USQV)G.Tasca(URoma):muscleMRI

•  O.Scheidegger(UBern):MRneurography

•  P.G.Carlier(IoM):qMRIandOMs

HCP’simagingcontactperson

CPMS

Page 13: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:diagnosticactivitiesрактическая конфереваний"

•  R.Y.Carlier(USQV)G.Tasca(URoma):muscleMRI

•  O.Scheidegger(UBern):MRneurography

•  P.G.Carlier(IoM):qMRIandOMs

HCP’simagingcontactperson

CPMS

Page 14: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:diagnosticactivitiesрактическая конфереваний"

•  R.Y.Carlier(USQV)G.Tasca(URoma):muscleMRI

•  O.Scheidegger(UBern):MRneurography

•  P.G.Carlier(IoM):qMRIandOMs

HCP’simagingcontactperson

CPMS

Page 15: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:educationalactivitiesрактическая конфереваний"

•  SOPs

Page 16: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:educationalactivitiesрактическая конфереваний"

•  SOPs

Page 17: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:educationalactivitiesрактическая конфереваний"•  SOPs

Page 18: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:educationalactivitiesрактическая конфереваний"

•  SOPs

–  Updateonmuscleimaging–Dec17

–  MRneurography–O.Scheidegger–Apr18

Page 19: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:educationalactivitiesрактическая конфереваний"

•  SOPs

•  MuscleMRIatlasofpathologies:integrationof

Page 20: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:educationalactivitiesрактическая конфереваний"

•  SOPs

•  MuscleMRIatlasofpathologies

•  Hands-ontrainingandworkshop

ü June25th-June27th,2018:Paris,InstituteofMyology,immediatelyaftertheMyologySummerSchool

UpdateondiagnosticimagingHands-onsessionondiagnosticandquantitativeMRimagingHands-onsessiononmusclestrengthandactivitymeasurements

Page 21: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroup:researchactivitiesрактическая конфереваний"

•  Introducefasterimagingprotocols

•  Encourageshiftfromqualitativetoquantitativeprotocols

•  Developinter-siterobustnormalizationprocedures

Page 22: Imaging - ERN-EURO-NMD€¦ · Skeletal muscle NMR imaging in neuromuscular disorders 7/12 2 Fat/water separation techniques (Dixon) Ø Often spatially limited Ø Quantitative Ø

Imaginggroupрактическая конфереваний"