Zeng Rachel, Schlaeger Sarah, Türk Matthias, Baum Thomas, Deschauer Marcus, Janka Rolf, Karampinos Dimitrios, Kassubek Jan, Keller-Yamamura Sarah, Kornblum Cornelia, Lehmann Helmar, Lichtenstein Thorsten, Nagel Armin M, Reimann Jens, Rosenbohm Angela, Schlaffke Lara, Schmidt Manuel, Schneider-Gold Christiane, Schoser Benedikt, Trollmann Regina, Vorgerd Matthias, Weber Marc-André, Kirschke Jan S, Schmidt Jens
Klinik für Neurologie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Abteilung für Diagnostische und Interventionelle Neuroradiologie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland, Ismaningerstr. 22, 81675.
Radiologie (Heidelb). 2024 Aug;64(8):653-662. doi: 10.1007/s00117-024-01276-2. Epub 2024 Apr 19.
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.
The aim of this expert recommendation is to present standards for the application and interpretation of muscle MRI in hereditary and inflammatory muscle disorders.
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.
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.
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.
骨骼肌的磁共振成像（简称肌肉MRI）在临床日常工作中越来越多地用于肌肉疾病的诊断和纵向评估。然而，测量方案和放射学评估的跨中心标准仍然缺乏。
本专家建议旨在提出肌肉MRI在遗传性和炎症性肌肉疾病中的应用和解读标准。
这项工作由德国不同大学医院的神经科医生、神经放射科医生、放射科医生、神经儿科医生、神经科学家和磁共振物理学家合作开展。这些建议基于专家知识和重点文献检索。
解释了肌肉MRI的适应证，包括检测和监测肌肉中的结构组织变化和水肿，以及确定合适的活检部位。给出了检查程序和选择合适MRI序列的建议。最后，介绍了结构化放射学评估的步骤。
本研究为肌肉疾病中肌肉MRI的适应证、实施和解读提供了具体建议。此外，它为德国所有临床中心测量方案的标准化提供了可能的基础。
