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Title: TU-C-12A-01: Measurement of Skeletal Muscle Lipids in Type 2 Diabetes Using in Vivo Proton MR Spectroscopy

Purpose: To quantify and compare the intramyocellular (IMCL), extramyocellular (EMCL) lipids and total fat fraction in human vastus lateralis (VL) muscle between lean controls and type 2 diabetic (T2DM) subjects using long echo time in vivo proton MR spectroscopy ({sup 1}H-MRS) Methods: {sup 1}H-MRS single voxel (15 × 15 × 15 mm{sup 3}) stimulated acquisition mode (STEAM) was performed in right vastus lateralis m. on 10 lean controls (age: 28.3±3.94 yrs, BMI: 24.25±3.20 kg/m{sup 2}) and 7 type 2 diabetic (age: 54.28±6.42 yrs, BMI: 31.34±3.13 kg/m{sup 2}) subjects with Siemens 3T MRI and four-channel flex coil. Unsuppressed water spectra (NSA = 16) with TR/TE = 3000/30 msec, TM = 10 msec, BW = 2000 Hz, and water-suppressed spectra (NSA = 128) with TR/TE = 3000/270 msec, TM = 10 msec, and fixed water suppression BW = 50 Hz were acquired. Spectral intensity ratios of IMCL-CH{sub 2}, EMCL-CH{sub 2} and total lipid (IMCL {sub +} EMCL) with unsuppressed water signal (W) were converted into absolute concentrations expressed in mmol/kg. Fat fraction (100 × F/(W+F)) was calculated, where F includes the signal intensities of IMCL and EMCL methylene (CH{sub 2})n, peaks only. Results: Comparison of IMCL (controls: 11.70 ± 6.7, T2DM: 21.74more » ± 10.2, p ≤ 0.01), EMCL (controls: 22.89 ± 18.42, T2DM: 77.21 ± 33.4, p ≤ 0.001) and total lipid (64.35 mmol/kg less in controls, p ≤ 0.001) showed statistical significance using two-tailed student t-test. Fat fraction (%) exhibited considerable inter-individual variability for controls (3.14 ± 2.09; range: 1.34 - 7.04) and T2DM (9.34 ± 2.88; range: 4.15 - 13.67) and deemed significant (p ≤ 0.05 Conclusion: Single voxel STEAM {sup 1}H-MRS at long TE provides a robust non-invasive method for characterizing lipids within localized muscle regions, with well-resolved IMCL/EMCL peak separation. Regional lipid estimate and fat fraction in VL m. was significantly different in T2DM compared to lean controls. American Heart Association Southwest Affiliate Pre-doctoral Fellowship.« less
Authors:
; ; ; ; ;  [1]
  1. UT Health Science Center, San Antonio, TX (United States)
Publication Date:
OSTI Identifier:
22409687
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 41; Journal Issue: 6; Other Information: (c) 2014 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; FATS; HEART; HYDROGEN 1; IN VIVO; LIPIDS; MUSCLES; NMR IMAGING; WATER