Cape Town - 2026 ISMRM-ISMRT Annual Meeting and Exhibition • 09-14 May 2026

Oral

Muscle MRI in Health and Disease: From Standardization to Application

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Muscle MRI in Health and Disease: From Standardization to Application
Oral
Musculoskeletal
Thursday, 14 May 2026
Hall 1A
13:40 - 15:30
Moderators: Martin Schwartz & Marta Maggioni
Session Number: 601-02
CME/CE Credit Available
MRI in muscle, with standardization of techniques and applications in disease
Skill Level: Intermediate

13:40 Figure 601-02-001.  Standardizing Quantitative Muscle MRI: An Inter-Vendor Evaluation in Healthy Adults
Johanna Thomä, Lionel Butry, Martijn Froeling, Johannes Forsting, Lara Schlaffke
BG University Hospital Bochum, Ruhr-University Bochum, Bochum, Germany
Impact: When MRI vendor changes occur mid-study, parameter-specific biases in qMRI—particularly for fat fraction and water T₂—can obscure longitudinal effects. Implementing harmonization or bias correction models is essential to ensure inter-vendor data comparability and reliable interpretation of disease progression.
13:51 Figure 601-02-002.  Determinants of qMRI variation in skeletal muscle: Effects of sex, age and muscle volume
Linda Heskamp, Martijn Froeling
University Medical Center Utrecht, Utrecht, Netherlands
Impact: Accounting for whole-muscle volume on top of gender and age, which are commonly used covariates, is crucial for proper interpretation of quantitative muscle MRI in clinical studies on neuromuscular disease patients and healthy controls.
14:02 Figure 601-02-003.  Age- and Sex-Dependent Alterations in Skeletal Muscle Microstructure Assessed by DTI and DKI
Magna Cum Laude
Ananya Goyal, Donnie Cameron, Luigi Ferrucci, David Reiter, Jelle Veraart, Valentina Mazzoli
Stanford University, Stanford, United States of America
Impact: This study highlights diffusion kurtosis imaging (DKI) as a sensitive marker of age- and sex-specific muscle microstructural remodeling, revealing changes not captured by DTI/conventional MRI. Findings may inform early detection of sarcopenia and guide personalized strategies for monitoring and intervention.
14:13 Figure 601-02-004.  Effect of gradient non-linearity correction on whole leg Diffusion tensor imaging
AMPC Selected
Martijn Froeling, Linda Heskamp
University Medical Center Utrecht, Utrecht, Netherlands
Impact: Voxel-wise correction of gradient non-linearities is crucial for accurate muscle DTI. It reduces MD bias, minimizes orientation-dependent FA errors, and improves tractography reliability, ensuring reproducible whole-leg analyses and enabling more robust biomarkers for muscle microstructure in health and disease.
14:24 Figure 601-02-005.  MuscleMap Toolbox: Open-Source, Contrast-Agnostic Tools for Automated Whole-Body Muscle Segmentation and 3D Quantification
Evert Onno WEsselink, James Elliott, Marnee McKay, Ananya Goyal, Dario Pfyffer, Richard Yin, Sandrine Bédard, Christine S W Law, Brian Kim, Julien Cohen-Adad, Benjamin De Leener, Kenneth Weber
Stanford Medicine, Stanford, United States of America
Impact: The MuscleMap Toolbox enables automated, reproducible 3D assessment of muscle health from MRI and CT, empowering large-scale research, improving clinical decision-making, and accelerating the translation of muscle biomarkers into practice through standardized, open-source, multimodal analysis.
14:35 Figure 601-02-006.  Short- and long-term changes in trunk muscle volume, quality, and strength after diet-induced weight loss in the LION study
Daniela Junker, Johannes Raspe, Anna Reik, Mingming Wu, Stella Näbauer, Florian Kreuzpointner, Kathrin Schmalzl, Marcus Makowski, Hans Hauner, Fabian Stöcker, Christina Holzapfel, Dimitrios Karampinos
Technical University of Munich, School of Medicine and Health, Munich, Germany
Impact: The study shows that diet-induced weight loss causes lasting decreases in trunk muscle volume alongside improved muscle quality, yet without change of strength. MRI-derived parameters capture these opposing adaptations, supporting their use for monitoring structural muscle changes in obesity interventions.
14:46 Figure 601-02-007.  Assessing T2 relaxation time in lower limb muscles in adults with and without sarcopenia
Matthew Birkbeck, Karen Suetterlin, Christopher Hurst, Claire McDonald, Susan Hillman, Avan Sayer, Rachel Cooper, Miles Witham, Kieren Hollingsworth
Newcastle University, Newcastle upon Tyne, United Kingdom
Impact: We accurately assessed T2 relaxation time of skeletal muscle in adults with and without sarcopenia. T2 was higher in participants with sarcopenia and associated with physical performance, suggesting it could be used as a biomarker of muscle quality in ageing.
14:57 Figure 601-02-008.  Multifidus muscle degeneration at the L1/2 level is a potential risk factor for upper lumbar disc herniation
Yan Zhang, Junrong Chen, Yuchen Liu
Chengdu Sport University, Chengdu, China
Impact: Targeted interventions, including posture training and core muscle strengthening, may help reduce the incidence and recurrence of upper lumbar disc herniation and improve patients’ quality of life.
15:08 Figure 601-02-009.  Integration of a harmonized protocol for the diagnosis of neuromuscular diseases in the clinical workflow across centers
Susanne Rauh, Donnie Cameron, Linda Heskamp, Mark Kruit, Rutger A Nievelstein, Ruud Becks, Erik Niks, Corrie Erasmus, W Ludo van der Pol, Bart Bartels, Nens van Alfen, Martijn Froeling, Hermien Kan
Leiden University Medical Center, Leiden, Netherlands
Impact: A muscle MRI protocol harmonized between multiple sites enables data pooling and comparison, which is essential for rare neuromuscular diseases. Our multi-center harmonized TSE-Dixon muscle protocol demonstrated comparable diagnostic quality to the conventional protocol, justifying implementation in the clinical workflow.
15:19 Figure 601-02-010.  Water T1 Detects Subtle Muscle Involvement in Becker Muscular Dystrophy Beyond Fat Fraction
Sina Graf, Valentina Schunk, Pierre-Yves Baudin, Benjamin Marty, Frank Roemer, Arnd Dörfler, Michael Uder, Elisabetta Gazzerro, Armin NAGEL, Teresa Gerhalter
Uniklinikum Erlangen, Erlangen, Germany
Impact: This study shows that water T1 mapping can detect subtle muscle abnormalities in Becker muscular dystrophy even before visible fat replacement. Earlier detection of disease activity could support more sensitive monitoring in therapeutic trials and help evaluate treatment effects sooner.

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