Quantitative Foot Muscle Magnetic Resonance Imaging Reliably Measures Disease Progression in Children and Adolescents with Charcot–Marie–Tooth Disease Type 1A

Author:

Doherty Carolynne M.1ORCID,Howard Paige2,O'Donnell Luke F.1ORCID,Zuccarino Riccardo23,Wastling Stephen4,Milev Evelin5,Banks Tina6,Shah Sachit4,Zafeiropoulos Nick4,Stephens Katherine J.2,Sarkozy Anna5,Grider Tiffany2,Feely Shawna M. E.7,Manzur Adnan5,Shy Rosemary R.2,Skorupinska Mariola1,Pipis Menelaos1,Nicolaisen Emma2,McDowell Amy14,Dilek Nuran8,Rossor Alexander M.1ORCID,Laura Matilde1,Clark Christopher6,Muntoni Francesco5,Thedens Daniel2,Thornton John4,Morrow Jasper M.1ORCID,Shy Michael E.2ORCID,Reilly Mary M.1

Affiliation:

1. Center for Neuromuscular Diseases, Department of Neuromuscular Diseases UCL Queen Square Institute of Neurology London UK

2. Roy and Lucille Carver College of Medicine, University of Iowa Iowa City IA USA

3. Fondazione Serena Onlus, Centro Clinico NeMO Trento Italy

4. Lysholm Department of Radiology National Hospital for Neurology and Neurosurgery London UK

5. Dubowitz Neuromuscular Center, Great Ormond Street Hospital London UK

6. Department of Radiology Great Ormond Street Hospital London UK

7. Division of Pediatric Neurology Seattle Children's Hospital, University of Washington School of Medicine Seattle WA USA

8. University of Rochester School of Medicine and Dentistry New York NY USA

Abstract

Quantitative muscle fat fraction (FF) responsiveness is lower in younger Charcot–Marie–Tooth disease type 1A (CMT1A) patients with lower baseline calf‐level FF. We investigated the practicality, validity, and responsiveness of foot‐level FF in this cohort involving 22 CMT1A patients and 14 controls. The mean baseline foot‐level FF was 25.9 ± 20.3% in CMT1A patients, and the 365‐day FF (n = 15) increased by 2.0 ± 2.4% (p < 0.001 vs controls). Intrinsic foot‐level FF demonstrated large responsiveness (12‐month standardized response mean (SRM) of 0.86) and correlated with the CMT examination score (ρ = 0.58, P = 0.01). Intrinsic foot‐level FF has the potential to be used as a biomarker in future clinical trials involving younger CMT1A patients. ANN NEUROL 2024;96:170–174

Funder

Muscular Dystrophy Association

Publisher

Wiley

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