Multiparameter MRI analysis of the time course of induced muscle damage and regeneration

J Magn Reson Imaging. 2014 Oct;40(4):779-88. doi: 10.1002/jmri.24417. Epub 2013 Oct 31.

Abstract

Purpose: To test the ability of different magnetic resonance imaging (MRI) modalities to discriminate the time course of damage and regeneration in a model of acute, toxin-induced muscle damage.

Materials and methods: We analyzed the time course of tissue and cellular changes in mouse lower limb musculature following localized injection of myotoxin by T2 , magnetization transfer (MT), and diffusion-weighted MRI. We also used T1 -weighted imaging to measure leg muscle volume. In addition, postmortem histological analysis of toxin-injected muscles was compared to uninjected controls.

Results: The damages detected by the MRI modalities are transient and recover within 3 weeks. Muscle water diffusivity and edema measured by leg volume increased within the first hours after injection of the toxin. The rate constant for volume increase was 0.65 ± 0.11 hr(-1) , larger than the increase in T2 (0.045 ± 0.013 hr(-1) ) and change in MT ratio (0.028 ± 0.021 hr(-1) ). During repair phase, the rate constants were much smaller: 0.022 ± 0.004 hr(-1) , 0.013 ± 0.0019 hr(-1) and 0.0042 ± 0.0016 hr(-1) for volume, T2 , and MT ratio, respectively. Histological analyses confirmed the underlying cellular changes that matched the progression of MR images.

Conclusion: The kinetics of change in the MRI measurements during the progression of damage and repair shows MRI modalities can be used to distinguish these processes.

Keywords: MRI; myotoxin; necrosis; regeneration; skeletal muscle.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Elapid Venoms
  • Magnetic Resonance Imaging / methods*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Multimodal Imaging / methods*
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / pathology*
  • Muscle, Skeletal / physiopathology*
  • Muscular Diseases / chemically induced
  • Muscular Diseases / pathology*
  • Muscular Diseases / physiopathology*
  • Neurotoxins
  • Regeneration / physiology*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Time Factors

Substances

  • Elapid Venoms
  • Neurotoxins
  • notexin