TY - JOUR AU - Weber, Marc-Andre AU - Nagel, Armin AU - Marschar, Anja AU - Glemser, Philip Alexander AU - Jurkat-Rott, Karin AU - Wolf, Maya B AU - Ladd, Mark AU - Schlemmer, Heinz-Peter AU - Kauczor, Hans-Ulrich AU - Lehmann-Horn, Frank TI - 7-T (35)Cl and (23)Na MR Imaging for Detection of Mutation-dependent Alterations in Muscular Edema and Fat Fraction with Sodium and Chloride Concentrations in Muscular Periodic Paralyses. JO - Radiology VL - 280 IS - 3 SN - 1527-1315 CY - Oak Brook, Ill. PB - Soc. M1 - DKFZ-2017-05907 SP - 848 - 859 PY - 2016 AB - Purpose To determine whether altered sodium (Na(+)) and chloride (Cl(-)) homeostasis can be visualized in periodic paralyses by using 7-T sodium 23 ((23)Na) and chlorine 35 ((35)Cl) magnetic resonance (MR) imaging. Materials and Methods Institutional review board approval and informed consent of all participants were obtained. (23)Na (repetition time msec/echo time msec, 160/0.35) and (35)Cl (40/0.6) MR imaging of both lower legs was performed with a 7-T whole-body system in patients with genetically confirmed hypokalemic periodic paralysis (Cav1.1-R1239H mutation, n = 5; Cav1.1-R528H mutation, n = 8) and Andersen-Tawil syndrome (n = 3) and in 16 healthy volunteers. Additionally, each participant underwent 3-T proton MR imaging on the same day by using T1-weighted, short-tau inversion-recovery, and Dixon-type sequences. Muscle edema was assessed on short-tau inversion-recovery images, fatty degeneration was assessed on T1-weighted images, and muscular fat fraction was quantified with Dixon-type imaging. Na(+) and Cl(-) were quantified in the soleus muscle by using three phantoms that contained 10-, 20-, and 30-mmol/L NaCl solution and 5 KW - Sodium Isotopes (NLM Chemicals) KW - Chlorine (NLM Chemicals) LB - PUB:(DE-HGF)16 C6 - pmid:27082780 DO - DOI:10.1148/radiol.2016151617 UR - https://inrepo02.dkfz.de/record/130829 ER -