Using an MR approach combining DCE-MRI and T2 mapping, this study revealed that unlike PAD patients, muscle tissue perfusion was tightly correlated to exercise-induced changes in R2 in the lower leg muscles of healthy individuals. These findings suggest Q/Met mismatch following exercise in the skeletal muscle of PAD patients. The combination of DCE-MRI and T2 mapping opens a new avenue of research to investigate perfusion-metabolism heterogeneity in normal physiological conditions and muscle-related pathologies.
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