Diabetic peripheral neuropathy (DPN) is a common and serious complication of diabetes, where persistent hyperglycemia impairs metabolic and microvascular function, ultimately resulting in fatty infiltration. Quantitative adipose measurements using MRI may provide a useful tool to evaluate the effects of therapeutic intervention. We tested a chemical-shift based technique to measure skeletal muscle fatty infiltration in a cohort with DPN. Fatty infiltration was found to be increased in the ankle plantar flexors of DPN patients, with significant elevation detected in the medial gastrocnemius muscle.
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