Multivoxel 31P semi-LASER was used to acquire time-resolved spectra from two positions along the gastrocnemius medialis muscle during rest, exercise and recovery. Simultaneously, quantitative perfusion- and T2*-weighted images of the calf were acquired with multislice 1H ASL MRI, in an interleaved fashion. Significantly different results were found with 31P MRS along gastrocnemius medialis: proximally, end-exercise PCr depletion was higher, PCr recovery times longer, end-exercise pH was lower and maximum oxidative capacity was also lower. Significantly higher post-exercise perfusion and slightly stronger T2*-weighted signal increase were found in proximal slices, which is consistent with the aforementioned distribution of metabolic activity.
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