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August 3, 2026European Journal of NeurologyOpen Access

3D Radiomic Texture Analysis of Quantitative Muscle MRI Enhances the Distinction Between Myotonic Dystrophy Type 1 and Charcot–Marie‐Tooth Neuropathy Type 1A : A Proof‐of‐Concept Study

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Authors

LIL. IterbekeAllen Institute for Brain ScienceLHLotte HuysmansKU LeuvenKBKobe BampsUniversitair Ziekenhuis Leuven

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Implication

Proof-of-concept study shows 3D radiomic texture analysis improves distinction of diseases in patients with neuromuscular disorders.

Key Points

  • This study aims to determine if 3D radiomic texture analysis of quantitative muscle MRI can improve the differentiation between myogenic and neurogenic neuromuscular diseases.
  • Included 33 adults with myotonic dystrophy type 1 (DM1), 33 with Charcot-Marie-Tooth neuropathy type 1A (CMT1A), and 33 healthy controls.
  • Performed quantitative muscle MRI on a 3T Philips Achieva system using a 6-point Dixon sequence.
  • Extracted macroscopic and micro-spatial radiomic features from 28 lower limb muscles for analysis.
  • Both DM1 and CMT1A had higher PDFF(%) in lower limb muscles than controls (p < 0.001).
  • DM1 predominantly affected the posterior compartment, while CMT1A targeted the anterolateral compartment with steeper disto-proximal fat gradients (p < 0.05).
  • 3D radiomic texture analysis showed CMT1A had higher entropy and contrast but lower homogeneity compared to DM1.

Cite This Study

Iterbeke et al. (2026) studied this question.

synapsesocial.com/papers/6a70402275942ff7265e4d23https://doi.org/10.1111/ene.70719
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