RT Journal Article T1 Muscle MRI in patients with dysferlinopathy: pattern recognition and implications for clinical trials. A1 Diaz-Manera, Jordi A1 Fernandez-Torron, Roberto A1 LLauger, Jaume A1 James, Meredith K A1 Mayhew, Anna A1 Smith, Fiona E A1 Moore, Ursula R A1 Blamire, Andrew M A1 Carlier, Pierre G A1 Rufibach, Laura A1 Mittal, Plavi A1 Eagle, Michelle A1 Jacobs, Marni A1 Hodgson, Tim A1 Wallace, Dorothy A1 Ward, Louise A1 Smith, Mark A1 Stramare, Roberto A1 Rampado, Alessandro A1 Sato, Noriko A1 Tamaru, Takeshi A1 Harwick, Bruce A1 Rico Gala, Susana A1 Turk, Suna A1 Coppenrath, Eva M A1 Foster, Glenn A1 Bendahan, David A1 Le Fur, Yann A1 Fricke, Stanley T A1 Otero, Hansel A1 Foster, Sheryl L A1 Peduto, Anthony A1 Sawyer, Anne Marie A1 Hilsden, Heather A1 Lochmuller, Hanns A1 Grieben, Ulrike A1 Spuler, Simone A1 Tesi Rocha, Carolina A1 Day, John W A1 Jones, Kristi J A1 Bharucha-Goebel, Diana X A1 Salort-Campana, Emmanuelle A1 Harms, Matthew A1 Pestronk, Alan A1 Krause, Sabine A1 Schreiber-Katz, Olivia A1 Walter, Maggie C A1 Paradas, Carmen A1 Hogrel, Jean-Yves A1 Stojkovic, Tanya A1 Takeda, Shin'ichi A1 Mori-Yoshimura, Madoka A1 Bravver, Elena A1 Sparks, Susan A1 Bello, Luca A1 Semplicini, Claudio A1 Pegoraro, Elena A1 Mendell, Jerry R A1 Bushby, Kate A1 Straub, Volker A1 Jain COS Consortium, K1 dysferlinopathy K1 muscle MRI K1 muscular dystrophy K1 outcome measures AB Dysferlinopathies are a group of muscle disorders caused by mutations in the DYSF gene. Previous muscle imaging studies describe a selective pattern of muscle involvement in smaller patient cohorts, but a large imaging study across the entire spectrum of the dysferlinopathies had not been performed and previous imaging findings were not correlated with functional tests. We present cross-sectional T1-weighted muscle MRI data from 182 patients with genetically confirmed dysferlinopathies. We have analysed the pattern of muscles involved in the disease using hierarchical analysis and presented it as heatmaps. Results of the MRI scans have been correlated with relevant functional tests for each region of the body analysed. In 181 of the 182 patients scanned, we observed muscle pathology on T1-weighted images, with the gastrocnemius medialis and the soleus being the most commonly affected muscles. A similar pattern of involvement was identified in most patients regardless of their clinical presentation. Increased muscle pathology on MRI correlated positively with disease duration and functional impairment. The information generated by this study is of high diagnostic value and important for clinical trial development. We have been able to describe a pattern that can be considered as characteristic of dysferlinopathy. We have defined the natural history of the disease from a radiological point of view. These results enabled the identification of the most relevant regions of interest for quantitative MRI in longitudinal studies, such as clinical trials. NCT01676077. YR 2018 FD 2018-05-07 LK http://hdl.handle.net/10668/12432 UL http://hdl.handle.net/10668/12432 LA en DS RISalud RD Apr 18, 2025