Indirect Inference of Acidification in Exercised Skeletal Muscle using Creatine CEST
Dushyant Kumar1, Ryan Armbruster1, Neil Wilson2, Ravi Prakash Reddy Nanga1, and Ravinder Reddy1
1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Siemens Medical Solutions USA Inc, Malvern, PA, United States
We demonstrate the feasibility of indirect
detection of acidification in exercised skeletal muscle using creatine CEST
findings from healthy volunteers.
Fig. 1: ΔCrCEST
time-series for volunteer #1, corresponding to the middle slice (5th
out of 8 slices). Each row corresponds to different exercise workload. Selected time frames of post-exercise CrCEST
time-series are being presented, with frame number written on right top corner
of each frame. The temporal resolution was 30s. Though
at mild PFE level, the volunteer mostly utilized the lateral gastrocnemius
(LG), both LG and medial gastrocnemius (MG) were utilized during intense
PFE. As evident visually, the recovery
rate increased with increased intensity of exercise levels.
Fig. 2:
Panel -1: Time-series of Lactate CEST (LATEST) maps show intense
exercise-induced changes in skeletal muscle, using images from 5th slice of volunteer #1. First LATEST frame corresponds to
pre-exercise level, whereas the remaining ten frames correspond to ten time points
post-exercise with 140s temporal resolution. Panel-2:
Time-series plots of LATEST values averaged over the entire lateral
gastrocnemius and corresponding fits are shown.