Table 1.
Summary of the well-established rating scales on MRI concerning the visual rating of dystrophic change of striated muscle tissue
| Grade | Mercuri et al. 2002 [25] | Kornblum et al. 2006 [27] | Fischer et a. 2008 [26] |
|---|---|---|---|
| 0 | Normal appearance | Normal appearance | |
| 1 | Normal appearance | Discrete moth-eaten appearance with sporadic T1 hyperintense areas | Mild: traces of increased signal intensity on the T1-weighted MR sequences |
| 2 | Mild involvement: Early moth-eaten appearance with scattered small areas of increased signal or with numerous discrete areas of increased signal with beginning confluence, comprising less than 30% of the volume of the individual muscle | a. Moderate moth-eaten appearance with numerous scattered T1 hyperintense areas | Moderate: increased T1-weighted signal intensity with beginning confluence in less than 50% of the muscle |
| b. Late moth-eaten appearance with numerous confluent T1 hyper-intense areas | |||
| 3 | Moderate involvement: Late moth-eaten appearance with numerous discrete areas of increased signal with beginning confluence, comprising 30-60% of the volume of the individual muscle | Complete fatty degeneration, replacement of muscle by connective tissue and fat | Severe: increased T1-weighted signal intensity with beginning confluence in more than 50% of the muscle |
| 4 | Severe involvement: Washed-out appearance, fuzzy appearance due to confluent areas of increased signal or an end-stage appearance, with muscle replaced by increased density connective tissue and fat, and only a rim of fascia and neurovascular structures distinguishable | End-stage appearance, entire muscle replaced by increased density of connective tissue and fat |