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Developing a new type of muscle scan to identify active muscle damage in people with muscle wasting conditions

Professor Jordi Diaz-Manera and his team are developing a new type of muscle scan to identify active muscle damage in people with muscle wasting conditions. This will show whether this new scanning method could be a useful tool for condition monitoring and developing new treatments.
Details
Principal Investigator
Professor Jordi Diaz-Manera
Institute
Newcastle University
Official title
FAPI-MD: A PET imaging biomarker of active fibrosis in muscular dystrophies
Duration
Two years
Total cost
£197,348
Year
2026

Background

Muscle wasting conditions are a group of inherited conditions that cause muscles to become weaker over time. As muscles are damaged, they are gradually replaced by fat and scar tissue. This process makes the muscles weaker and less able to recover, leading to increasing muscle symptoms. 

Doctors can already use MRI scans to measure how much fat has replaced muscle. However, these scans cannot show whether muscles are currently being damaged or how much scar tissue is building up. This means it is difficult to tell how active the condition is or whether a new treatment is slowing it down. 

This study will test whether a new PET imaging marker can identify muscles that are undergoing changes before permanent damage occurs due to the condition. PET scans are a type of imaging test that can show activity within tissues and organs. 

If successful, this scan could give doctors a much clearer picture of what is happening inside the muscles and provide information that is not available with current imaging methods. 

This could help researchers understand how muscle wasting conditions progress and improve the way patients are monitored in clinical trials. 

Project aims

This project will test whether a new type of PET scan can identify active muscle damage in people with a muscle wasting condition. A PET scan is a type of imaging test that shows how active different parts of your body are. It can help doctors find areas that may need further investigation. 

Participants will have a muscle MRI scan, the PET scan, and simple tests of muscle strength and function. The results will then be compared to see whether the PET scan provides extra information about condition activity that cannot be seen on MRI alone. 

Some participants may choose to also have a small muscle biopsy. This will allow the research team to compare what the scan shows with what is happening inside the muscle tissue, helping understand exactly what the scan is detecting. 

If successful, this study will show whether this new scanning method could become a useful tool for monitoring muscle wasting conditions and assessing whether new treatments are working.

Why is this research important?

One of the biggest challenges in muscle wasting conditions is measuring whether the condition is getting worse or whether a treatment is making a difference. Current scans mainly show damage that has already happened, rather than damage that is happening now. 

A scan that can detect active muscle damage could help doctors monitor people more accurately, identify changes earlier, and improve the testing of new treatments in clinical trials. In the future, this could lead to better care and faster development of therapies for people living with a muscle wasting condition.

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