All patients were examined in a Philips Achieva XR 1.5 Teslas located at HSCSP. We used the same positioning protocol for all patients: supine position with legs stretched, the patella facing upward and the ankles in a neutral position.
3D 3-point Dixon images were acquired with the following acquisition parameters: TR/TE = 5.78/1.8, 4 ms, flip angle = 15°, FOV = 520 × 340 × 300 mm, voxel size = 1 × 1 × 3 mm.
Analysis of the 3-point Dixon MR images was performed using the PRIDE (Philips Research Image Development Environment) tool, as has been reported previously15 (link),42 (link). ROIs were manually drawn on five slices of the following muscles: rectus femoris, vastus intermedius, vastus lateralis, vastus medialis, adductor magnus, sartorius, gracilis, semitendinosus and semimembranosus, and on three slices of biceps femoris long head, biceps femoris short head and adductor longus
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