To establish an image acquisition and post-processing workflow for the determination of the proton density fat fraction (PDFF) in calf muscle tissue at 7T. Echo times (TEs) of the applied vendor-provided multi-echo gradient echo sequence were optimized based on simulations of the effective number of signal averages (NSA*). The resulting parameters were validated by measurements in phantom and in healthy calf muscle tissue (n = 12). Additionally, methods to reduce phase errors arising at 7T were evaluated. Finally, PDFF values measured at 7T in calf muscle tissue of healthy subjects (n = 9) and patients with fatty replacement of muscle tissue (n = 3) were compared to 3T results. Simulations, phantom and in vivo measurements showed the importance of using optimized TEs for the fat-water separation at 7T. Fat-water swaps could be mitigated using a phase demodulation with an additional B0 map, or by shifting the TEs to longer values. Muscular PDFF values measured at 7T were comparable to measurements at 3T in both healthy subjects and patients with increased fatty replacement. PDFF determination in calf muscle tissue is feasible at 7T using a chemical shift-based approach with optimized acquisition and post-processing parameters.
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