“…Our MR imaging was enhanced by the use of a 2-point Dixon technique, which after post-processing allows for quantitative, as opposed to qualitative, assessment of fatty infiltration of musculature. Quantitative fat-fraction MRI of skeletal muscle already shows promise in other neuromuscular disorders, including Duchene muscular dystrophy and Charcot-Marie-Tooth [18][19][20]. However, true quantitative MR assessment of lingual fat in patients with neuromuscular disorders, including GSD II and GSD III, has not yet been reported to our knowledge, though quantitative fat-fraction imaging of the normal tongue has been performed [21].…”