Resonance Health Ltd (ASX:RHT) has announced the completion of design and testing of its MRI muscle volume and quality endpoint for use in clinical trials, marking what the company describes as an important milestone in its MRI endpoint development strategy.
Key Points
- Design and testing of Resonance Health's MRI muscle volume and quality endpoint is complete, developed at customers' request as part of the company's MRI endpoint acceleration programme
- The endpoint reports five mid-thigh metrics: intramuscular fat fraction (IMFF), intermuscular adipose tissue (IMAT) volume, muscle volume, fat-free (contractile) muscle volume, and subcutaneous adipose tissue (SAT) volume
- The endpoint will be offered to clinical trial customers as an investigational endpoint, subject to completion of software verification and validation activities in line with the company's ISO 13485 quality management system
- Sponsors of obesity and metabolic trials will be able to obtain liver fat, visceral and subcutaneous fat, and muscle volume and quality from one MRI session analysed centrally using Resonance's core laboratory
MRI Muscle Endpoint Metrics and Measurement Methodology
Measurements are derived from axial chemical-shift-encoded (Dixon) MRI images acquired across approximately 10 cm of the mid-thigh and analysed centrally by the company's ISO 13485 core lab. The endpoint assesses an extended anatomical region rather than a single image slice to provide a more representative evaluation of muscle composition and quality. Four of the five reported metrics are also expressed as percentages, described as normalised values useful for cross-sectional comparison between participants, while absolute measures may be more informative for assessing longitudinal treatment effects. The thigh is identified in the filing as the leading anatomical site for muscle measurement in pharmaceutical obesity clinical trials.
Intramuscular Fat Fraction Measured Using HepaFatScan Technology
The intramuscular fat fraction (IMFF) metric is measured as a proton density fat fraction (PDFF) using the technology underlying the company's regulatory-cleared HepaFatScan®. The filing states the muscle composition analysis demonstrates excellent repeatability, accuracy, and robustness across all reported metrics. The MRI Muscle Endpoint is described as an investigational endpoint for use in clinical trials only and is not cleared for clinical diagnostic use in any jurisdiction. It expands the company's existing portfolio of quantitative MRI biomarkers, which already includes liver fat (PDFF), liver iron concentration (LIC), liver stiffness (MR elastography), and visceral and subcutaneous adipose tissue measurements.
Single MRI Session to Deliver Combined Endpoint Data for Trial Sponsors
According to the filing, with the MRI Muscle Endpoint, a sponsor can schedule a single MRI session for a participant and receive liver fat, liver iron, visceral and subcutaneous adipose tissue, and muscle volume and quality data from one ISO 13485-certified core laboratory. The endpoint was developed at customers' request and forms part of the MRI endpoint acceleration programme outlined in the company's investor presentation released on 27 October 2026. The filing notes that as at March 2026, 951 obesity and overweight trials were listed on ClinicalTrials.gov, and clinical trial sponsors are increasingly requesting a single imaging protocol reporting liver PDFF, VAT, SAT, muscle volume, and intramuscular fat together.



Please wait processing your request...