Nygren, Anders T., and Lennart Kaijser. Water exchange induced by unilateral exercise in active and inactive skeletal muscles. J Appl Physiol 93: [1716][1717][1718][1719][1720][1721][1722] 2002. First published August 9, 2002; 10.1152/japplphysiol.01117. 2001.-Water exchange was evaluated in active (E-leg) and inactive skeletal muscles by using 1 H-magnetic resonance imaging. Six healthy subjects performed one-legged plantar flexion exercise at low and high workloads. Magnetic resonance imaging measured calf cross-sectional area (CSA), transverse relaxation time (T2), and apparent diffusion capacity (ADC) at rest and during recovery. After high workload, inactive muscle decreased CSA and T2 by 2.1% (P Ͻ 0.05) and 3.1% (P Ͻ 0.05), respectively, and left ADC unchanged. E-leg simultaneously increased CSA, T2, and ADC by 4.2% (P Ͻ 0.001), 15.5% (P Ͻ 0.05), and 12.5% (P Ͻ 0.001), respectively. In conclusion, ADC and T2 correlated highly with muscle volume, indicative of extravascular water displacement closely related to muscle activity and perfusion, which was presumably a combined effect of increased intracellular osmoles and hydrostatic forces as driving forces. A distinguishable muscle temperature release was initially detected in the E-leg after high workload, and the ensuing recovery of ADC and T2 indicated delayed interstitial restitution than restitution of the intracellular compartment. Furthermore, absorption of extravascular water was detected in inactive muscles at contralateral high-intensity exercise.diffusion; magnetic resonance imaging; tissue water; transverse relaxation time MAGNETIC RESONANCE IMAGING (MRI) can be applied on local skeletal muscle regions by analyzing variables pixel by pixel or within multiple local regions, including active as well as less active muscles (31). Therefore, simultaneous evaluation of water exchange in active and inactive muscles during dynamic exercise is valuable to elucidate the signal shift in muscle that is related to exercise and is beneficial to study how different MRI techniques that focus on water displacement relate.The physics of water exchange in the skeletal muscle is highly complex and multifactorial. The magnetic resonance signal has been shown to be multiexponential, which indicates a multicompartmental origin. 1 H-MRI using transverse relaxativity focuses on the intrinsic property of water and its exchange between the different compartments as well as the binding capacity of the water molecule to subcellular structures (11). Most present studies have used a monoexponential transverse relaxativity analysis, although a multiexponential behavior has been described (24). The monoexponential proton transverse relaxation time (T2) of skeletal muscle is known to increase by exercise (6,20). Increased intracellular water content (4, 18) and mechanisms related to aerobic capacity, e.g., net intramuscular accumulation of osmoles (22), are assumed to be the most important factors related to prolonged T2 with exercise. To what degree other factors such as H ϩ , p...