1 1 H MR spectroscopy (MRS) has proved to be a valuable noninvasive tool to measure intramyocellular lipids (IMCL) in research focused on insulin resistance and type II diabetes in both humans and rodents. An important determinant of IMCL is the muscle fiber type, since oxidative type I fibers can contain up to three times more IMCL than glycolytic type II muscle fibers. Because these different muscle fiber types are inhomogeneously distributed in rodent muscle, in the present study we investigated the distribution of IMCL within the rat tibialis anterior muscle (TA) in vivo using single-voxel 1 H MRS along with the muscle fiber distribution in the TA ex vivo determined from immunohistological assays. IMCL levels in the TA differed by up to a factor of 3 depending on the position of the voxel. Skeletal muscle insulin resistance is one of the earliest detectable aberrations in and a predisposing factor for the development of type II diabetes. Increased content of intramyocellular lipids (IMCL) has been closely associated with decreased whole-body and skeletal muscle insulin sensitivity in both healthy and diabetic humans, as well as in animals (reviewed in Ref. 1). IMCL itself probably does not interfere with the insulin signaling pathway directly; rather, it is considered a surrogate marker of lipid metabolites, such as long chain acyl-CoA, diacylglycerol, and ceramides, that are likely to induce defects in the insulin signaling cascade (2). The good correlation of IMCL with insulin sensitivity led to the suggestion that IMCL could be used as a biomarker for insulin resistance in rat models (3).Skeletal muscle stores lipids not only intracellularly, but also extracellularly within interstitial adipocytes. Lipid extraction analysis of muscle biopsy samples therefore cannot differentiate between IMCL and extramyocellular lipids (EMCL) and hence may overestimate the actual IMCL content (1). The discovery that IMCL and EMCL resonate at different frequencies in the 1 H MR spectrum of human skeletal muscle was an important methodological advance in the study of skeletal muscle lipid metabolism (4). The resonance at 1.28 ppm is independent of the angle between the muscle fibers and the static magnetic field, and therefore is attributed to the CH 2 groups of IMCL because IMCL is dispersed as spherical droplets within the muscle cells. The other lipid CH 2 peak shifts with the angle between the muscle fibers and the field, and is therefore attributed to EMCL, which supposedly is arranged in a sheet-like manner along the muscle fibers. The largest chemical shift difference between the two peaks is 0.2 ppm, which is obtained when the muscle fibers are aligned parallel with the magnetic field (5). Since 1 H MRS is a noninvasive method, it allows repetitive analysis of IMCL in the same area. Thus, 1 H MRS-based IMCL measures are especially useful for determining IMCL levels in human studies, as well as for animal intervention and longitudinal studies.Using 1 H MRS, Neumann-Haefelin et al. (6) showed that the IMCL content in ...