MRI of the Ankle and Hindfoot

Magnetic Resonance Imaging (MRI) is the diagnostic modality of choice for evaluation of traumatic ligamentous and tendinous injuries of the ankle and hindfoot. MRI is also valuable in the detection of occult bony trauma, osteochondral injuries, avascular necrosis, osteomyelitis, and a variety of other osseous conditions. This unit presents basic protocols for T1‐ and T2‐weighted sequences and short tau inversion recovery (STIR) imaging. Additional imaging following intravenous gadolinium is indicated in selected cases.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145234/1/cpmia2501.pd

MR Imaging of the Midfoot and Forefoot

MR imaging is the diagnostic modality of choice for the evaluation of traumatic, inflammatory and neoplastic processes affecting the midfoot and forefoot soft tissue structures including muscles, ligaments, and tendons. MR imaging is also valuable in the diagnosis of occult bony trauma, stress reaction or fractures, and osteomyelitis. Exquisite contrast resolution, noninvasiveness, and multiplanar capabilities are unique features that make MR imaging a powerful diagnostic technique. The authors employ a basic protocol using T1‐weighted, fast spin echo proton density with and without frequency‐selective fat saturation, and fast spin echo T2‐weighted sequences as well as short‐tau inversion recovery (STIR) imaging. Additional imaging following intravenous gadolinium administration is indicated when osteomyelitis and neoplastic processes are suspected. Post‐contrast fat‐suppressed T1‐weighted sequences are necessary if intravenous or intra‐articular gadolinium is utilized.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145401/1/cpmia2502.pd