MR Imaging of the Midfoot and Forefoot

Jenny Bencardino1, Zehava S. Rosenberg1

1 Hospital for Joint Diseases, NYU Medical Center, New York, New York
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A25.2
DOI:  10.1002/0471142719.mia2502s15
Online Posting Date:  June, 2008
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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.

Keywords: MRI; midfoot; forefoot

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Table of Contents

  • Basic Protocol 1: Examination of the Midfoot and Forefoot
  • Commentary
  • Literature Cited
  • Figures
  • Tables
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Basic Protocol 1: Examination of the Midfoot and Forefoot

  • Extravascular contrast agent (Omniscan, Magnevist, Prohance)
  • Normal saline (0.9% NaCl), sterile
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Literature Cited

Literature Cited
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