The voice of medical imaging and clinical oncology

foot

SPECT/CT for foot and ankle pathologies

Foot and ankle injuries are common, chronic pain is prevalent and many patients present with symptoms that cannot be fully explained by conventional imaging techniques. This article will explore the increasing role of SPECT/CT in the investigation of common foot and ankle pathologies. Conventional diagnostic techniques such as plain radiography, ultrasound, CT and MRI currently […]

Dr Luke Zhu, Dr Malavika Nathan

West Midlands Deanery; Royal Free London NHS Foundation Trust

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Imaging of central metatarsalgia

Metatarsalgia refers to a variety of disorders presenting with forefoot pain ranging from traumatic lesions (acute or chronic repetitive), inflammatory and infective disorders, non-neoplastic soft tissue lesions, and benign tumours to malignant lesions. Patients often present with symptoms of localised pain in the forefoot that worsens on weight bearing (walking or running), which can be […]

Dr Ayesha Niaz, Dr Akash Ganguly, Dr Hifz Aniq

Royal Liverpool University Hospital

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Imaging of foot and ankle injuries in elite footballers

Foot and ankle injuries are common in elite footballers and are a major cause of significant loss of playing time. An 11-year follow-up of ankle injuries in 1,743 professional footballers revealed 13% of football-related injuries involve the ankle, with an incidence of 1.7-2.0 ankle injuries per 1,000 playing hours. The incidence of ankle sprains in […]

Dr Janani Kumaraguru, Dr Justin Charles Lee

Chelsea and Westminster Hospital

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Ultrasound of the hindfoot

Pain is the most common reason for orthopaedic foot and ankle referral. The prevalence is quoted as 20-25% in population based studies. Hindfoot pain can be complex. In our previous article, we considered the role of ultrasound scans in the diagnosis of disorders the forefoot. In this article we review those common, as well as […]

Nicki Delves, Andrew Carne, Matthew Solon, Emma Wood

Royal Surrey County Hospital

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Ultrasound in the forefoot

Foot pain is one of the most common musculoskeletal complaints encountered. It affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions. It has a significant detrimental impact on health-related quality of life. The majority of scans that we are asked […]

Andrew Carne, Nicki Delves, Matthew Solan, Emma Wood

Royal Surrey County Hospital

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Radionuclide bone SPECT/CT in orthopaedics

Radionuclide 99mTc-MDP planar bone scan is the most commonly performed nuclear medicine procedure and may aid diagnosis of benign and malignant bone pathologies. 99mTc-MDP is injected intravenously and subsequently taken up by osteoblasts and incorporated into the bone matrix. In the process it acts as a marker for new bone formation, bone turnover and local […]

Dr Kanhaiyalal Agrawal, Dr Alexis Corrigan, Dr Sanjay Vijaynathan, Dr Gopinath Gnanasegaran

Guy's and St Thomas' Hospital NHS Foundation Trust

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