Abstract

Diffusion-weighted imaging (DWI) is an MRI technique that has shown to be a very promising in facilitating the differentiation of subtle pathological changes within different tissue. However, to date, a conclusive physical basis for the signal contrast on DWI of the Achilles tendon (AT) is yet to be available in literature. The purpose of this work is to evaluate the diagnostic impact of echo planar DWI in distinguishing normal and abnormal AT using ADC mapping as a qualitative and quantitative assessment tool.

Highlights

  • Disorders of the Achilles tendon (AT) affect a wide range of age groups [1], and as a result of the increase interest in sporting activities over the past decades more and more occurrences of overuse injuries and Citation: Al Mulla M, McGee A, Eustace S, Rainford L (2019) Diffusion Weighted Magnetic Resonance Imaging of the Achilles tendon and Related Pathology: Qualitative & Quantitative Investigation

  • DW-Echo Planner Imaging (EPI) sequence acquired at 3T generated a number of artefacts due to differences in the fat-to-water ratio, which could the efficacy of magnetic field shimming

  • The aetiology of tendinopathy of the AT is known to be multifactorial, with many cases occurring suddenly, without any preceding signs or symptoms. This has resulted in a lack of specificity in the presenting clinical features of this pathology, such that clinicians can be principally dependent on medical investigations to determine the pathology involved, and to make decisions regarding the future management of AT pathology

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Summary

Introduction

Disorders of the Achilles tendon (AT) affect a wide range of age groups [1], and as a result of the increase interest in sporting activities over the past decades more and more occurrences of overuse injuries and Citation: Al Mulla M, McGee A, Eustace S, Rainford L (2019) Diffusion Weighted Magnetic Resonance Imaging of the Achilles tendon and Related Pathology: Qualitative & Quantitative Investigation. The aetiology of tendinopathy of the AT is known to be multifactorial, with many cases occurring suddenly, without any preceding signs or symptoms. This has resulted in a lack of specificity in the presenting clinical features of this pathology, such that clinicians can be principally dependent on medical investigations to determine the pathology involved, and to make decisions regarding the future management of AT pathology. The purpose of this work is to evaluate the diagnostic impact of echo planar DWI in distinguishing normal and abnormal AT using ADC mapping as a qualitative and quantitative assessment tool

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