AN OBSERVATIONAL STUDY ON ULTRASOUND AND MAGNETIC RESONANCE IMAGING CORRELATION OF ANKLE AND FOOT PAIN WITH MAGNETIC RESONANCE IMAGING AS GOLD STANDARD IN THE DEPARTMENT OF RADIODIAGNOSIS, SMS MEDICAL COLLEGE AND HOSPITAL, JAIPUR
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Keywords
ULTRASOUND, MAGNETIC RESONANCE IMAGING, ANKLE AND FOOT PAIN
Abstract
Musculoskeletal conditions involving the foot and ankle present a considerable public health challenge due to their increasing prevalence and significant effects on patients' quality of life. Materials & Methods: his hospital-based cross-sectional study, conducted in the Radiodiagnosis Department at SMS Medical College, Jaipur, employed a descriptive observational design. Data collection involved 70 patients referred for Ultrasound (US) and Magnetic Resonance Imaging (MRI) of the ankle and foot, selected according to specific inclusion criteria. Patients underwent a high-frequency ultrasound examination followed by MRI to confirm diagnoses, with MRI as the reference standard. The MRI protocol included axial, sagittal, and coronal views in various imaging sequences tailored to evaluate specific foot and ankle regions.
Result : Ultrasound (USG) identified 64.29% of ankle tendon pathologies compared to MRI’s 77.14%, with Achilles tendinosis as the most common finding. USG exhibited high specificity and positive predictive value (PPV) for most tendon conditions, though sensitivity varied, performing well for Achilles tendinitis but less so for partial tears. For ligament pathologies, USG identified 18.57% of cases versus MRI’s 22.86%, detecting common injuries like ATFL tears with high sensitivity, specificity, PPV, and NPV but struggled with deltoid ligament tears. In posterior impingement syndrome and osseous lesions, MRI outperformed USG in sensitivity, capturing conditions like calcaneal lipoma and OCD of the talar dome, which USG missed. MRI also proved superior in detecting entrapment neuropathies. For foot lesions, USG showed perfect agreement with MRI in conditions like plantar fasciitis.
Conclusion: Overall, USG and MRI demonstrated complementary strengths, with MRI providing enhanced sensitivity for certain complex pathologies and USG excelling in targeted diagnoses, underscoring their combined diagnostic value.
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Dr. SIDDHARTH NANDA
MD, Radiodiagnosis, S.M.S. Medical College & Attached Group of Hospitals, Jaipur, Rajasthan, India
Dr. ANU BHANDARI
Senior Professor and HOD, Department of Radiodiagnosis & Modern Imaging, S.M.S. Medical College & Attached Group of Hospitals, Jaipur, Rajasthan, India