MR Imaging of Soft-Tissue Masses of the Foot

Amilcare Gentili; Steven Sorenson; Sulabha Masih

doi:10.1055/s-2002-32360

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Semin Musculoskelet Radiol 2002; 06(2): 141-152
DOI: 10.1055/s-2002-32360

MR Imaging of Soft-Tissue Masses of the Foot

Amilcare Gentili¹ , Steven Sorenson² , Sulabha Masih¹

¹Imaging Service, VA West Los Angeles Medical Center/UCLA School of Medicine, Los Angeles, CA
²Department of Radiology, UCSD School of Medicine, San Diego,CA

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Publication Date:
20 June 2002 (online)

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ABSTRACT

As with other parts of the musculoskeletal system, the soft tissues of the foot can be affected by a wide variety of pathologic entities including trauma, congenital abnormalities, infections, and neoplastic disorders. While plain radiographs are usually the initial examination for evaluation of pathology, magnetic resonance imaging (MRI) is critical to evaluate for abnormalities within the ligaments, tendons, and other nonosseous structures within the foot. The constellation of clinical and MRI findings often allows a relatively specific diagnosis to be rendered. This article discusses both benign and malignant processes within the soft tissues of the foot and presents their characteristic imaging findings with MRI.

KEYWORDS

Foot - magnetic resonance imaging - soft tissues

REFERENCES

1 Weekes R G, McLeod R A, Reiman H M, Pritchard D J. CT of soft-tissue neoplasms. AJR Am J Roentgenol . 1985; 144 355-360

PubMed Search in Google Scholar
2 Dalinka M K, Zlatkin M B, Chao P, Kricun M E, Kressel H Y. The use of magnetic resonance imaging in the evaluation of bone and soft-tissue tumors. Radiol Clin North Am . 1990; 28 461-470

PubMed Search in Google Scholar
3 Demas B E, Heelan R T, Lane J, Marcove R, Hajdu S, Brennan M F. Related articles. Soft-tissue sarcomas of the extremities: comparison of MR and CT in determining the extent of disease. AJR Am J Roentgenol . 1988; 150 615-620

PubMed Search in Google Scholar
4 Kransdorf M J, Murphey M D. Radiologic evaluation of soft-tissue masses: a current perspective. AJR Am J Roentgenol . 2000; 175 575-587

Crossref PubMed Search in Google Scholar
5 Sundaram M, McLeod R A. MR imaging of tumor and tumor-like lesions of bone and soft tissue. AJR Am J Roentgenol . 1990; 155 817-824

PubMed Search in Google Scholar
6 Dalinka M K, Zlatkin M B, Chao P, Kricun M E, Kressel H Y. The use of magnetic resonance imaging in the evaluation of bone and soft-tissue tumors. Radiol Clin North Am . 1990; 28 461-470

PubMed Search in Google Scholar
7 Vanel D, Lacombe M J, Couanet D, Kalifa C, Spielmann M, Genin J. Musculoskeletal tumors: follow-up with MR imaging after treatment with surgery and radiation therapy. Radiology . 1987; 164 243-245

Search in Google Scholar
8 Beltran J, Simon D C, Katz W, Weis L D. Increased MR signal intensity in skeletal muscle adjacent to malignant tumors: pathologic correlation and clinical relevance. Radiology . 1987; 162(1 Pt 1) 251-255

PubMed Search in Google Scholar
9 Berquist T H. Magnetic resonance imaging of musculoskeletal neoplasms. Clin Orthop . 1989; 244 101-118

PubMed Search in Google Scholar
10 Berquist T H, Ehman R L, King B F, Hodgman C G, Ilstrup D M. Value of MR imaging in differentiating benign from malignant soft-tissue masses: study of 95 lesions. AJR Am J Roentgenol . 1990; 155 1251-1255

PubMed Search in Google Scholar
11 Crim J R, Seeger L L, Yao L, Chandnani V, Eckardt J J. Diagnosis of soft-tissue masses with MR imaging: can benign masses be differentiated from malignant ones?. Radiology . 1992; 185 581-586

Crossref PubMed Search in Google Scholar
12 Kransdorf M J, Jelinek J S, Moser Jr P R. Soft-tissue masses: diagnosis using MR imaging. AJR Am J Roentgenol . 1989; 153 541-547

PubMed Search in Google Scholar
13 Shuman W P, Patten R M, Baron R L, Liddell R M, Conrad E U, Richardson M L. Comparison of STIR and spin echo MR imaging at 1.5 T in 45 suspected extremity tumors: lesion conspicuity and extent. Radiology . 1991; 179 247-252

PubMed Search in Google Scholar
14 Erlemann R, Reiser M F, Peters P E. Musculoskeletal neoplasms: static and dynamic Gd-DTPA-enhanced MR imaging. Radiology . 1989; 171 767-773

Crossref PubMed Search in Google Scholar
15 Simon J H, Szumowski J. Chemical shift imaging with paramagnetic contrast material enhancement for improved lesion depiction. Radiology . 1989; 171 539-543

PubMed Search in Google Scholar
16 Kransdorf M J. Is it necessary to routinely use gadolinium in the MR imaging evaluation of soft-tissue tumors of the extremities?. AJR Am J Roentgenol . 1995; 165 1545

PubMed Search in Google Scholar
17 Kirby E J, Shereff M J, Lewis M M. Soft-tissue tumors and tumor-like lesions of the foot. An analysis of eighty-three cases. J Bone Joint Surg Am . 1989; 71 621-626

PubMed Search in Google Scholar
18 Kransdorf M J. Benign soft-tissue tumors in a large referral population: distribution of specific diagnoses by age, sex, and location. AJR Am J Roentgenol . 1995; 164 395-402

PubMed Search in Google Scholar
19 Weishaupt D, Schweitzer M E, Morrison W B, Haims A H, Wapner K, Kahn M. MRI of the foot and ankle: prevalence and distribution of occult and palpable ganglia. J Magn Reson Imaging . 2001; 14 464-471

Crossref PubMed Search in Google Scholar
20 Zanetti M, Ledermann T, Zollinger H, Hodler J. Efficacy of MR imaging in patients suspected of having Morton's neuroma. AJR Am J Roentgenol . 1997; 168 529-532

PubMed Search in Google Scholar
21 Terk M R, Kwong P K, Suthar M, Horvath B C, Colletti P M. Morton neuroma: evaluation with MR imaging performed with contrast enhancement and fat suppression. Radiology . 1993; 189 239-241

Crossref PubMed Search in Google Scholar
22 Lee T H, Wapner K L, Hecht P J. Plantar fibromatosis. J Bone Joint Surg Am . 1993; 75 1080-1084

PubMed Search in Google Scholar
23 Morrison W B, Schweitzer M E, Wapner K L, Lackman R D. Plantar fibromatosis: a benign aggressive neoplasm with a characteristic appearance on MR images. Radiology . 1994; 193 841-845

PubMed Search in Google Scholar
24 Fletcher C D. Benign fibrous histiocytoma of subcutaneous and deep soft tissue: a clinicopathologic analysis of 21 cases. Am J Surg Pathol . 1990; 14 801-809

PubMed Search in Google Scholar
25 Kaplan P A, Williams S M. Mucocutaneous and peripheral soft-tissue hemangiomas: MR imaging. Radiology . 1987; 163 163-166

PubMed Search in Google Scholar
26 Teo E L, Strouse P J, Hernandez R J. MR imaging differentiation of soft-tissue hemangiomas from malignant soft-tissue masses. AJR Am J Roentgenol . 2000; 174 1623-1628

PubMed Search in Google Scholar
27 Murphey M D, Fairbairn K J, Parman L M, Baxter K G, Parsa M B, Smith W S. From the archives of the AFIP. Musculoskeletal angiomatous lesions: radiologic-pathologic correlation. Radiographics . 1995; 15 893-917

PubMed Search in Google Scholar
28 Meyer J S, Hoffer F A, Barnes P D, Mulliken J B. Related articles. Biological classification of soft-tissue vascular anomalies: MR correlation. AJR Am J Roentgenol . 1991; 157 559-564

Crossref PubMed Search in Google Scholar
29 Rak K M, Yakes W F, Ray R L. MR imaging of symptomatic peripheral vascular malformations. AJR Am J Roentgenol . 1992; 159 107-112

PubMed Search in Google Scholar
30 Hughes T H, Sartoris D J, Schweitzer M E, Resnick D L. Related articles. Pigmented villonodular synovitis: MRI characteristics. Skeletal Radiol . 1995; 24 7-12

Crossref PubMed Search in Google Scholar
31 Jelinek J S, Kransdorf M J, Utz J A. Imaging of pigmented villonodular synovitis with emphasis on MR imaging. AJR Am J Roentgenol . 1989; 152 337-342

PubMed Search in Google Scholar
32 Lin J, Jacobson J A, Jamadar D A, Ellis J H. Pigmented villonodular synovitis and related lesions: the spectrum of imaging findings. AJR Am J Roentgenol . 1999; 172 191-197

Crossref PubMed Search in Google Scholar
33 Kransdorf M J, Moser Jr P R, Meis J M, Meyer C A. Fat-containing soft-tissue masses of the extremities. Radiographics . 1991; 11 81-106

PubMed Search in Google Scholar
34 Bush C H, Spanier S S, Gillespy 3rd T. Imaging of atypical lipomas of the extremities: report of three cases. Skeletal Radiol . 1988; 17 472-475

Crossref PubMed Search in Google Scholar
35 Einarsdottir H, Soderlund V, Larsson O, Mandahl N, Bauer H C. 110 subfascial lipomatous tumors. MR and CT findings versus histopathological diagnosis and cytogenetic analysis. Acta Radiol . 1999; 40 603-609

PubMed Search in Google Scholar
36 Munk P L, Lee M J, Janzen D L. Lipoma and liposarcoma: evaluation using CT and MR imaging. AJR Am J Roentgenol . 1997; 169 589-594

PubMed Search in Google Scholar
37 Fisher A R, Mason P H, Wagenhals K S. Ruptured plantar epidermal inclusion cyst. AJR Am J Roentgenol . 1998; 171 1709-1710

PubMed Search in Google Scholar
38 Yu J S, Chung C, Recht M, Dailiana T, Jurdi R. MR imaging of tophaceous gout. AJR Am J Roentgenol . 1997; 168 523-527

Crossref PubMed Search in Google Scholar
39 Mahajan H, Lorigan J G, Shirkhoda A. Synovial sarcoma: MR imaging. Magn Reson Imaging . 1989; 7 211-216

PubMed Search in Google Scholar
40 Morton M J, Berquist T H, McLeod R A, Unni K K, Sim F H. MR imaging of synovial sarcoma. AJR Am J Roentgenol . 1991; 156 337-340

PubMed Search in Google Scholar
41 Tsai J C, Dalinka M K, Fallon M D, Zlatkin M B, Kressel H Y. Fluid-fluid level: a nonspecific finding in tumors of bone and soft tissue. Radiology . 1990; 175 779-782

PubMed Search in Google Scholar
42 Varela-Duran J, Enzinger F M. Calcifying synovial sarcoma. Cancer . 1982; 50 345-352

PubMed Search in Google Scholar
43 Munk P L, Sallomi D F, Janzen D L. Malignant fibrous histiocytoma of soft-tissue imaging with emphasis on MRI. J Comput Assist Tomogr . 1998; 22 819-826

Crossref PubMed Search in Google Scholar
44 Mahajan H, Kim E E, Wallace S, Abello R, Benjamin R, Evans H L. Magnetic resonance imaging of malignant fibrous histiocytoma. Magn Reson Imaging . 1989; 7 283-288

Crossref PubMed Search in Google Scholar
45 Ros P R, Viamonte Jr M, Rywlin A M. Malignant fibrous histiocytoma: mesenchymal tumor of ubiquitous origin. AJR Am J Roentgenol . 1984; 142 753-759

PubMed Search in Google Scholar
46 Dorfman H D, Bhagavan B S. Malignant fibrous histiocytoma of soft tissue with metaplastic bone and cartilage formation: a new radiologic sign. Skeletal Radiol . 1982; 8 145-150

Crossref PubMed Search in Google Scholar
47 Jelinek J S, Kransdorf M J, Shmookler B M, Aboulafia A J, Malawer M M. Liposarcoma of the extremities: MR and CT findings in the histologic subtypes. Radiology . 1993; 186 455-459

PubMed Search in Google Scholar
48 London J, Kim E E, Wallace S, Shirkhoda A, Coan J, Evans H. MR imaging of liposarcomas: correlation of MR features and histology. J Comput Assist Tomogr . 1989; 13 832-835

PubMed Search in Google Scholar
49 Enzinger F M, Zhang R Y. Plexiform fibrohistiocytic tumor presenting in children and young adults. An analysis of 65 cases. Am J Surg Pathol . 1988; 12 818-826

PubMed Search in Google Scholar
50 Habermann C R, Nicolas V, Steiner P. Magnetic resonance tomography diagnosis of plexiform fibrohistiocytic tumor. Aktuelle Radiol . 1995; 5 243-245

PubMed Search in Google Scholar
51 Goh Y W, Spagnolo D V, Platten M. Extraskeletal myxoid chondrosarcoma: a light microscopic, immunohistochemical, ultrastructural and immunoultrastructural study indicating neuroendocrine differentiation. Histopathology . 2001; 39 514-524

Crossref PubMed Search in Google Scholar
52 Shapeero L G, Vanel D, Couanet D, Contesso G, Ackerman L V. Extraskeletal mesenchymal chondrosarcoma. Radiology . 1993; 186 819-826

PubMed Search in Google Scholar
53 Kransdorf M J, Meis J M. From the archives of the AFIP. Extraskeletal osseous and cartilaginous tumors of the extremities. Radiographics . 1993; 13 853-584

Crossref PubMed Search in Google Scholar