{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T09:36:19Z","timestamp":1791020179656,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T00:00:00Z","timestamp":1750464000000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016409","name":"Gyllenstiernska Krapperupsstiftelsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016409","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008986","name":"Sydv\u00e4stra Sk\u00e5nes Diabetesf\u00f6rening","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008986","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aims\/Hypothesis<\/jats:title><jats:p>Charcot foot (CF), a potentially debilitating complication of neuropathy, requires offloading to avoid foot deformities. Follow\u2010up MRI examinations are often used to determine the optimal duration of total contact cast (TCC) offloading treatment. This study investigated the use of follow\u2010up MRI during CF treatment and its relationship to offloading duration and risk of future surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>People with diabetes mellitus and MRI\u2010confirmed CF treated at Sk\u00e5ne University Hospital (Lund and Malm\u00f6, Sweden) between 2006 and 2022 were studied retrospectively. Individuals monitored with follow\u2010up MRI examinations were compared with those who only underwent diagnostic MRI. A regression model was applied to evaluate factors predicting TCC and total CF treatment duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One\u2010hundred and twenty\u2010two individuals (45 [37%] DM1; 47 [39%] women; median age 60 [IQR 53\u201368] years) with a total of 143 CF events were included. 76 (53%) of these CF events were monitored using a total of 141 follow\u2010up MRI examinations. Individuals monitored with MRI had significantly longer TCC and total CF treatment durations (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Individual characteristics (with the exception of sex), rate of stage 1 CF, and risk of future surgery did not differ between the two groups and only use of follow\u2010up MRI (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) remained a significant predictor of both longer TCC and total CF treatment durations in a regression model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions\/Interpretation<\/jats:title><jats:p>In this retrospective cohort study, use of follow\u2010up MRI was associated with longer TCC and total treatment times despite similar characteristics and outcomes. Prospective studies are needed to further elucidate the optimal use of MRI in monitoring CF.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jfa2.70058","type":"journal-article","created":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T17:13:41Z","timestamp":1750526021000},"source":"Crossref","is-referenced-by-count":3,"title":["Follow\u2010Up Magnetic Resonance Imaging in Monitoring Charcot Foot and Its Association With Total Contact Cast Treatment Duration and Long\u2010Term Outcomes: A Retrospective Cohort Study"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0797-5092","authenticated-orcid":false,"given":"Johan","family":"Schoug","sequence":"first","affiliation":[{"name":"Department of Endocrinology Sk\u00e5ne University Hospital  Lund Sweden"},{"name":"The Institution for Clinical Sciences in Lund Faculty of Medicine Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per","family":"Katzman","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Sk\u00e5ne University Hospital  Lund Sweden"},{"name":"The Institution for Clinical Sciences in Lund Faculty of Medicine Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Uddman","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Sk\u00e5ne University Hospital  Lund Sweden"},{"name":"The Institution for Clinical Sciences in Lund Faculty of Medicine Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1522-3920","authenticated-orcid":false,"given":"Magnus","family":"L\u00f6ndahl","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Sk\u00e5ne University Hospital  Lund Sweden"},{"name":"The Institution for Clinical Sciences in Lund Faculty of Medicine Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11\u20100844"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464\u20105491.2010.03141.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464\u20105491.2005.01677.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23\u20101063"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13061633"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40842\u2010015\u20100018\u20100"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3646"},{"issue":"3","key":"e_1_2_10_9_1","first-page":"317","article-title":"Monitoring Healing of Acute Charcot's Arthropathy With Infrared Dermal Thermometry","volume":"34","author":"Armstrong D. G.","year":"1997","journal-title":"Journal of Rehabilitation Research and Development"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010023\u201000601\u20107"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256\u2010010\u20101092\u20100"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000625X.2018.1466611"},{"issue":"9","key":"e_1_2_10_13_1","first-page":"409","article-title":"Magnetic Resonance Imaging in Early Stage Charcot Arthropathy: Correlation of Imaging Findings and Clinical Symptoms","volume":"13","author":"Schlossbauer T.","year":"2008","journal-title":"European Journal of Medical Research"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365513.2011.557086"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2014.13948"},{"key":"e_1_2_10_16_1","volume-title":"The High Risk Foot in Diabetes Mellitus","author":"Frykberg R. 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