{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:21:36Z","timestamp":1777616496885,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T00:00:00Z","timestamp":1545177600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Introduction. Peroneal tendon disorders pose a diagnostic conundrum to the clinician. Magnetic resonance imaging (MRI) is widely used to assess tendon pathology. A recognized artifact of MRI, the magic angle effect (MAE), can lead to spurious results and inappropriate management. The aim of this study is to assess whether T2 fat-suppressed sequences (T2FSs) reduce the frequency of MAE compared with proton density fat-suppressed (PDFS) images. Methods. MRI scans of 18 patients were prospectively assessed for MAE. The peroneal tendons were assessed at 5 defined levels on PDFS and T2FS images. The frequency of MAE in the peroneal tendons were compared between the 2 scan sequences. Results. In the peroneus brevis tendon, 17\/72 levels, on PDFS scans, showed MAE compared with 2\/72 levels on the T2FS scans, demonstrating a reduction in the MAE by 85% (P = .0003). In the peroneus longus tendon 14\/72 levels, on PDFS scans, demonstrated MAE compared with 4\/72 on T2FSs, demonstrating a reduction of 71% (P = .02). Conclusion. The inclusion of T2-weighted sequences is useful in MRI scanning for peroneal tendons to mitigate the MAE artifact, avoid potential misdiagnosis, and guide subsequent management of peroneal tendon disorders.<\/jats:p>\n                  <jats:p>Levels of Evidence: Level IV: Case series<\/jats:p>","DOI":"10.1177\/1938640018819783","type":"journal-article","created":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T06:24:12Z","timestamp":1545200652000},"page":"513-517","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Use of Fat-Suppressed T2-Weighted MRI Images to Reduce the Magic Angle Effect in Peroneal Tendons"],"prefix":"10.1177","volume":"12","author":[{"given":"Edmund","family":"Ieong","sequence":"first","affiliation":[{"name":"Imperial Healthcare NHS Trust, St Mary\u2019s Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2732-3232","authenticated-orcid":false,"given":"Michael","family":"Rafferty","sequence":"additional","affiliation":[{"name":"Imperial Healthcare NHS Trust, St Mary\u2019s Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Khanna","sequence":"additional","affiliation":[{"name":"Imperial Healthcare NHS Trust, St Mary\u2019s Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miny","family":"Walker","sequence":"additional","affiliation":[{"name":"Imperial Healthcare NHS Trust, St Mary\u2019s Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Rosenfeld","sequence":"additional","affiliation":[{"name":"Imperial Healthcare NHS Trust, St Mary\u2019s Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,12,19]]},"reference":[{"key":"bibr1-1938640018819783","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200905000-00005"},{"key":"bibr2-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20088"},{"key":"bibr3-1938640018819783","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2010.2.4.237"},{"key":"bibr4-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2003.11.002"},{"key":"bibr5-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.12.3.1609136"},{"key":"bibr6-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1053\/crad.2000.0653"},{"key":"bibr7-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1007\/s00330\u2013006\u20130164-y"},{"key":"bibr8-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.20808"},{"key":"bibr9-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.181.2.1924777"},{"key":"bibr10-1938640018819783","doi-asserted-by":"publisher","DOI":"10.4103\/0971\u20133026.137028"},{"key":"bibr11-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.20850"},{"key":"bibr12-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1007\/s00256\u2013012\u20131550-y"},{"key":"bibr13-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.200.3.8756941"},{"key":"bibr14-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1148\/rg.253045123"},{"key":"bibr15-1938640018819783","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002100612"},{"key":"bibr16-1938640018819783","volume-title":"Mann\u2019s Surgery of the Foot and Ankle","author":"Coughlin MJ","year":"2014","edition":"9"},{"key":"bibr17-1938640018819783","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.185.2.01850371"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640018819783","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1938640018819783","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640018819783","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:34:01Z","timestamp":1777412041000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1938640018819783"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,19]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1177\/1938640018819783"],"URL":"https:\/\/doi.org\/10.1177\/1938640018819783","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,19]]}}}