ZTE MRI provides CT-like tissue contrast, facilitating evaluation of mineralized bone. The utility of ZTE for evaluation of acute ankle fractures was evaluated in a series of 14 patients who underwent preoperative clinical MRI with an additional ZTE sequence, and subsequently underwent surgical fracture fixation. Fractures were characterized in a blinded fashion utilizing ZTE and CT, with subsequent operative confirmation. ZTE provided accurate characterization of fractures relative to both CT and surgery, with excellent inter- and intra-observer reliability.
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