Rupture of the Achilles tendon is torn or tear of tendon which is caused by the injury of the changes of foot position suddenly or abruptly in a state of passive dorsiflexion maximum. Achilles tendon rupture can occur in complete or partial. The aim of this study was to determine the examination procedures and optimization MRI Ankle Joint with a case of achilles tendon rupture at Radiology Instalation of Siloam Kebon Jeruk Hospital Jakarta.This type of research is qualitative with case study approach. Data were collected in April - May 2017 in Installation of Radiology Siloam Hospitals Kebon Jeruk Jakarta with observation method, interviews with radiographers, radiologists and reffering physicians and documentation. The data obtained from the study were analyzed by interactive model, making the interview transcripts subsequently reduced and processed in the form of open coding, presented in the form of quotations and then can be drawn conclusions.The results of this study indicate that the MRI Ankle Joint examination procedure with achilles tendon rupture using 7 sequences is, PDW Fatsat Axial, PDW TSE Axial, T2W TSE Paraaxial, STIR Coronal, Coronal TSE PDW, Fatsat Sagital PDW and T1W TSE Sagital. Patient position is supine, feet first and using knee coil. Optimization of MRI Ankle Joint examination is good enough, scan time is long enough but can show normal anatomical picture and detailed diagnostic image information. Sequences that can optimize the pathological findings of rupture in the achilles tendon are the sequence PDW Fatsat Sagital and T1W TSE Sagital. Possibility of artifact could be minimized or opmitized by proper positioning and fixation of patients in ankle area that made the patient comfortable, so there is no 550 due to patients movement.