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Magnetic resonance imaging in perianal fistulas—A pictorial atlas

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Abstract

This pictorial atlas provides a review of perianal fistulas with a brief description of the relevant anatomy, technique of imaging, and examples of various fistula types. Magnetic resonance imaging is highly accurate for depiction of both the primary tract and its secondary branches as well as abscesses. It is useful in the accurate preoperative classification of perianal fistulas and allows institution of the correct surgical procedure, thereby reducing the chances of recurrence or complications from occurring.

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References

  1. Sainio P. Fistula-in-ano in a defined population: incidence and epidemiological aspects. Ann Chir Gynaecol. 1984;73:219–24.

    CAS  PubMed  Google Scholar 

  2. Buchan R, Grace RH. Anorectal suppuration: the results of treatment and factors influencing the recurrence rate. Br J Surg. 1973;60:537–40.

    Article  CAS  PubMed  Google Scholar 

  3. Halligan S, Stoker J. Imaging of fistula in ano. Radiology. 2006;239:18–33.

    Article  PubMed  Google Scholar 

  4. Buchanan GN, Halligan S, Bartram CI, Williams AB, Tarroni D, Cohen CRG. Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference. Radiology. 2004;233:674–81.

    Article  PubMed  Google Scholar 

  5. de Miguel CJ, del Salto LG, Rivas PF, et al. MR imaging evaluation of perianal fistulas: spectrum of imaging features. RadioGraphics. 2012;32:175–94.

    Article  Google Scholar 

  6. Lunnis PJ, Armstrong P, Barker PG, Reznek RH, Philips RK. Magnetic resonance imaging of anal fistulae. Lancet. 1992;340:394–6.

    Article  Google Scholar 

  7. Beets-Tan RG, Beets GL, van der Hoop AG, et al. Preoperative MR imaging of anal fistulas: does it really help the surgeon? Radiology. 2001;218:75–84.

    Article  CAS  PubMed  Google Scholar 

  8. O’Malley RB, Al-Hawary MM, Kaza RK, Wasnik AK, Liu PS, Hussain HK. Perianal fistula evaluation on pelvic MRI—what the radiologist needs to know. AJR Am J Roentgenol. 2012;199:W43–53.

    Article  PubMed  Google Scholar 

  9. Spencer JA, Chapple K, Wilson D, Ward J, Windsor AC, Ambrose NS. Outcome after surgery for perianal fistula: predictive value for MR imaging. AJR Am J Roentgenol. 1998;171:403–6.

  10. Buchanan G, Halligan S, Williams A, et al. Effect of MRI on clinical outcome of recurrent fistula-in-ano. Lancet. 2002;360:1661–2.

    Article  PubMed  Google Scholar 

  11. Myhr GE, Myrvold HE, Nilsen G, Thoresen JE, Rinck PA. Perianal fistulas: use of MR for diagnosis. Radiology. 1994;191:545–9.

    Article  CAS  PubMed  Google Scholar 

  12. Khera PS, Badawi HA, Afifi AH. MRI in perianal fistulae. Indian J Radiol Imaging. 2010;20:53–7.

  13. Spencer JA, Ward J, Beckingham IJ, et al. Dynamic contrast-enhanced MR imaging of perianal fistulas. AJR Am J Roentgenol. 1996;167:735–41.

  14. Hori M, Oto A, Orrin S, Suzuki K, Barron RL. Diffusion weighted MRI. A new tool for the diagnosis of fistula in ano. J Magn Reson Imaging. 2009;30:1021–6.

    Article  PubMed  Google Scholar 

  15. Parks AG, Gordon PH, Hardcastle JD. A classification of fistula-in-ano. Br J Surg. 1976;63:1–12.

    Article  CAS  PubMed  Google Scholar 

  16. Morris J, Spencer JA, Ambrose NS. MR imaging classification of perianal fistulas and its implications for patient management. RadioGraphics. 2000;20:623–35.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, A J Institute of Medical Sciences, NH-66, Kuntikan, Mangalore, 575 004, India

    Gururaj Sharma, Ganesh Khandige & Manjit Mohan

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  1. Gururaj Sharma
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  2. Ganesh Khandige
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  3. Manjit Mohan
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Correspondence to Gururaj Sharma.

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Sharma, G., Khandige, G. & Mohan, M. Magnetic resonance imaging in perianal fistulas—A pictorial atlas. Indian J Gastroenterol 35, 337–342 (2016). https://doi.org/10.1007/s12664-016-0688-2

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  • DOI: https://doi.org/10.1007/s12664-016-0688-2

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