Pre-Operative MRI in evaluation of Perianal fistulas
Background: Perianal fistula is a common and often an extremely distressing disorder. MRI is a preferred modality for the preoperative assessment of perianal fistulas. Aims and Objective: To evaluate the accuracy and predictive values of pre-operative MRI in diagnosing severity of perianal fistul...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2021-01-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/30934 |
| _version_ | 1818383403148378112 |
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| author | Milind Sawant Giriraj Singh Harish S Kaushik Roy |
| author_facet | Milind Sawant Giriraj Singh Harish S Kaushik Roy |
| author_sort | Milind Sawant |
| collection | DOAJ |
| description | Background: Perianal fistula is a common and often an extremely distressing disorder. MRI is a preferred modality for the preoperative assessment of perianal fistulas.
Aims and Objective: To evaluate the accuracy and predictive values of pre-operative MRI in diagnosing severity of perianal fistulas and the conditions associated with it like internal anal opening, secondary tract, abscess and supralevator extension.
Materials and Methods: In this study, 44 patients with clinically suspected perianal fistulas underwent MRI for the evaluation of severity and presence of the associated conditions. St James’s University Hospital Classification was used to grade the perianal fistula. Pre-operative MRI grading was compared with the surgical findings in the 26 operated patients.
Results: Out of 44 clinically suspected perianal fistulas, 41 (93%) were diagnosed as perianal fistulas by MRI. The most common type was grade 1 seen in 12(27.3%) patients followed by grade 4 fistula seen in 10(22.7%) patients. All 26 patients evaluated by surgical findings for severity of perianal fistulas were found to be graded in identical grades by pre-operative MRI. MRI was 100% sensitive in picking up all five grades.
Conclusion: MRI helps in the accurate delineation of fistulous tract, identification of secondary tract and abscess. |
| first_indexed | 2024-12-14T03:05:48Z |
| format | Article |
| id | doaj.art-b19261c5f70846048d73487fc99ba71f |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-12-14T03:05:48Z |
| publishDate | 2021-01-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-b19261c5f70846048d73487fc99ba71f2022-12-21T23:19:24ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762021-01-011215560https://doi.org/10.3126/ajms.v12i1.30934Pre-Operative MRI in evaluation of Perianal fistulasMilind Sawant 0https://orcid.org/0000-0001-6424-4520Giriraj Singh 1https://orcid.org/0000-0002-9380-9057Harish S 2https://orcid.org/0000-0003-2331-6879Kaushik Roy 3https://orcid.org/0000-0002-5245-9011Assistant Professor, Department of Radiology, Command Hospital, Lucknow, Uttar Pradesh. India Professor, Department of Radiology, Command Hospital, Chandimandir, Panchkula. Haryana, India Assistant Professor, Department of Surgery, Command Hospital, Lucknow, Uttar Pradesh, India Assistant Professor, Department of Preventive and Social Medicine, Army College of Medical Sciences, New Delhi, India Background: Perianal fistula is a common and often an extremely distressing disorder. MRI is a preferred modality for the preoperative assessment of perianal fistulas. Aims and Objective: To evaluate the accuracy and predictive values of pre-operative MRI in diagnosing severity of perianal fistulas and the conditions associated with it like internal anal opening, secondary tract, abscess and supralevator extension. Materials and Methods: In this study, 44 patients with clinically suspected perianal fistulas underwent MRI for the evaluation of severity and presence of the associated conditions. St James’s University Hospital Classification was used to grade the perianal fistula. Pre-operative MRI grading was compared with the surgical findings in the 26 operated patients. Results: Out of 44 clinically suspected perianal fistulas, 41 (93%) were diagnosed as perianal fistulas by MRI. The most common type was grade 1 seen in 12(27.3%) patients followed by grade 4 fistula seen in 10(22.7%) patients. All 26 patients evaluated by surgical findings for severity of perianal fistulas were found to be graded in identical grades by pre-operative MRI. MRI was 100% sensitive in picking up all five grades. Conclusion: MRI helps in the accurate delineation of fistulous tract, identification of secondary tract and abscess.https://www.nepjol.info/index.php/AJMS/article/view/30934perinanal fistulapreoperative mriperianal fistula grading |
| spellingShingle | Milind Sawant Giriraj Singh Harish S Kaushik Roy Pre-Operative MRI in evaluation of Perianal fistulas Asian Journal of Medical Sciences perinanal fistula preoperative mri perianal fistula grading |
| title | Pre-Operative MRI in evaluation of Perianal fistulas |
| title_full | Pre-Operative MRI in evaluation of Perianal fistulas |
| title_fullStr | Pre-Operative MRI in evaluation of Perianal fistulas |
| title_full_unstemmed | Pre-Operative MRI in evaluation of Perianal fistulas |
| title_short | Pre-Operative MRI in evaluation of Perianal fistulas |
| title_sort | pre operative mri in evaluation of perianal fistulas |
| topic | perinanal fistula preoperative mri perianal fistula grading |
| url | https://www.nepjol.info/index.php/AJMS/article/view/30934 |
| work_keys_str_mv | AT milindsawant preoperativemriinevaluationofperianalfistulas AT girirajsingh preoperativemriinevaluationofperianalfistulas AT harishs preoperativemriinevaluationofperianalfistulas AT kaushikroy preoperativemriinevaluationofperianalfistulas |