Magnetic resonance imaging template to standardize reporting of anal fistulas

I Sudoł-Szopińska, G A Santoro, M Kołodziejczak, A Wiaczek, U Grossi, I Sudoł-Szopińska, G A Santoro, M Kołodziejczak, A Wiaczek, U Grossi

Abstract

Anal fistula (AF) is a common referral to colorectal surgeons. Management remains challenging and sometimes controversial. Magnetic resonance imaging (MRI) is commonly performed in initial workup for AF. However, reports often lack key information for guiding treatment strategies. It has been shown that with structured radiology reports, there is less missing information. We present a structured MRI template report including 8 key descriptors of anal fistulas, whose effectiveness and acceptability are being assessed in a cross-sectional study (NCT04541238).

Keywords: Anal fistula imaging; Anal fistulas; Endoanal ultrasonography; Pelvic magnetic resonance imaging.

Conflict of interest statement

The authors declare that they have no conflict of interest

Figures

Fig. 1
Fig. 1
A novel magnetic resonance imaging template for a uniform description of anal fistula

References

    1. de Miguel Criado J, del Salto LG, Rivas PF, del Hoyo LF, Velasco LG, de las Vacas MI, et al. MR imaging evaluation of perianal fistulas: spectrum of imaging features. Radiographics. 2012;32(1):175–194. doi: 10.1148/rg.321115040.
    1. Ratto C, Grossi U, Litta F, Di Tanna GL, Parello A, De Simone V, et al. Contemporary surgical practice in the management of anal fistula: results from an international survey. Tech Coloproctol. 2019;23(8):729–741. doi: 10.1007/s10151-019-02051-5.
    1. Buchanan GN, Halligan S, Bartram CI, Williams AB, Tarroni D, Cohen CR. Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference standard. Radiology. 2004;233(3):674–681. doi: 10.1148/radiol.2333031724.
    1. Kolodziejczak M, Santoro GA, Obcowska A, Lorenc Z, Manczak M, Sudol-Szopinska I. Three-dimensional endoanal ultrasound is accurate and reproducible in determining type and height of anal fistulas. Colorectal Dis. 2017;19(4):378–384. doi: 10.1111/codi.13580.
    1. Larson DB, Towbin AJ, Pryor RM, Donnelly LF. Improving consistency in radiology reporting through the use of department-wide standardized structured reporting. Radiology. 2013;267(1):240–250. doi: 10.1148/radiol.12121502.
    1. Parks AG, Gordon PH, Hardcastle JD. A classification of fistula-in-ano. Br J Surg. 1976;63(1):1–12. doi: 10.1002/bjs.1800630102.
    1. Morris J, Spencer JA, Ambrose NS. MR imaging classification of perianal fistulas and its implications for patient management. Radiographics. 2000;20(3):623–635. doi: 10.1148/radiographics.20.3.g00mc15623.
    1. Sudol-Szopinska I, Kolodziejczak M, Aniello GS. A novel template for anorectal fistula reporting in anal endosonography and MRI—a practical concept. Med Ultrason. 2019;21(4):483–486. doi: 10.11152/mu-2154.
    1. Chand M, Tozer P, Cohen RC. Is FiLaC the answer for more complex perianal fistula? Tech Coloproctol. 2017;21(4):253–255. doi: 10.1007/s10151-017-1621-0.
    1. Corman ML. Colon and Rectal Surgery. 3. Philadelphia: J.B. Lippincott Company; 1993.
    1. O'Malley RB, Al-Hawary MM, Kaza RK, Wasnik AP, Liu PS, Hussain HK. Rectal imaging: part 2, Perianal fistula evaluation on pelvic MRI—what the radiologist needs to know. AJR Am J Roentgenol. 2012;199(1):W43–53. doi: 10.2214/AJR.11.8361.
    1. Torkzad MR, Karlbom U. MRI for assessment of anal fistula. Insights Imaging. 2010;1(2):62–71. doi: 10.1007/s13244-010-0022-y.
    1. . Accessed on 9 Sep 2020

Source: PubMed

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