Skip to main content
Top
Published in: Techniques in Coloproctology 3/2021

Open Access 01-03-2021 | Magnetic Resonance Imaging | Technical Note

Magnetic resonance imaging template to standardize reporting of anal fistulas

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

Published in: Techniques in Coloproctology | Issue 3/2021

Login to get access

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).
Literature
1.
go back to reference de Miguel Criado J, del Salto LG, Rivas PF, del Hoyo LF, Velasco LG, de las Vacas MI et al (2012) MR imaging evaluation of perianal fistulas: spectrum of imaging features. Radiographics 32(1):175–194CrossRef de Miguel Criado J, del Salto LG, Rivas PF, del Hoyo LF, Velasco LG, de las Vacas MI et al (2012) MR imaging evaluation of perianal fistulas: spectrum of imaging features. Radiographics 32(1):175–194CrossRef
2.
go back to reference Ratto C, Grossi U, Litta F, Di Tanna GL, Parello A, De Simone V et al (2019) Contemporary surgical practice in the management of anal fistula: results from an international survey. Tech Coloproctol 23(8):729–741CrossRef Ratto C, Grossi U, Litta F, Di Tanna GL, Parello A, De Simone V et al (2019) Contemporary surgical practice in the management of anal fistula: results from an international survey. Tech Coloproctol 23(8):729–741CrossRef
3.
go back to reference Buchanan GN, Halligan S, Bartram CI, Williams AB, Tarroni D, Cohen CR (2004) Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference standard. Radiology 233(3):674–681CrossRef Buchanan GN, Halligan S, Bartram CI, Williams AB, Tarroni D, Cohen CR (2004) Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference standard. Radiology 233(3):674–681CrossRef
4.
go back to reference Kolodziejczak M, Santoro GA, Obcowska A, Lorenc Z, Manczak M, Sudol-Szopinska I (2017) Three-dimensional endoanal ultrasound is accurate and reproducible in determining type and height of anal fistulas. Colorectal Dis 19(4):378–384CrossRef Kolodziejczak M, Santoro GA, Obcowska A, Lorenc Z, Manczak M, Sudol-Szopinska I (2017) Three-dimensional endoanal ultrasound is accurate and reproducible in determining type and height of anal fistulas. Colorectal Dis 19(4):378–384CrossRef
5.
go back to reference Larson DB, Towbin AJ, Pryor RM, Donnelly LF (2013) Improving consistency in radiology reporting through the use of department-wide standardized structured reporting. Radiology 267(1):240–250CrossRef Larson DB, Towbin AJ, Pryor RM, Donnelly LF (2013) Improving consistency in radiology reporting through the use of department-wide standardized structured reporting. Radiology 267(1):240–250CrossRef
6.
go back to reference Parks AG, Gordon PH, Hardcastle JD (1976) A classification of fistula-in-ano. Br J Surg 63(1):1–12CrossRef Parks AG, Gordon PH, Hardcastle JD (1976) A classification of fistula-in-ano. Br J Surg 63(1):1–12CrossRef
7.
go back to reference Morris J, Spencer JA, Ambrose NS (2000) MR imaging classification of perianal fistulas and its implications for patient management. Radiographics 20(3):623–635 (discussion 635–7)CrossRef Morris J, Spencer JA, Ambrose NS (2000) MR imaging classification of perianal fistulas and its implications for patient management. Radiographics 20(3):623–635 (discussion 635–7)CrossRef
8.
go back to reference Sudol-Szopinska I, Kolodziejczak M, Aniello GS (2019) A novel template for anorectal fistula reporting in anal endosonography and MRI—a practical concept. Med Ultrason 21(4):483–486CrossRef Sudol-Szopinska I, Kolodziejczak M, Aniello GS (2019) A novel template for anorectal fistula reporting in anal endosonography and MRI—a practical concept. Med Ultrason 21(4):483–486CrossRef
9.
go back to reference Chand M, Tozer P, Cohen RC (2017) Is FiLaC the answer for more complex perianal fistula? Tech Coloproctol 21(4):253–255CrossRef Chand M, Tozer P, Cohen RC (2017) Is FiLaC the answer for more complex perianal fistula? Tech Coloproctol 21(4):253–255CrossRef
10.
go back to reference Corman ML (1993) Colon and Rectal Surgery, 3rd edn. J.B. Lippincott Company, Philadelphia Corman ML (1993) Colon and Rectal Surgery, 3rd edn. J.B. Lippincott Company, Philadelphia
11.
go back to reference O’Malley RB, Al-Hawary MM, Kaza RK, Wasnik AP, Liu PS, Hussain HK (2012) Rectal imaging: part 2, Perianal fistula evaluation on pelvic MRI—what the radiologist needs to know. AJR Am J Roentgenol 199(1):W43-53CrossRef O’Malley RB, Al-Hawary MM, Kaza RK, Wasnik AP, Liu PS, Hussain HK (2012) Rectal imaging: part 2, Perianal fistula evaluation on pelvic MRI—what the radiologist needs to know. AJR Am J Roentgenol 199(1):W43-53CrossRef
12.
go back to reference Torkzad MR, Karlbom U (2010) MRI for assessment of anal fistula. Insights Imaging 1(2):62–71CrossRef Torkzad MR, Karlbom U (2010) MRI for assessment of anal fistula. Insights Imaging 1(2):62–71CrossRef
Metadata
Title
Magnetic resonance imaging template to standardize reporting of anal fistulas
Authors
I. Sudoł-Szopińska
G. A. Santoro
M. Kołodziejczak
A. Wiaczek
U. Grossi
Publication date
01-03-2021
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 3/2021
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-020-02384-6

Other articles of this Issue 3/2021

Techniques in Coloproctology 3/2021 Go to the issue