Korean Journal of Radiology

  • 제15권6호
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  • Pages.712-723
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  • 2014
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

Imaging of Anal Fistulas: Comparison of Computed Tomographic Fistulography and Magnetic Resonance Imaging

  • Liang, Changhu (Shandong Medical Imaging Research Institute, Shandong University) ;
  • Lu, Yongchao (Traditional Chinese Medicine Department, Provincial Hospital Affiliated to Shandong University) ;
  • Zhao, Bin (Shandong Medical Imaging Research Institute, Shandong University) ;
  • Du, Yinglin (Shandong Provincial Center for Disease Control and Prevention, Public Health Institute) ;
  • Wang, Cuiyan (Shandong Medical Imaging Research Institute, Shandong University) ;
  • Jiang, Wanli (Department of Radiology, Taishan Medical University)
  • 투고 : 2014.03.08
  • 심사 : 2014.09.13
  • 발행 : 2014.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

The primary importance of magnetic resonance (MR) imaging in evaluating anal fistulas lies in its ability to demonstrate hidden areas of sepsis and secondary extensions in patients with fistula in ano. MR imaging is relatively expensive, so there are many healthcare systems worldwide where access to MR imaging remains restricted. Until recently, computed tomography (CT) has played a limited role in imaging fistula in ano, largely owing to its poor resolution of soft tissue. In this article, the different imaging features of the CT and MRI are compared to demonstrate the relative accuracy of CT fistulography for the preoperative assessment of fistula in ano. CT fistulography and MR imaging have their own advantages for preoperative evaluation of perianal fistula, and can be applied to complement one another when necessary.

키워드

참고문헌

  1. Seow-Choen F, Nicholls RJ. Anal fistula. Br J Surg 1992;79:197-205 https://doi.org/10.1002/bjs.1800790304
  2. Practice parameters for treatment of fistula-in-ano--supporting documentation. The Standards Practice Task Force. The American Society of Colon and Rectal Surgeons. Dis Colon Rectum 1996;39:1363-1372
  3. Lilius HG. Fistula-in-ano, an investigation of human foetal anal ducts and intramuscular glands and a clinical study of 150 patients. Acta Chir Scand Suppl 1968;383:7-88
  4. Seow-Choen, Phillips RK. Insights gained from the management of problematical anal fistulae at St. Mark's Hospital, 1984-88. Br J Surg 1991;78:539-541 https://doi.org/10.1002/bjs.1800780508
  5. Bartram C, Buchanan G. Imaging anal fistula. Radiol Clin North Am 2003;41:443-457 https://doi.org/10.1016/S0033-8389(02)00122-7
  6. 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;32:175-194 https://doi.org/10.1148/rg.321115040
  7. Yousem DM, Fishman EK, Jones B. Crohn disease: perirectal and perianal findings at CT. Radiology 1988;167:331-334 https://doi.org/10.1148/radiology.167.2.3357940
  8. Kalra MK, Woisetschläger M, Dahlström N, Singh S, Lindblom M, Choy G, et al. Radiation dose reduction with Sinogram Affirmed Iterative Reconstruction technique for abdominal computed tomography. J Comput Assist Tomogr 2012;36:339-346 https://doi.org/10.1097/RCT.0b013e31825586c0
  9. Tio TL, Mulder CJ, Wijers OB, Sars PR, Tytgat GN. Endosonography of peri-anal and peri-colorectal fistula and/or abscess in Crohn's disease. Gastrointest Endosc 1990;36:331-336 https://doi.org/10.1016/S0016-5107(90)71059-0
  10. Lunniss PJ, Phillips RK. Anatomy and function of the anal longitudinal muscle. Br J Surg 1992;79:882-884 https://doi.org/10.1002/bjs.1800790908
  11. Proscia N, Jaffe TA, Neville AM, Wang CL, Dale BM, Merkle EM. MRI of the pelvis in women: 3D versus 2D T2-weighted technique. AJR Am J Roentgenol 2010;195:254-259 https://doi.org/10.2214/AJR.09.3226
  12. Kim H, Lim JS, Choi JY, Park J, Chung YE, Kim MJ, et al. Rectal cancer: comparison of accuracy of local-regional staging with two- and three-dimensional preoperative 3-T MR imaging. Radiology 2010;254:485-492 https://doi.org/10.1148/radiol.09090587
  13. Fütterer JJ, Yakar D, Strijk SP, Barentsz JO. Preoperative 3T MR imaging of rectal cancer: local staging accuracy using a two-dimensional and three-dimensional T2-weighted turbo spin echo sequence. Eur J Radiol 2008;65:66-71 https://doi.org/10.1016/j.ejrad.2007.11.029
  14. Flohr T, Stierstorfer K, Raupach R, Ulzheimer S, Bruder H. Performance evaluation of a 64-slice CT system with z-flying focal spot. Rofo 2004;176:1803-1810 https://doi.org/10.1055/s-2004-813717
  15. Lichy MP, Wietek BM, Mugler JP 3rd, Horger W, Menzel MI, Anastasiadis A, et al. Magnetic resonance imaging of the body trunk using a single-slab, 3-dimensional, T2-weighted turbo-spin-echo sequence with high sampling efficiency (SPACE) for high spatial resolution imaging: initial clinical experiences. Invest Radiol 2005;40:754-760 https://doi.org/10.1097/01.rli.0000185880.92346.9e
  16. Halligan S, Stoker J. Imaging of fistula in ano. Radiology 2006;239:18-33 https://doi.org/10.1148/radiol.2391041043
  17. Liang C, Jiang W, Zhao B, Zhang Y, Du Y, Lu Y. CT imaging with fistulography for perianal fistula: does it really help the surgeon? Clin Imaging 2013;37:1069-1076 https://doi.org/10.1016/j.clinimag.2013.04.014
  18. Parks AG, Gordon PH, Hardcastle JD. A classification of fistula-in-ano. Br J Surg 1976;63:1-12 https://doi.org/10.1002/bjs.1800630102
  19. Spencer JA, Chapple K, Wilson D, Ward J, Windsor AC, Ambrose NS. Outcome after surgery for perianal fistula: predictive value of MR imaging. AJR Am J Roentgenol 1998;171:403-406 https://doi.org/10.2214/ajr.171.2.9694464
  20. Chapple KS, Spencer JA, Windsor AC, Wilson D, Ward J, Ambrose NS. Prognostic value of magnetic resonance imaging in the management of fistula-in-ano. Dis Colon Rectum 2000;43:511-516 https://doi.org/10.1007/BF02237196
  21. Harisinghani MG, Gervais DA, Hahn PF, Cho CH, Jhaveri K, Varghese J, et al. CT-guided transgluteal drainage of deep pelvic abscesses: indications, technique, procedure-related complications, and clinical outcome. Radiographics 2002;22:1353-1367 https://doi.org/10.1148/rg.226025039

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  3. Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas vol.38, pp.1, 2014, https://doi.org/10.1016/j.jcol.2017.11.002
  4. MRI T2-Weighted Imaging and Fat-Suppressed T2-Weighted Imaging Image Fusion Technology Improves Image Discriminability for the Evaluation of Anal Fistulas vol.20, pp.3, 2014, https://doi.org/10.3348/kjr.2018.0260
  5. Diagnostic Accuracy of Short Tau Inversion Recovery as a Limited Protocol for Diagnosing Perianal Fistula vol.11, pp.12, 2014, https://doi.org/10.7759/cureus.6398
  6. Preoperatif manyetik rezonans görüntülemenin anal fistül tanı ve cerrahi tedavisine katkısı vol.45, pp.3, 2020, https://doi.org/10.17826/cumj.780148
  7. Crohn’s disease at radiological imaging: focus on techniques and intestinal tract vol.19, pp.4, 2014, https://doi.org/10.5217/ir.2020.00097