European Journal of Radiology
Volume 47, Issue 2 , Pages 98-107, August 2003

MR imaging of fistula-in-ano

  • Steve Halligan

      Affiliations

    • Intestinal Imaging Centre, St. Mark's Hospital, Northwick Park, Watford Road, Harrow, London HA1 3UJ, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44-181-235-4000; fax: +44-181-235-4001
  • ,
  • Gordon Buchanan

      Affiliations

    • Department of Surgery, St. Mark's Hospital, Northwick Park, Watford Road, Harrow, London HA1 3UJ, UK

Received 19 May 2003; received in revised form 20 May 2003; accepted 21 May 2003.

Abstract 

Accurate preoperative assessment of fistula-in-ano is mandatory if the fistula is not to recur. In recent years, MRI has become pre-eminent for fistula assessment and recent studies have shown that not only is MRI more accurate than surgical assessment, but that surgery based on MRI can reduce further disease recurrence by approximately 75%. The main role of MRI is to alert the surgeon to fistula tracks and extensions that would otherwise have gone undetected and, thus, untreated at the time of surgical assessment under general anaesthetic.

Keywords: Anus, MR, Fistula, Gastrointestinal tract

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PII: S0720-048X(03)00162-1

doi:10.1016/S0720-048X(03)00162-1

European Journal of Radiology
Volume 47, Issue 2 , Pages 98-107, August 2003