Structured reporting of MRI for perianal fistula

Seng Thipphavong; Andreu F Costa; Hamideh Ale Ali; David Chenhan Wang; Mantaj S Brar; Kartik S Jhaveri

doi:10.1007/s00261-018-1839-y

Structured reporting of MRI for perianal fistula

Abdom Radiol (NY). 2019 Apr;44(4):1295-1305. doi: 10.1007/s00261-018-1839-y.

Authors

Seng Thipphavong¹, Andreu F Costa², Hamideh Ale Ali³, David Chenhan Wang⁴, Mantaj S Brar⁵, Kartik S Jhaveri³

Affiliations

¹ Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital, and Women's College Hospital, University of Toronto, 610 University Avenue, Toronto, ON, M5G 2M9, Canada. Seng.Thipphavong@uhn.ca.
² Department of Diagnostic Radiology, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Victoria General Bldg, 3rd Fl, 1276 S Park St, Halifax, NS, B3H 2Y9, Canada.
³ Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital, and Women's College Hospital, University of Toronto, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
⁴ Department of Medical Imaging, University of Toronto, 4th Floor, 263 McCaul Street, Toronto, ON, M5T 1W7, Canada.
⁵ Division of General Surgery, Department of Surgery, Mount Sinai Hospital, University of Toronto, 600 University Avenue, Suite 451, Toronto, ON, M5G 1X5, Canada.

PMID: 30474723
DOI: 10.1007/s00261-018-1839-y

Abstract

Objective: The purpose of this article is to review MRI technique, relevant anatomy, and MRI classification systems for the assessment of perianal fistulising disease. We present a stepwise approach to the assessment of perianal fistulas on MRI utilizing a systematic reporting format.

Conclusion: MRI is invaluable for the assessment of perianal fistulas. A systematic report can help communicate the anatomy of complex fistulising disease to assist with optimal management.

Keywords: MRI; Perianal fistula; Structured reporting; Synoptic reporting.

Publication types

Review

MeSH terms

Anal Canal / diagnostic imaging
Humans
Magnetic Resonance Imaging / methods*
Medical Records*
Rectal Fistula / diagnostic imaging*