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3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease

Aim. This study aspires to assess the role of 3D-Endoanal Ultrasound (3D-EAUS) and Magnetic Resonance Imaging (MRI) in preoperative evaluation of the primary tract and internal opening of perianal fistulas, of secondary extensions and abscess. Methods. During 2014, 51 Crohn's disease patients s...

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Autores principales: Alabiso, Maria Eleonora, Iasiello, Francesca, Pellino, Gianluca, Iacomino, Aniello, Roberto, Luca, Pinto, Antonio, Riegler, Gabriele, Selvaggi, Francesco, Reginelli, Alfonso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706885/
https://www.ncbi.nlm.nih.gov/pubmed/26819596
http://dx.doi.org/10.1155/2016/1895694
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author Alabiso, Maria Eleonora
Iasiello, Francesca
Pellino, Gianluca
Iacomino, Aniello
Roberto, Luca
Pinto, Antonio
Riegler, Gabriele
Selvaggi, Francesco
Reginelli, Alfonso
author_facet Alabiso, Maria Eleonora
Iasiello, Francesca
Pellino, Gianluca
Iacomino, Aniello
Roberto, Luca
Pinto, Antonio
Riegler, Gabriele
Selvaggi, Francesco
Reginelli, Alfonso
author_sort Alabiso, Maria Eleonora
collection PubMed
description Aim. This study aspires to assess the role of 3D-Endoanal Ultrasound (3D-EAUS) and Magnetic Resonance Imaging (MRI) in preoperative evaluation of the primary tract and internal opening of perianal fistulas, of secondary extensions and abscess. Methods. During 2014, 51 Crohn's disease patients suspected for perianal fistula were enrolled. All patients underwent physical examination with both the methods and subsequent surgery. Results. In the evaluation of CD perianal fistulas, there are no significant differences between 3D-EAUS and MRI in the identification of abscess and secondary extension. Considering the location, 3D-EAUS was more accurate than MRI in the detection of intersphincteric fistulas (p value = 10(−6)); conversely, MRI was more accurate than 3D-EAUS in the detection of suprasphincteric fistulas (p value = 0.0327) and extrasphincteric fistulas (p  value = 4 ⊕ 10(−6)); there was no significant difference between MRI and 3D-EAUS in the detection of transsphincteric fistulas. Conclusions. Both 3D-EAUS and MRI have a crucial role in the evaluation and detection of CD perianal fistulas. 3D-EAUS was preferable to MRI in the detection of intersphincteric fistulas; conversely, in the evaluation of suprasphincteric and extrasphincteric fistulas the MRI was preferable to 3D-EAUS.
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spelling pubmed-47068852016-01-27 3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease Alabiso, Maria Eleonora Iasiello, Francesca Pellino, Gianluca Iacomino, Aniello Roberto, Luca Pinto, Antonio Riegler, Gabriele Selvaggi, Francesco Reginelli, Alfonso Gastroenterol Res Pract Research Article Aim. This study aspires to assess the role of 3D-Endoanal Ultrasound (3D-EAUS) and Magnetic Resonance Imaging (MRI) in preoperative evaluation of the primary tract and internal opening of perianal fistulas, of secondary extensions and abscess. Methods. During 2014, 51 Crohn's disease patients suspected for perianal fistula were enrolled. All patients underwent physical examination with both the methods and subsequent surgery. Results. In the evaluation of CD perianal fistulas, there are no significant differences between 3D-EAUS and MRI in the identification of abscess and secondary extension. Considering the location, 3D-EAUS was more accurate than MRI in the detection of intersphincteric fistulas (p value = 10(−6)); conversely, MRI was more accurate than 3D-EAUS in the detection of suprasphincteric fistulas (p value = 0.0327) and extrasphincteric fistulas (p  value = 4 ⊕ 10(−6)); there was no significant difference between MRI and 3D-EAUS in the detection of transsphincteric fistulas. Conclusions. Both 3D-EAUS and MRI have a crucial role in the evaluation and detection of CD perianal fistulas. 3D-EAUS was preferable to MRI in the detection of intersphincteric fistulas; conversely, in the evaluation of suprasphincteric and extrasphincteric fistulas the MRI was preferable to 3D-EAUS. Hindawi Publishing Corporation 2016 2015-12-27 /pmc/articles/PMC4706885/ /pubmed/26819596 http://dx.doi.org/10.1155/2016/1895694 Text en Copyright © 2016 Maria Eleonora Alabiso et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Alabiso, Maria Eleonora
Iasiello, Francesca
Pellino, Gianluca
Iacomino, Aniello
Roberto, Luca
Pinto, Antonio
Riegler, Gabriele
Selvaggi, Francesco
Reginelli, Alfonso
3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease
title 3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease
title_full 3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease
title_fullStr 3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease
title_full_unstemmed 3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease
title_short 3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease
title_sort 3d-eaus and mri in the activity of anal fistulas in crohn's disease
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706885/
https://www.ncbi.nlm.nih.gov/pubmed/26819596
http://dx.doi.org/10.1155/2016/1895694
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