Ideal combination of MRI sequences for perianal fistula classification and the evaluation of additional findings for readers with varying levels of experience

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dc.contributor.buuauthorYıldırım, Nalan
dc.contributor.buuauthorGökalp, Gökhan
dc.contributor.buuauthorÖztürk, Ersin
dc.contributor.buuauthorZorluoğlu, Abdullah
dc.contributor.buuauthorYılmazlar, Tuncay
dc.contributor.buuauthorErcan, İlker
dc.contributor.buuauthorSavcı, Gürsel
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Genel Cerrahi Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-2382-290Xtr_TR
dc.contributor.researcheridAAH-5481-2021tr_TR
dc.contributor.researcheridAAI-2336-2021tr_TR
dc.contributor.scopusid36867883100tr_TR
dc.contributor.scopusid8312505100tr_TR
dc.contributor.scopusid35070171400tr_TR
dc.contributor.scopusid6602076843tr_TR
dc.contributor.scopusid6701800362tr_TR
dc.contributor.scopusid6603789069tr_TR
dc.contributor.scopusid6603625971tr_TR
dc.date.accessioned2022-04-12T05:44:30Z
dc.date.available2022-04-12T05:44:30Z
dc.date.issued2012-01
dc.description.abstractPURPOSE: The aim of our study was to assess the contribution of various magnetic resonance imaging (MRI) sequences in determining the type of perianal fistula and in obtaining critical information for surgical decisions, as well as to define the optimal combination of sequences for readers with varying levels of experience. MATERIALS AND METHODS: The study included 33 MRI examinations in 26 patients with suspected perianal fistula. The following sequences were obtained in both the coronal and axial planes: thin slice, high resolution T1-weighted (W) spin echo; T2-weighted turbo spin echo; short tau inversion recovery (STIR); and native and contrast enhanced T1 -weighted gradient echo fast low-angle shot (FLASH) images with fat suppression (FS-CE-T1W-GRE). The examinations were interpreted by three radiologists with varying degrees of experience in two different sessions, and the inter-reader agreement was assessed. Seventeen of the patients underwent surgery. The agreement between the surgical findings and the MRI results were evaluated. RESULTS: A statistically significant concordance between the fistula classification and surgery was achieved with the FS-CE-T1W-GRE sequence for Reader 1 (Cramer's V=0.701, P = 0,022) and Reader 3 (Cramer's V=0.716, P = 0,043). For Reader 2, statistically significant concordance between fistula classification and surgery was achieved with the FS-CE-T1W-GRE (Cramer's V=0.703, P = 0,011) and the T2W images (Cramer's V=0.648, P = 0,027). For all sequences, there was statistically significant agreement between readers for fistula classification, internal opening location, and the presence of sinus tracts, abscess, a horseshoe component, and inflammation. CONCLUSION: For experienced readers, combining FS-CE-T1W-GRE images with either T2W or STIR images collected in both the coronal and axial planes was sufficient to make an assessment before deciding the surgical extent of the procedure.en_US
dc.identifier.citationYıldırım, N. vd. (2012). "Ideal combination of MRI sequences for perianal fistula classification and the evaluation of additional findings for readers with varying levels of experience". Diagnostic and Interventional Radiology, 18(1), 11-19.tr_TR
dc.identifier.endpage19tr_TR
dc.identifier.issn1305-3612
dc.identifier.issue1tr_TR
dc.identifier.pubmed21348010tr_TR
dc.identifier.scopus2-s2.0-84855453222tr_TR
dc.identifier.startpage11tr_TR
dc.identifier.urihttps://doi.org/10.4261/1305-3825.DIR.4092-10.1
dc.identifier.urihttps://www.dirjournal.org/en/ideal-combination-of-mri-sequences-for-perianal-fistula-classification-and-the-evaluation-of-additional-findings-for-readers-with-varying-levels-of-experience-13641
dc.identifier.urihttp://hdl.handle.net/11452/25713
dc.identifier.volume18tr_TR
dc.identifier.wos000298828300002tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherAVESen_US
dc.relation.journalDiagnostic and Interventional Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectRadiology, nuclear medicine & medical imagingen_US
dc.subjectRectal fistulaen_US
dc.subjectMagnetic resonance imagingen_US
dc.subjectAnal fistulas In-anoen_US
dc.subjectCrohn diseaseen_US
dc.subjectDiagnosisen_US
dc.subjectFistulographyen_US
dc.subjectToolen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeAnus fistulaen_US
dc.subject.emtreeAnus surgeryen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeClinical articleen_US
dc.subject.emtreeClinical decision makingen_US
dc.subject.emtreeClinical featureen_US
dc.subject.emtreeContrast enhancementen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeDiagnostic accuracyen_US
dc.subject.emtreeDisease classificationen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeImage analysisen_US
dc.subject.emtreeInflammationen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeNuclear magnetic resonance imagingen_US
dc.subject.emtreePatient assessmenten_US
dc.subject.emtreePerianal abscessen_US
dc.subject.emtreePhysician attitudeen_US
dc.subject.emtreeRadiologisten_US
dc.subject.emtreeTreatment planningen_US
dc.subject.emtreeWork experienceen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshAnus diseasesen_US
dc.subject.meshClinical competenceen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIntestinal fistulaen_US
dc.subject.meshMagnetic resonance imagingen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshRectal fistulaen_US
dc.subject.meshRetrospective studiesen_US
dc.subject.scopusRectum Fistula; Continence; Crohn's Diseaseen_US
dc.subject.wosRadiology, nuclear medicine & medical imagingen_US
dc.titleIdeal combination of MRI sequences for perianal fistula classification and the evaluation of additional findings for readers with varying levels of experienceen_US
dc.typeArticle
dc.wos.quartileQ4en_US

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