Abstract：
:The aim of this study was to document the appearances of fistula-in-ano on magnetic resonance imaging (MRI) and to prospectively evaluate the accuracy of MRI in the pre-operative assessment of anal fistulae. Patients with a clinical diagnosis of fistula-in-ano and awaiting surgery (n = 35) were examined with MRI. The fistulous tracks with their secondary extensions and abscesses are readily seen as low signal on T1-weighted images and high signal areas on STIR images. In order to determine the accuracy of the MRI interpretations, an experienced coloproctologist operated on all 35 patients without the knowledge of the scan interpretations and the findings at surgery were compared with the MRI scan interpretations. Concordance rates between MRI and operative findings were 86% for presence and course of the primary track, 91% for the presence and site of secondary extensions or abscesses and 97% for the presence of horse-shoeing. Although operative findings by an experienced coloproctologist were taken as the gold standard, we have shown that in 9% of our study group, failure of healing was related to pathology missed at surgery which had been documented on pre-operative MRI. It is probable, therefore, that the accuracy of MRI is higher than the figures quoted above. MRI is advocated as the imaging method of choice in the assessment of anal fistulae and its use may lead to a reduction in the recurrence rate due to inaccurate surgical assessment.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Barker PG,Lunniss PJ,Armstrong P,Reznek RH,Cottam K,Phillips RKdoi
10.1016/s0009-9260(05)82906-xsubject
Has Abstractpub_date
1994-01-01 00:00:00pages
7-13issue
1eissn
0009-9260issn
1365-229Xjournal_volume
49pub_type
杂志文章abstract：:Interventional approaches to musculoskeletal tumours have significantly changed over the last several years, and new treatments continue to be developed. All ablative modalities are currently applied to the treatment of bone tumours, including radiofrequency, cryo-, microwave, and laser ablation devices. Indications f...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2017.02.019
更新日期：2017-08-01 00:00:00
abstract：:The different methods of classifying paranasal sinus tumours are summarised. Thirty patients with such tumours seen during the last 2 years were noted. All had had plain films and computed tomography (CT) and 16 conventional tomography. The tumours were staged using Lederman's classification after each investigation t...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(82)80054-8
更新日期：1982-03-01 00:00:00
abstract：AIM:To evaluate and compare the utility of contrast-enhanced three-dimensional (3D) T1-weighted high-resolution isotropic volume examination (THRIVE), spin-echo (SE) T1-weighted magnetic resonance imaging (MRI), and computed tomography (CT) for detecting clinically occult primary tumours in patients with cervical lymph...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2017.10.020
更新日期：2018-04-01 00:00:00
abstract：:Two cases of primary sarcoma of the pulmonary artery are presented. The variable clinical and radiographic features of this rare tumour are described with particular emphasis on its ability to mimic pulmonary thrombo-embolic disease. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80135-7
更新日期：1990-02-01 00:00:00
abstract：AIM:To assess the effect of changing from an "appointment" to a "same-day" ultrasound (US) service on referral pattern, departmental workload, and patient satisfaction. MATERIALS AND METHODS:To reduce US waiting time of 3 weeks for routine examinations, a "same-day" service was started for outpatients and general prac...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2009.09.009
更新日期：2010-01-01 00:00:00
abstract：:The complication rate following radiofrequency catheter ablation for atrial fibrillation is low (<5%). Complications include pericardial effusion, cardiac tamponade, pulmonary vein stenosis, oesophageal ulceration or perforation, atrio-oesophageal fistula formation, stroke/transient ischaemic attack, phrenic nerve inj...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2013.08.018
更新日期：2014-01-01 00:00:00
abstract：AIM:To ascertain whether magnetic resonance imaging (MRI) can be used to suggest a diagnosis of endometrial carcinosarcoma. MATERIALS AND METHODS:A retrospective imaging review was performed of the MRI images of 39 patients with endometrial carcinosarcoma. Anteroposterior and longitudinal dimensions of the uterus and ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2011.02.008
更新日期：2011-07-01 00:00:00
abstract：:The gigantiform cementoma presents as multiple opacities in the tooth-bearing areas of the jaws. Sixteen cases are presented, six of British Negresses and 10 of Hong Kong Chinese females. The differential diagnosis and management are briefly reviewed. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80082-0
更新日期：1992-05-01 00:00:00
abstract：:The imaging and clinical findings of 31 patients with supradiaphragmatic nodal metastases from primary testicular germ cell cancers were reviewed. In 11 patients the primary testicular tumor was a seminoma, and in 20 a non-seminomatous germ cell tumour (NSGCT). The patterns of spread of these tumour types were compare...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(96)80345-x
更新日期：1996-04-01 00:00:00
abstract：AIM:To evaluate the short-term results of percutaneous stent placement in treating stenosis in the aorta caused by non-specific aortitis (Takayasu's disease). METHOD:Five patients were treated by this method, all of whom had uncontrolled hypertension, haemodynamically significant stenosis in the aorta and a clinically...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(99)91239-4
更新日期：1999-01-01 00:00:00
abstract：:The combination of microbubble technology and complementary ultrasound techniques has resulted in the development of contrast-enhanced ultrasound (CEUS) and, although initial clinical applications largely focussed on the liver, these are now becoming more diverse. With regard to the kidney, it is a safe, well-tolerate...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2012.01.017
更新日期：2012-09-01 00:00:00
abstract：AIM:To study the safety, effectiveness and diagnostic value of transvenous forceps biopsy of the liver in 54 patients with coagulopathy, gross ascites or morbid obesity and suspected liver disease in whom percutaneous liver biopsy was contraindicated. MATERIAL AND METHODS:Forceps biopsy of the liver via the femoral ve...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(02)00576-7
更新日期：2003-06-01 00:00:00
abstract：AIM:To evaluate vertebral scalloping in patients with neurofibromatosis type 1 (NF-1) and spinal deformity using plain radiographs and magnetic resonance imaging (MRI), and to determine the possible aetiological association with neurofibromas, dural ectasia and lateral meningocoeles. MATERIAL AND METHODS:Nineteen pati...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2004.04.006
更新日期：2004-11-01 00:00:00
abstract：:Neuronal migration anomalies form a spectrum of congenital brain malformations with a variety of clinical manifestations. The widespread use of MRI in the investigation of neurological symptoms, and particularly in the imaging of epilepsy, has made the correct recognition and interpretation of these disorders importan...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/s0009-9260(96)80211-x
更新日期：1996-01-01 00:00:00
abstract：AIM:The aim of this study was to assess the CT manifestations of bronchocentric granulomatosis. SUBJECTS AND METHODS:The CT results of five patients with bronchocentric granulomatosis were retrospectively analysed. The patients ranged from 20 to 72 years of age and included three men and two women. The diagnosis of br...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.1999.0380
更新日期：2000-04-01 00:00:00
abstract：:Fibrous dysplasia affecting the spine is unusual. A further 11 cases are reported and the radiological features are described. The complications and difficulties with the diagnosis of this condition are discussed. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(88)80222-8
更新日期：1988-09-01 00:00:00
abstract：:Acalculous cholecystitis is usually seen in critically-ill patients while torsion of the gall-bladder tends to arise de novo, pre-disposed to by an absent mesentery. There are ultrasonic features in common but the most useful distinguishing finding is the sign of the 'floating gall-bladder'. A case is reported and the...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81142-0
更新日期：1993-04-01 00:00:00
abstract：AIM:To compare percutaneous endoscopic gastrostomy (PEG) with radiologically inserted gastrostomy (RIG) and assess a hybrid gastrostomy technique (per-oral image-guided gastrostomy, PIG). MATERIALS AND METHODS:Fifty PEGs and 50 RIGs performed in three centres were prospectively compared and the endoscopic findings of ...
journal_title：Clinical radiology
pub_type： 杂志文章,多中心研究
doi：10.1016/s0009-9260(03)00058-8
更新日期：2003-05-01 00:00:00
abstract：:A case of granular cell tumour (GCT) of the biliary tree is reported with the first published sonographic images of this tumour. The difficulty in distinguishing this tumour from cholelithiasis is illustrated. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81753-2
更新日期：1994-07-01 00:00:00
abstract：:Computed tomography (CT) studies of the brain are one of the most frequent examinations interpreted by radiologists out of hours. Apparently normal appearances in patients with significant neurological morbidity can be perplexing. As the contents of the cranium are normally remarkably symmetrical on axial CT, disease ...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2008.08.012
更新日期：2009-03-01 00:00:00
abstract：:The results of 100 attempts at endoscopic retrograde cholangio-pancreatography (ERCP) performed in patients with jaundice have been reviewed. The examination provided a diagnosis in 75% of cases. The reason for failure to cannulate the correct duct was obstruction at the lower end of the common bile duct in 15 patient...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(78)80236-0
更新日期：1978-03-01 00:00:00
abstract：:Intrascrotal masses in the adult are worrisome due to their possible malignancy. Most intratesticular masses are malignant whereas most extratesticular masses are benign. The differential diagnosis of intrascrotal cysts usually includes simple testicular cysts, intratesticular epidermoid and dermoid cysts, tunica albu...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)83198-8
更新日期：1995-08-01 00:00:00
abstract：AIM:To determine whether radiographers are able to perform and interpret barium swallows and meals (BSM) to an acceptable standard. MATERIALS AND METHODS:A retrospective audit was performed of all radiographer-managed BSMs over a 4-year period in an acute hospital. Descriptive statistics were used to analyse patient d...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2009.04.008
更新日期：2009-08-01 00:00:00
abstract：:Three cases of carbon granuloma are described following the instillation of carbon solution at the time of stereotactic fine needle aspiration for pre-operative localization of impalpable mammographic abnormalities. If the carbon track is not excised following carbon instillation the retained carbon may result in a gr...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(98)80198-0
更新日期：1998-11-01 00:00:00
abstract：AIM:To investigate the frequency, clinical significance, and outcome of small-bowel intussusceptions in adults detected using ultrasound in an outpatient setting. PATIENTS AND METHODS:In two different retrospective (January 2001 to April 2003) and prospective (May 2003 to June 2005) periods, 33 small-bowel intussuscep...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2007.02.009
更新日期：2007-08-01 00:00:00
abstract：:Congenital bronchial atresia (CBA) is a rare anomaly that results from a congenital focal obliteration of a proximal segmental or subsegmental bronchus with the normal development of distal structures. The short atretic segment leads to accumulation of mucus within the distal bronchi to form a bronchocoele and underve...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(99)91002-4
更新日期：1999-03-01 00:00:00
abstract：:The first European trial of iodixanol (Nycomed Imaging AS) in adult intravenous urography is reported. Iodixanol is a new non-ionic, dimeric contrast medium of low osmolality. A double-blind, randomized, three group parallel study comparing iodixanol 270 mgI/ml, iodixanol 320 mgI/ml and iopamidol 300 mgI/ml (Niopam) w...
journal_title：Clinical radiology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0009-9260(05)81801-x
更新日期：1994-05-01 00:00:00
abstract：:Ongoing research on malignant and normal cell biology has substantially enhanced the understanding of the biology of cancer and carcinogenesis. This has led to the development of methods to image the evolution of cancer, target specific biological molecules, and study the anti-tumour effects of novel therapeutic agent...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2015.06.082
更新日期：2015-10-01 00:00:00
abstract：:We describe 27 cases of bone tumours or tumour-like lesions where there was spontaneous regression. The follow-up period was 2.8-16.7 years (average, 7.0 years). Fourteen of these cases were no longer visible on plain radiographs. Histological diagnosis included exostosis, eosinophilic granuloma, fibrous dysplasia, fi...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2001.0795
更新日期：2001-11-01 00:00:00
abstract：:Magnetic resonance imaging (MRI), with its superior soft-tissue delineation, plays a pivotal role in the staging and surveillance of cancers affecting adult males, in particular, rectal, urinary bladder, and prostate cancers. There has been much recent interest in the complementary roles of diffusion-weighted imaging ...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2012.01.016
更新日期：2012-09-01 00:00:00
