Kanchan Gupta MD, Presenter: Nothing to Disclose

Rahul Bhushan Gujrathi MD, Abstract Co-Author: Nothing to Disclose

Tanvi S. Jakhi MBBS, Abstract Co-Author: Nothing to Disclose

Vivhek Pai, Abstract Co-Author: Nothing to Disclose

Isha Prakash Kotecha MBBS, Abstract Co-Author: Nothing to Disclose

Bhujang Upendra Pai, Abstract Co-Author: Nothing to Disclose

1. To study perianal anatomy on 3T MRI 2. To outline MR classification of perianal fistulas 3. To illustrate spectrum of findings of perianal fistulas on 3T MRI  

Detailed assessment of perianal fistulae, their anatomical extent and associated complications play a crucial role in preoperative surgical planning and favourable outcome. Multiplanar imaging and excellent soft tissue resolution on 3T enables accurate delineation of primary and secondary tracks and associated complications. Retrospective review of 63 cases of perianal fistulas scanned between January 2010 to January 2014 on 3T MRI revealed a spectrum of findings. The findings encountered and illustrated in our exhibit include intersphincteric , transphicteric , extrasphinteric extent; secondary tracts in various planes; perianal abscesses ; supralevator extent, in isolation and / or variable combinations. Purpose of our exhibit is to understand the anatomy of perianal region and varied appearance of perianal fistulas, enabling radiologists to road map these primary and secondary tracks helping in favorable surgical outcome.  

http://abstract.rsna.org/uploads/2014/14017776/14017776_rtbt.pdf

Gupta, K, Gujrathi, R, Jakhi, T, Pai, V, Kotecha, I, Pai, B, 3T MRI in Perianal Fistulas: Road Mapping the Tracks.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14017776.html