MRI Case Report of Perianal Fistula with T2 TSE SPIR Sequence
DOI:
https://doi.org/10.31965/infokes.Vol21.Iss2.1050Keywords:
MRI Perianal Fistula, T2 TSE SPIR, Gadoteric Acid, Sense Body CoilAbstract
MRI is a diagnostic imaging tool crucial for pelvic examination in perianal fistula cases. MRI imaging offers some advantages, especially in showing the area of spesi and secondary dilatation. Both have a high recurrence rate after surgery and an important role in determining surgical outcomes and minimizing complications. This study aims to evaluate pelvic MRI examination of perianal fistulas using the T2 TSE SPIR (Turbo Spin Echo Spectral Presaturation with Inversion Recovery) sequence. Research design used a qualitative descriptive method with participatory observation through a case study approach to Perianal Fistula using T2 TSE_SPIR. It was carried out at the Radiology Department of Mayapada Hospital in South Jakarta from August to December 2022. The MRI equipment Philips Achieva 1.5 Tesla with Sense Body Coil. MRI contrast agent of gadoteric acid, Vitamin E capsule, was attached to the perianal fistula location to make it easier for the radiologist to see the path of the perianal fistula. The results of Pelvis MRI images in perianal fistulas using the T2 TSE SPIR sequence shown with clear boundaries of perianal fistulas with anal organs, sigmoid colon, bladder, and prostate between one organ and another. Implementing the selection of the T2 TSE SPIR sequence to visualize fluid images becomes hyper-intensive by suppressing fat signals so that only fluid is visible in the perianal abscess and fistula images.
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Amarprakash, D., Zishan, A., Mayur, P., Nisha, T., Bibek, M., & Shivraj, N. (2022). Management of high anal complex Fistula by modified Kshar Sutra therapy. International Journal of Health Sciences, 13, 3341–3350. https://doi.org/10.53730/ijhs.v6ns4.9565
Amato, A., Bottini, C., De Nardi, P., Giamundo, P., Lauretta, A., Realis Luc, A., & Piloni, V. (2020). Evaluation and management of perianal abscess and anal fistula: SICCR position statement. Techniques in Coloproctology, 24(2), 127–143. https://doi.org/10.1007/s10151-019-02144-1
Braun, J., Busse, R., Darmon-Kern, E., Heine, O., Auer, J., Meyl, T., Maurer, M., Hamm, B., & de Bucourt, M. (2020). Baseline characteristics, diagnostic efficacy, and peri-examinational safety of IV gadoteric acid MRI in 148,489 patients. Acta Radiologica, 61(7), 910–920. https://doi.org/10.1177/0284185119883390
Cerit, M. N., Öner, A. Y., Yıldız, A., Cindil, E., Şendur, H. N., & Leventoğlu, S. (2020). Perianal fistula mapping at 3 T: volumetric versus conventional MRI sequences. Clinical Radiology, 75(7), 563.e1-563.e9. https://doi.org/10.1016/j.crad.2020.03.034
Chen, I. E., Ferraro, R., Chow, L., & Bahrami, S. (2021). Guided tour of hidden tracts in the pelvis: exploring pelvic fistulas. Archives of Gynecology and Obstetrics, 304(4), 863–871. https://doi.org/10.1007/s00404-021-06144-1
Criado, J. de M., del Salto, L. G., Rivas, P. F., del Hoyo, L. F. A., Velasco, L. G., Isabel Díez Pérez de las Vacas, M., Marco Sanz, A. G., Paradela, M. M., & Moreno, E. F. (2018). MR imaging evaluation of perianal fistulas: Spectrum of imaging features. Radiographics, 32(1), 175–194. https://doi.org/10.1148/rg.321115040
Das, G. C., & Chakrabartty, D. K. (2021). Best non-contrast magnetic resonance imaging sequence and role of intravenous contrast administration in evaluation of perianal fistula with surgical correlation. Abdominal Radiology, 46(2), 469–475. https://doi.org/10.1007/s00261-020-02616-1
Delfaut, E. M., Beltran, J., Johnson, G., Rousseau, J., Marchandise, X., & Cotten, A. (1999). Fat suppression in MR imaging: Techniques and pitfalls. Radiographics, 19(2), 373–382. https://doi.org/10.1148/radiographics.19.2.g99mr03373
Deprest, J., Page, A.-S., Wolthuis, A., & Housmans, S. (2021). Laparoscopic Pelvic Floor Surgery. In Pelvic Floor Disorders. https://doi.org/10.1007/978-3-030-40862-6_56
GE Health Care. (2017). Gadoteric Acid. GE Healthcare AS. https://www.gehealthcare.in/-/jssmedia/gehc/in/images/products/contrast-media/clariscan-pi.pdf?rev=-1&hash=11CCB6CC88CE8582BA3F1DAF37160C5A
Halligan, S. (2020). Magnetic Resonance Imaging of Fistula-In-Ano. Magnetic Resonance Imaging Clinics of North America, 28(1), 141–151. https://doi.org/10.1016/j.mric.2019.09.006
Ho, E., Rickard, M. J. F. X., Suen, M., Keshava, A., Kwik, C., Ong, Y. Y., & Yang, J. (2019). Perianal sepsis: surgical perspective and practical MRI reporting for radiologists. Abdominal Radiology, 44(5), 1744–1755. https://doi.org/10.1007/s00261-019-01920-9
Hokkanen, S. R. K., Boxall, N., Khalid, J. M., Bennett, D., & Patel, H. (2019). Prevalence of anal fistula in the United Kingdom. World Journal of Clinical Cases, 7(14), 1795–1804. https://doi.org/10.12998/wjcc.v7.i14.1795
Hyde, B. J., Byrnes, J. N., Occhino, J. A., Sheedy, S. P., & VanBuren, W. M. (2018). MRI review of female pelvic fistulizing disease. Journal of Magnetic Resonance Imaging, 48(5), 1172–1184. https://doi.org/10.1002/jmri.26248
Kakani, S. S., Dahiphale, D. B., Padiya, S. G., Dugad, V. G., Pole, S. M., & Poddar, T. A. (2021). Role of magnetic resonance imaging in diagnosis and grading of perianal fistulas. Asian Journal of Medical Sciences, 12(12), 140–146. https://doi.org/10.3126/ajms.v12i12.39695
Konan, A., Onur, M. R., & Özmen, M. N. (2018). The contribution of preoperative MRI to the surgical management of anal fistulas. Diagnostic and Interventional Radiology, 24(6), 321–327. https://doi.org/10.5152/dir.2018.18340
Lee, M. J., Parker, C. E., Taylor, S. R., Guizzetti, L., Feagan, B. G., Lobo, A. J., & Jairath, V. (2018). Efficacy of Medical Therapies for Fistulizing Crohn’s Disease: Systematic Review and Meta-analysis. Clinical Gastroenterology and Hepatology, 16(12), 1879–1892. https://doi.org/10.1016/j.cgh.2018.01.030
Madany, A. H., Murad, A. F., Kabbash, M. M., & Ahmed, H. M. (2023). Magnetic resonance imaging in the workup of patients with perianal fistulas. Egyptian Journal of Radiology and Nuclear Medicine, 54(1). https://doi.org/10.1186/s43055-023-00975-5
McRobbie, D. W., Moore, E. A., & Graves, M. J. (2017). MRI from picture to proton. In MRI from Picture to Proton. https://doi.org/10.2214/ajr.182.3.1820592
Molteni, R. de A., Bonin, E. A., Baldin Júnior, A., Barreto, R. A. Y., Brenner, A. S., Lopes, T. L., Volpato, A. P. D. J., & Sartor, M. C. (2018). Usefulness of endoscopic ultrasound for perianal fistula in crohn’s disease. Revista Do Colegio Brasileiro de Cirurgioes, 45(6), 1–10. https://doi.org/10.1590/0100-6991e-20181840
Moon, W. J., Cho, Y. A., Hahn, S., Son, H. M., Woo, S. K., & Lee, Y. H. (2021). The Pattern of Use, Effectiveness, and Safety of Gadoteric Acid (Clariscan) in Patients Undergoing Contrast-Enhanced Magnetic Resonance Imaging: A Prospective, Multicenter, Observational Study. Contrast Media and Molecular Imaging, 2021(March 2013). https://doi.org/10.1155/2021/4764348
Murphy, A. (2020). Fat suppressed imaging. TREN MD. Retrieved from https://radiopaedia.org/articles/fat-suppressed-imaging
Sarda, H., Pandey, A., Regmi, S., & Masood, S. (2022). Magnetic resonance imaging for fistulography in perianal fistula: clinicoradiological correlation. International Surgery Journal, 9(9), 1553. https://doi.org/10.18203/2349-2902.isj20222094
Sarma, A. D. (2019). Role of MRI in Perianal Fistulas. JASC : Journal of Applied Science and Computations, VI(V1), 2493–2506.
Shahzad, M., Anjum, N., Siraj, S., Omer, M., Shabbir, R., & Masood, A. (2021). Effectiveness of Radiological Imaging Techniques (X-Rays, Mdct, and Mri) for Diagnosis of Pelvic Fistula: a Systematic Review. Biological and Clinical Sciences Research Journal, 2021(1), 1–7. https://doi.org/10.54112/bcsrj.v2021i1.62
Sharma, A., Yadav, P., Sahu, M., & Verma, A. (2020). Current imaging techniques for evaluation of fistula in ano: a review. Egyptian Journal of Radiology and Nuclear Medicine, 51(1). https://doi.org/10.1186/s43055-020-00252-9
Sharma, U. K., Thapaliya, S., Pokhrel, A., Shrestha, M. B., Baskota, B. D., Thapa, D. K., & Rai, U. (2022). MR Imaging Evaluation of Perianal fistulae. Medical Journal of Eastern Nepal, 1(1), 1–6. https://doi.org/10.3126/mjen.v1i1.45853
Singh, A., Kaur, G., Singh, J. I., & Singh, G. (2022). Role of Transcutaneous Perianal Ultrasonography in Evaluation of Perianal Fistulae with MRI Correlation. Indian Journal of Radiology and Imaging, 32(1), 51–61. https://doi.org/10.1055/s-0042-1743111
Westbrook, C. (2013). Handbook of MRI Technique (Third Edit). Willey Blackwell.
Westbrook, C., & Talbot, J. (2019). MRI in Practice. John Wiley & Sons.
Wahyuningtiyas, I. M., & Apriantoro, N. H. (2020). Perbedaan Informasi Citra Anatomi Lumbal Sequence T2 Fat Suppresion Antara Metode SPAIR dan Dixion. 2-TRIK: TUNAS-TUNAS RISET KESEHATAN, 10(4), 289-294. Retrieved from http://2trik.jurnalelektronik.com/index.php/2trik/article/view/2trik10412
Włodarczyk, M., Włodarczyk, J., Sobolewska-Włodarczyk, A., Trzciński, R., Dziki, Ł., & Fichna, J. (2021). Current concepts in the pathogenesis of cryptoglandular perianal fistula. Journal of International Medical Research, 49(2). https://doi.org/10.1177/0300060520986669
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