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- Title
ESGAR consensus statement on the imaging of fistula-in-ano and other causes of anal sepsis.
- Authors
Halligan, S.; Tolan, D.; Amitai, M. M.; Hoeffel, C.; Kim, S. H.; Maccioni, F.; Morrin, M. M.; Mortele, K. J.; Rafaelsen, S. R.; Rimola, J.; Schmidt, S.; Stoker, J.; Yang, J.
- Abstract
<bold>Objectives: </bold>To develop imaging guidelines for patients with fistula-in-ano and other causes of anal sepsis.<bold>Methods: </bold>An expert group of 13 members of the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) used a modified Delphi process to vote on a series of consensus statements relating to the imaging of patients with potential anal sepsis. Participants first completed a questionnaire to gather practice information and to help frame the statements posed.<bold>Results: </bold>In the first round of voting, the expert group scored 51 statements of which 45 (88%) achieved immediate consensus. The remaining 6 statements were redrafted following input from the expert group and consensus achieved for all during a second round of voting, including an additional statement drafted. No statement was rejected due to a lack of consensus. After redrafting to improve clarity, 53 individual statements were presented.<bold>Conclusion: </bold>These expert consensus statements can be used to guide appropriate indication, acquisition, interpretation and reporting of medical imaging for patients with potential fistula-in-ano and other causes of anal sepsis.<bold>Key Points: </bold>• Medical imaging, notably magnetic resonance imaging, is used widely for the diagnosis and monitoring of fistula-in-ano and other causes of anal and perianal sepsis. • While the indexed medical literature is clear that diagnostic accuracy is potentially excellent, this depends on competent image acquisition and interpretation. • In order to facilitate this, the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) has produced expert consensus guidelines regarding the imaging of fistula-in-ano and related conditions.
- Subjects
SEPSIS; MAGNETIC resonance imaging; ANAL fistula; MEDICAL literature
- Publication
European Radiology, 2020, Vol 30, Issue 9, p4734
- ISSN
0938-7994
- Publication type
journal article
- DOI
10.1007/s00330-020-06826-5