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There were five discordancies: DCEMRI showed an ischiorectal abscess and track with no enteric connection in one patient who at operation was found to have a well epithelialized primary fistula. Four patients with fistulas on DCEMRI had no enteric opening found at surgery and were treated as having sinuses. Long-term follow-up has shown failure to heal in all patients and further surgery confirmed missed fistula. Compared with final outcome measures DCEMRI had a sensitivity of 97 per cent and specificity of 100 per cent in the detection of fistula. DCEMRI also identified more secondary tracks and was more accurate at identifying complex fistulas than either digital rectal examination alone or surgical exploration.<\/jats:p>","DOI":"10.1002\/bjs.1800831022","type":"journal-article","created":{"date-parts":[[2007,3,1]],"date-time":"2007-03-01T11:13:57Z","timestamp":1172747637000},"page":"1396-1398","source":"Crossref","is-referenced-by-count":88,"title":["Prospective evaluation of dynamic contrast enhanced magnetic resonance imaging in the evaluation of fistula <i>in ano<\/i>"],"prefix":"10.1093","volume":"83","author":[{"given":"I J","family":"Beckingham","sequence":"first","affiliation":[{"name":"Department of Surgery, St James's Hospital , Leeds,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J A","family":"Spencer","sequence":"additional","affiliation":[{"name":"Department of Radiology, St James's Hospital , Leeds,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Ward","sequence":"additional","affiliation":[{"name":"Department of Radiology, St James's Hospital , Leeds,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G W","family":"Dyke","sequence":"additional","affiliation":[{"name":"Department of Surgery, St James's Hospital , Leeds,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Surgery, St James's Hospital , Leeds,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N S","family":"Ambrose","sequence":"additional","affiliation":[{"name":"Department of Surgery, St James's Hospital , Leeds,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1996,10,1]]},"reference":[{"key":"2024092815573517100_bib1","first-page":"219","article-title":"Fistula in ano in a defined population. 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