{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T21:37:25Z","timestamp":1779226645109,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2009,10,23]],"date-time":"2009-10-23T00:00:00Z","timestamp":1256256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose:<\/jats:title><jats:p>To retrospectively determine the additional value of diffusion\u2010weighted magnetic resonance imaging (MRI) to T2\u2010weighted imaging in the evaluation of anal fistulae in comparison with gadolinium (Gd)\u2010enhanced imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods:<\/jats:title><jats:p>Thirteen patients (mean age, 35.2 years) with 20 anal fistulae were included. The protocol consisted of fat\u2010suppressed T2\u2010weighted fast spin\u2010echo, diffusion\u2010weighted single\u2010shot echo\u2010planar (b factors 0 and 800 s\/mm<jats:sup>2<\/jats:sup>), and fat\u2010suppressed Gd\u2010enhanced T1\u2010weighted gradient echo sequences. Two radiologists evaluated images in consensus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Eighteen (90%) fistulae were detected on T2\u2010weighted images, and 19 (95%) and 19 (95%) were detected on diffusion\u2010weighted and T2\u2010weighted images combined and on Gd\u2010enhanced and T2\u2010weighted images combined, respectively. There was no statistically significant difference in sensitivity of the techniques (<jats:italic>P<\/jats:italic> &gt; 0.5 for all comparison pairs). Confidence scores with diffusion\u2010weighted and T2\u2010weighted images combined or those with Gd\u2010enhanced and T2\u2010weighted images combined were significantly greater than those with T2\u2010weighted images alone (<jats:italic>P<\/jats:italic> = 0.0047 and 0.014, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>Diffusion\u2010weighted MRI of anal fistulae is a useful sequence and can be a helpful adjunct to T2\u2010weighted imaging, especially in patients with risk factors for contrast agents. J. Magn. Reson. Imaging 2009;30:1021\u20131026. \u00a9 2009 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmri.21934","type":"journal-article","created":{"date-parts":[[2009,10,23]],"date-time":"2009-10-23T21:33:04Z","timestamp":1256333584000},"page":"1021-1026","source":"Crossref","is-referenced-by-count":88,"title":["Diffusion\u2010weighted MRI: A new tool for the diagnosis of fistula in ano"],"prefix":"10.1002","volume":"30","author":[{"given":"Masatoshi","family":"Hori","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aytekin","family":"Oto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Orrin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard L.","family":"Baron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,10,23]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"219","article-title":"Fistula\u2010in\u2010ano in a defined population. Incidence and epidemiological aspects","volume":"73","author":"Sainio P","year":"1984","journal-title":"Ann Chir Gynaecol"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.152.5.999"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(92)91472-K"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2001.28676"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2333031724"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2391041043"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11605-9"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.167.3.8751692"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.08.1038.1"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.21708"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004424-198411000-00005"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.06.1403"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/mrm.20645"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800630102"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.10436"}],"container-title":["Journal of Magnetic Resonance Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjmri.21934","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jmri.21934","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T23:31:50Z","timestamp":1696894310000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jmri.21934"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,10,23]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2009,11]]}},"alternative-id":["10.1002\/jmri.21934"],"URL":"https:\/\/doi.org\/10.1002\/jmri.21934","archive":["Portico"],"relation":{},"ISSN":["1053-1807","1522-2586"],"issn-type":[{"value":"1053-1807","type":"print"},{"value":"1522-2586","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,10,23]]}}}