{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T13:36:48Z","timestamp":1787060208720,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aimed to assess the correlation between preoperative magnetic resonance imaging (MRI) findings and intraoperative observations in patients diagnosed with anorectal fistulas and evaluate the diagnostic accuracy of MRI in identifying fistulous tracts, internal openings, and associated complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A prospective study was conducted at Pt. JNM Medical College, Raipur, from April 2018 to September 2019, involving 30 patients diagnosed with anorectal fistulas. Preoperative MRI scans were performed for all patients, and findings were compared with intraoperative observations. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of MRI in detecting internal openings, fistulous tracts, and abscesses were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among the 30 patients, 26 were male (86.66%) and 4 were female (13.33%), with a mean age of 35.6 years. MRI identified 63.33% of cases as simple fistulas and 36.66% as complex fistulas. The internal opening was most commonly located at the 6 o\u2019clock position (26.66%). MRI findings correlated with intraoperative findings in 86.66% of cases. The sensitivity of MRI was 100% for detecting simple tracts and 80% for detecting abscesses, with discrepancies observed in 13.33% of cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>MRI proved to be a valuable tool in the preoperative evaluation of anorectal fistulas, demonstrating high accuracy in identifying fistulous tracts and associated complications. However, in some cases, intraoperative findings differed from MRI, emphasizing the need for thorough surgical exploration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1412_24","type":"journal-article","created":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:04:00Z","timestamp":1735257840000},"page":"S3992-S3995","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Assessment of Clinical MRI and Intraoperative Findings in Cases of Anorectal Fistula"],"prefix":"10.4103","volume":"16","author":[{"given":"Narendra P.","family":"Narsingh","sequence":"first","affiliation":[{"name":"Department of Surgery, Government Medical College, Mahasamund, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varun","family":"Goswami","sequence":"additional","affiliation":[{"name":"Department of Surgery, Raipur Institute of Medical Sciences Godhi, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjana","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Nursing, Shalinitai Meghe College of Nursing, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,12,27]]},"reference":[{"key":"R1-20241227","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/bjs.1800630102","article-title":"A classification of fistula-in-ano","volume":"63","author":"Parks","year":"1976","journal-title":"Br J Surg"},{"key":"R2-20241227","first-page":"453","article-title":"Anorectal disease:Preoperative evaluation with endoanal MR imaging and endoanal sonography","volume":"212","author":"Stoker","year":"1999","journal-title":"Radiology"},{"key":"R3-20241227","first-page":"761","article-title":"Fistulotomy or seton in anal fistula:Clinical and manometric results","volume":"27","author":"Ratto","year":"2012","journal-title":"Int J Colorectal Dis"},{"key":"R4-20241227","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1007\/BF02054434","article-title":"Anal fistula surgery. Factors associated with recurrence and incontinence","volume":"39","author":"Garcia-Aguilar","year":"1996","journal-title":"Dis Colon Rectum"},{"key":"R5-20241227","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1148\/radiographics.20.3.g00mc15623","article-title":"MR imaging classification of perianal fistulas and its implications for patient management","volume":"20","author":"Morris","year":"2000","journal-title":"Radiographics"},{"key":"R6-20241227","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1007\/BF02054416","article-title":"Magnetic resonance imaging of fistula-in-ano","volume":"37","author":"Lunniss","year":"1994","journal-title":"Dis Colon Rectum"},{"key":"R7-20241227","first-page":"75","article-title":"Preoperative MR imaging of anal fistulas:Does it help the surgeon?Radiology","volume":"218","author":"Beets-Tan","year":"2001"},{"key":"R8-20241227","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1148\/radiol.2391041043","article-title":"Imaging of fistula-in-ano","volume":"239","author":"Halligan","year":"2006","journal-title":"Radiology"},{"key":"R9-20241227","first-page":"51","article-title":"MR imaging of perianal fistulas","volume":"51","author":"Villa","year":"2013","journal-title":"Radiol Clin North Am"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1412_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:45Z","timestamp":1786650045000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1412_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":9,"journal-issue":{"issue":"Suppl 4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1412_24","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]},"assertion":[{"value":"2024-10-06","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}