{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:24:22Z","timestamp":1791483862517,"version":"4.3.4"},"reference-count":41,"publisher":"Baishideng Publishing Group Inc.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Gastrointest Surg"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>There is still considerable heterogeneity regarding which features of cryptoglandular anal fistula on magnetic resonance imaging (MRI) and endoanal ultrasound (EAUS) are relevant to surgical decision-making. As a consequence, the quality and completeness of the report are highly dependent on the training and experience of the examiners.<\/jats:p>\n          <jats:p>AIM<\/jats:p>\n          <jats:p>To develop a structured MRI and EAUS template (SMART) reporting the minimum dataset of information for the treatment of anal fistulas.<\/jats:p>\n          <jats:p>METHODS<\/jats:p>\n          <jats:p>This modified Delphi survey based on the RAND-UCLA appropriateness for consensus-building was conducted between May and August 2023. One hundred and fifty-one articles selected from a systematic review of the literature formed the database to generate the evidence-based statements for the Delphi study. Fourteen questions were anonymously voted by an interdisciplinary multidisciplinary group for a maximum of three iterative rounds. The degree of agreement was scored on a numeric 0\u201310 scale. Group consensus was defined as a score \u2265 8 for \u2265 80% of the panelists.<\/jats:p>\n          <jats:p>RESULTS<\/jats:p>\n          <jats:p>Eleven scientific societies (3 radiological and 8 surgical) endorsed the study. After three rounds of voting, the experts (69 colorectal surgeons, 23 radiologists, 2 anatomists, and 1 gastroenterologist) achieved consensus for 12 of 14 statements (85.7%). Based on the results of the Delphi process, the six following features of anal fistulas were included in the SMART: Primary tract, secondary extension, internal opening, presence of collection, coexisting lesions, and sphincters morphology.<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>A structured template, SMART, was developed to standardize imaging reporting of fistula-in-ano in a simple, systematic, time-efficient way, providing the minimum dataset of information and visual diagram useful to referring physicians.<\/jats:p>","DOI":"10.4240\/wjgs.v16.i10.3288","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T02:25:04Z","timestamp":1727403904000},"page":"3288-3300","source":"Crossref","is-referenced-by-count":15,"title":["Structured magnetic resonance imaging and endoanal ultrasound anal fistulas reporting template (SMART): An interdisciplinary Delphi consensus"],"prefix":"10.4240","volume":"16","author":[{"given":"Iwona","family":"Sudo\u0142-Szopi\u0144ska","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pankaj","family":"Garg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Mellgren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonino","family":"Spinelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Breukink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Iacobellis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u0142gorzata","family":"Ko\u0142odziejczak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Przemys\u0142aw","family":"Ciesielski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenssen","family":"Christian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"SMART Collaborative Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio Aniello","family":"Santoro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2024,10,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-020-02384-6"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.11152\/mu-2154"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-018-0975-3"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13172851"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-022-08931-z"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-019-01920-9"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-018-1858-8"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-020-06826-5"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v14.i4.271"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-021-03261-y"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.04.019"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2020.09.022"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001797"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002473"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-021-05233-5"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2024.12595"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1177\/0003134821989048"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.5114\/wiitm.2021.104368"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-019-6002-9"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.12.002"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.00457"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800630102"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-021-02483-y"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234179"},{"key":"B25","doi-asserted-by":"crossref","unstructured":"Santoro GA, Abbas MA.   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