Comparison of MR-sequence in the diagnosis of anal fistula--the clinical value of 3D flash / 华中科技大学学报（医学）（英德文版）

ABSTRACT

To elevate the clinical value of 3D-FLASH in the diagnosis of anal fistula and compare it with convertioned MR sequence, MR sequences, consisting of spin echo T1WI, turbo invertion recovery magnitude (TIRM), fast low-angle shot image (FLASH), mon-enhancement and enhancement substraction and coronary reconstructing, was conducted in 15 cases suspected of anal fistula. Comparison was made among the three sequences in display rate of internal fistula, external fistula, the branch of fistule connulas. Our results showed that 1 patient had perianal abscess. 24 different anal fistulas were identified in 14 patients, and 10 of them was complicated with perianal abscess and 8 of them with complex multi-branch fistula. The display rate of 3D-FLASH sequence was much higher than those of T1WI and TIRM in all cases. It is concluded that 3D-FLASH sequence is an senstive and time-efficient technique for the diagnosis of anal fistula.