ESGAR consensus statement on the imaging of fistula-in-ano and other causes of anal sepsis.
- Halligan S Centre for Medical Imaging, University College London UCL, Charles Bell House, 43-45 Foley Street, London, W1W 7TS, UK. s.halligan@ucl.ac.uk.
- Tolan D Department of Radiology, St James's University Hospital, Leeds Teaching Hospitals Trust, Leeds, UK.
- Amitai MM Department of Radiology, Sackler Faculty of Medicine, Tel Aviv University, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
- Hoeffel C Department of Radiology, Hôpital Robert-Debré, Reims, France.
- Kim SH Department of Radiology, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea.
- Maccioni F Department of Radiological Sciences, Sapienza University of Rome, Policlinico Umberto I Hospital, Rome, Italy.
- Morrin MM Department of Radiology, Beaumont Hospital, Dublin, Ireland.
- Mortele KJ Division of Abdominal Imaging, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
- Rafaelsen SR Colorectal Centre of Excellence, University Hospital of Southern Denmark, Vejle, Denmark.
- Rimola J Radiology Department, Hospital Clinic de Barcelona, Barcelona, Spain.
- Schmidt S Department of Radiology, University Hospital, CHUV, Lausanne, Switzerland.
- Stoker J Department of Radiology and Nuclear Medicine, Amsterdam UMC, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
- Yang J Department of Radiology, Concord Hospital, Sydney, Australia.
- 2020-04-21
Published in:
- European radiology. - 2020
English
OBJECTIVES
To develop imaging guidelines for patients with fistula-in-ano and other causes of anal sepsis.
METHODS
An expert group of 13 members of the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) used a modified Delphi process to vote on a series of consensus statements relating to the imaging of patients with potential anal sepsis. Participants first completed a questionnaire to gather practice information and to help frame the statements posed.
RESULTS
In the first round of voting, the expert group scored 51 statements of which 45 (88%) achieved immediate consensus. The remaining 6 statements were redrafted following input from the expert group and consensus achieved for all during a second round of voting, including an additional statement drafted. No statement was rejected due to a lack of consensus. After redrafting to improve clarity, 53 individual statements were presented.
CONCLUSION
These expert consensus statements can be used to guide appropriate indication, acquisition, interpretation and reporting of medical imaging for patients with potential fistula-in-ano and other causes of anal sepsis.
KEY POINTS
• Medical imaging, notably magnetic resonance imaging, is used widely for the diagnosis and monitoring of fistula-in-ano and other causes of anal and perianal sepsis. • While the indexed medical literature is clear that diagnostic accuracy is potentially excellent, this depends on competent image acquisition and interpretation. • In order to facilitate this, the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) has produced expert consensus guidelines regarding the imaging of fistula-in-ano and related conditions.
To develop imaging guidelines for patients with fistula-in-ano and other causes of anal sepsis.
METHODS
An expert group of 13 members of the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) used a modified Delphi process to vote on a series of consensus statements relating to the imaging of patients with potential anal sepsis. Participants first completed a questionnaire to gather practice information and to help frame the statements posed.
RESULTS
In the first round of voting, the expert group scored 51 statements of which 45 (88%) achieved immediate consensus. The remaining 6 statements were redrafted following input from the expert group and consensus achieved for all during a second round of voting, including an additional statement drafted. No statement was rejected due to a lack of consensus. After redrafting to improve clarity, 53 individual statements were presented.
CONCLUSION
These expert consensus statements can be used to guide appropriate indication, acquisition, interpretation and reporting of medical imaging for patients with potential fistula-in-ano and other causes of anal sepsis.
KEY POINTS
• Medical imaging, notably magnetic resonance imaging, is used widely for the diagnosis and monitoring of fistula-in-ano and other causes of anal and perianal sepsis. • While the indexed medical literature is clear that diagnostic accuracy is potentially excellent, this depends on competent image acquisition and interpretation. • In order to facilitate this, the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) has produced expert consensus guidelines regarding the imaging of fistula-in-ano and related conditions.
- Language
-
- English
- Open access status
- hybrid
- Identifiers
-
- DOI 10.1007/s00330-020-06826-5
- PMID 32307564
- Persistent URL
- https://folia.unifr.ch/global/documents/291354
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