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Utility of magnetic resonance imaging in anorectal disease

查看全文 作  者:Loren [1]Berman;Gary M [2]Israel;Shirley M [2]McCarthy;Jeffrey C [2]Weinreb;Walter E [1]Longo 高影响力作者 机构地区:[1]Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, United States;[2]Department of Radiology, Yale University School of Medicine, New Haven, Connecticut, United States高影响力机构 出  处:《World Journal of Gastroenterology》索引2007年第13卷第23期,共6页高影响力期刊 摘  要:Imaging of both benign and malignant anorectal diseases has traditionally posed a challenge to clinicians, and as a result history and physical exam have been relied on heavily. CT scanning and endorectal ultrasound have become popular in assessment of anatomy and staging of tumors, but have limitations. Magnetic resonance imaging (MRI) has the capability to fill in the gaps left open by more conventional imaging modalities and continues to be promising as the definitive imaging technique in the pelvis, especially with advancement of emerging technologies in this field. A comprehensive review of this topic has been undertaken. Anorectal disease is divided into three broad categories: cancer, fistula/abscess, and pelvic floor disorders. A review of the literature is performed to evaluate the use of MRI and other imaging modalities in these three areas. Preoperative imaging is useful in the evaluation of all three areas of anorectal disease. MRI is an effective tool in delineating anatomy and, when correlating with the specific clinical scenario, is an effective adjunct in clinical decision-making in order to optimize outcome. MRI continues to be a promising and novel approach to imaging various afflictions of the anorectum and the pelvic floor. Its role is more well-established in some areas than in others, and there are still signif icant limitations. As technology advances, MRI will shed more light on a complex anatomical area. 关 键 词:磁共振成像 直肠癌 肛门瘘 脓肿
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