Document Detail


Anal sphincter defects in patients with fecal incontinence: endoanal versus external phased-array MR imaging.
MedLine Citation:
PMID:  16014438     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To prospectively compare external phased-array magnetic resonance (MR) imaging with endoanal MR imaging in depicting external and internal anal sphincter defects in patients with fecal incontinence and to prospectively evaluate observer reproducibility in the detection of external and internal anal sphincter defects with both MR imaging techniques. MATERIALS AND METHODS: The medical ethics committees of both participating hospitals approved the study, and informed consent was obtained. Thirty patients (23 women, seven men; mean age, 58.7 years; range, 37-78 years) with fecal incontinence underwent MR imaging with both endoanal and external phased-array coils. MR images were evaluated by three radiologists with different levels of experience for external and internal anal sphincter defects. Measures of inter- and intraobserver agreement of both MR imaging techniques and of differences between both imaging techniques were calculated. RESULTS: Both MR imaging techniques did not significantly differ in the depiction of external (P > .99) and internal (P > .99) anal sphincter defects. The techniques corresponded in 25 (83%) of 30 patients for the depiction of external anal sphincter defects and in 28 (93%) of 30 patients for the depiction of internal anal sphincter defects. Interobserver agreement was moderate to good for endoanal MR imaging and poor to fair for external phased-array MR imaging. Intraobserver agreement ranged from fair to very good for both imaging techniques. CONCLUSION: External phased-array MR imaging is comparable to endoanal MR imaging in the depiction of clinically relevant anal sphincter defects. Because of the weak interobserver agreement, both MR imaging techniques can be recommended in the diagnostic work-up of fecal incontinence only if sufficient experience is available.
Authors:
Maaike P Terra; Regina G H Beets-Tan; Victor P M van Der Hulst; Marcel G W Dijkgraaf; Patrick M M Bossuyt; Annette C Dobben; Cor G M I Baeten; Jaap Stoker
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2005-07-12
Journal Detail:
Title:  Radiology     Volume:  236     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-24     Completed Date:  2005-10-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  886-95     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands. m.p.terra@amc.uva.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anal Canal / physiopathology*
Fecal Incontinence / physiopathology*
Female
Humans
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Prospective Studies
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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