BACKGROUND: To diagnose and characterize the perianal @entity66 using Magnetic resonance imaging (MRI) in a hilly and @entity4324 . MATERIAL/METHODS: This prospective hospital based study was conducted for a period of one year from April 2014 to April 2015 in the departments of Radiodiagnosis and Surgery of our institute. A total of 50 consecutive @entity1 presenting with perianal @entity66 fulfilling the inclusion and exclusion criteria were included in the study and taken up for MRI. The perianal fistulae were classified according to St James University hospital classification and tracks were assessed with regard to anatomical plane, length, ramifications, abscess formation, enteric communication, external cutaneous opening, enhancement and suprasphincteric extension. Surgical correlation was done in 31 @entity1 who opted for surgical treatment. Rest of the 19 @entity1 preferred alternative medicine for treatment or chose to postpone their surgery. RESULTS: The disease was much more prevalent in males in comparison to females with male to female ratio of 24:1. Grade 4 was the most common type of @entity292 (34%) while Grade 5 was the least common type (4%).MRI showed a high sensitivity of 93.7% and positive predictive value ( @entity2286 ) of 96.7% when correlated with surgical findings. A substantial number of @entity1 (38%) preferred alternative medicine or non surgical form of treatment. CONCLUSIONS: MRI is a very sensitive modality for the evaluation of perianal @entity292 . In our study group, the disease predominantly affected middle aged @entity1 . Ramifications and abscesses were commonly seen, affecting nearly half of the @entity1 and majority of the @entity1 had active fistulous tracks with posteriorly located enteric opening. Overall, transsphincteric fistulae were most common. Significant number of @entity1 avoided surgery or showed preference for non surgical treatment.

Magnetic Resonance Imaging (MRI) Characterization of Perianal XXXX in a Rural Based Tertiary Hospital of North India.

@entity1 :: ('9606', 'Species') :: ['patients', 'men'] @entity66 :: ('MESH:D004194', 'Disease') :: ['fistulous disease'] @entity2286 :: ('12211', 'Species') :: ['PPV'] @entity4324 :: ('MESH:C567261', 'Disease') :: ['rural area of North India'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula']
@entity66 :: (MESH:D004194,Disease) :: ['Fistulous Disease']
