Hydrogen peroxide-enhanced magnetic resonance imaging: A novel approach for diagnosing anorectal-fistula.

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Riya Karmakar, Devansh Gupta, Arvind Mukundan, Hsiang-Chen Wang
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引用次数: 0

Abstract

In this editorial, a commentary on the article by Chang et al has been provided, the course of treatment of anorectal fistulas, especially complex and recurring ones, require accurate diagnostic procedures for determining ideal surgical procedures. Conventional ways of imaging sometimes fall short, offering insufficient insights in aggravated instances. In this editorial, a novel application of hydrogen peroxide-enhanced magnetic resonance imaging (HP-MRI) that promises significant improvements in the imaging of anorectal fistula. Study is based on a retrospective investigation of 60 patients, contrasts the new HP-MRI with conventional diagnostic techniques such as physical examination, trans-perineal ultrasonography and poor spatial resolution MRI. The findings demonstrate HP-MRI's incredible diagnostic performance, with sensitivity and specificity rates of 96.08% and 90.91%, respectively, and unparalleled interobserver agreement (Kappa values ranging from 0.80 to 0.89). It has been a significant advancement for assessment of anorectal fistulas providing a better roadmap for surgical planning, lowering recurrence rates as well as reduced personal and financial burden on patients by reducing the need for repeated treatment and extended hospital stays. The remaining funds can be utilized for treatment of other medical need. Ultimately HP-MRI provides us a healthier & more efficient society by improvising patients well-being & optimized healthcare infrastructure.

双氧水增强磁共振成像:一种诊断肛门直肠瘘的新方法。
在这篇社论中,对Chang等人的文章进行了评论,指出肛肠瘘的治疗过程,特别是复杂和复发的肛肠瘘,需要准确的诊断程序来确定理想的手术方式。传统的成像方法有时会有不足之处,在严重情况下无法提供足够的洞察力。在这篇社论中,过氧化氢增强磁共振成像(HP-MRI)的一项新应用有望显著改善肛管直肠瘘的成像。本研究基于对60例患者的回顾性调查,将新型HP-MRI与常规诊断技术(如体格检查、经会阴超声检查和低空间分辨率MRI)进行对比。结果表明HP-MRI具有令人难以置信的诊断性能,其灵敏度和特异性分别为96.08%和90.91%,并且具有无与伦比的观察者间一致性(Kappa值范围为0.80至0.89)。这是肛肠瘘评估的重大进展,为手术计划提供了更好的路线图,降低了复发率,并通过减少重复治疗和延长住院时间减轻了患者的个人和经济负担。其余资金可用于治疗其他医疗需要。最终,HP-MRI通过改善患者健康和优化医疗基础设施,为我们提供了一个更健康、更高效的社会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World journal of radiology
World journal of radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
自引率
8.00%
发文量
35
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