Anal Fistula
Conditions
Brief summary
Magnetic resonance imaging (MRI) is the most used diagnostic tool for pre-operative assessment of anal fistula. However, there is lack of standardization in reporting this investigation. Moreover, reports may miss a number of key information for surgical planning. The aim of this study is to assess the effectiveness, reproducibility, and acceptability of a new template for reporting anal fistula, which may favor standardization in clinical practice and inform surgical decision making.
Interventions
DIAGNOSTIC_TESTMRI
Magnetic resonance imaging
Sponsors
Treviso Regional Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults with primary anal fistula (cryptoglandular or Crohn-related) undergoing MRI
Exclusion criteria
* Active cancer of the anorectum * Recto-vaginal fistula
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effectiveness of the novel template compared to standard reporting based on the number of key descriptors | 60 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Inter-rater agreement between two independent experienced radiologists using the novel template | 7 days | — |
| Qualitative analysis | 30 days | The 100 MRI investigations (100 original reports and 100 using the novel template) are sent to 20 experienced surgeons (10 randomly selected reports per surgeon, of which 5 reported conventionally and 5 using the novel template), who will complete a semistructured e-mail interview to collect in-depth information about any barriers and facilitators to implementation of the novel template, and ultimately explore surgical decision making. |
Countries
Italy
Contacts
Primary ContactUgo Grossi, PhD
Outcome results
None listed