Structured magnetic resonance imaging and endoanal ultrasound anal fistulas reporting template(SMART):An interdisciplinary Delphi consensus

作     者：Iwona Sudoł-Szopińska Pankaj Garg Anders Mellgren Antonino Spinelli Stephanie Breukink Francesca Iacobellis Małgorzata Kołodziejczak Przemysław Ciesielski Christian Jenssen SMART Collaborative Group Giulio Aniello Santoro 

作者机构：Department of RadiologyNational Institute of GeriatricsRheumatology and RehabilitationWarsaw 02-637Poland Department of Colorectal SurgeryGarg Fistula Research InstitutePanchkula 134113HaryanaIndia Department of Surgical OncologyKing Faisal Specialist Hospital&Research CenterRiyadh 11211Saudi Arabia Department of Biomedical SciencesHumanitas UniversityPieve Emanuele-MilanItaly IRCCS Humanitas Research HospitalRozzano-MilanItaly Department of SurgeryMaastricht and NUTRIM Institute of Nutrition and Translational Research in Metabolism GROW-Research Institute for Oncology and Reproductionthe Netherlands Department of General and Emergency RadiologyA.Cardarelli HospitalNaples 80131CampaniaItaly Warsaw Proctology CenterSt.Elizabeth HospitalWarsaw 02-616Poland Department of Internal MedicineHospital Märkisch OderlandStrausberg 15344BrandenburgGermany Brandenburg Institute for Clinical UltrasoundNeuruppin 16186BrandenburgGermany Third Referral Pelvic Floor CenterDivision of Surgery 2AULSS n.2 Marca TrevigianaDISCOG University of PaduaTrevisoItaly 不详 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2024年第16卷第10期

页      面：3288-3300页

学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

主　　题：Anal fistulas Fistula-in-ano Template Reporting Magnetic resonance imaging Endoanal ultrasound 

摘      要：BACKGROUND There is still considerable heterogeneity regarding which features of cryptoglandular anal fistula on magnetic resonance imaging(MRI)and endoanal ultrasound(EAUS)are relevant to surgical *** a con-sequence,the quality and completeness of the report are highly dependent on the training and experience of the *** To develop a structured MRI and EAUS template(SMART)reporting the minimum dataset of information for the treatment of anal *** This modified Delphi survey based on the RAND-UCLA appropriateness for consensus-building was conducted between May and August *** hundred and fifty-one articles selected from a systematic review of the lite-rature formed the database to generate the evidence-based statements for the Delphi *** questions were anonymously voted by an interdisciplinary multidisciplinary group for a maximum of three iterative *** degree of agreement was scored on a numeric 0–10 *** consensus was defined as a score≥8 for≥80%of the *** Eleven scientific societies(3 radiological and 8 surgical)endorsed the *** three rounds of voting,the experts(69 colorectal surgeons,23 radiologists,2 anatomists,and 1 gastroenterologist)achieved consensus for 12 of 14 statements(85.7%).Based on the results of the Delphi process,the six following features of anal fistulas were included in the SMART:Primary tract,secondary extension,internal opening,presence of collection,coexisting le-sions,and sphincters *** A structured template,SMART,was developed to standardize imaging reporting of fistula-in-ano in a simple,systematic,time-efficient way,providing the minimum dataset of information and visual diagram useful to refer-ring physicians.