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Table 3 MRI findings according to Van Assche scoring system

From: Preoperative MRI of perianal fistula evaluation and its impact on surgical outcome

 

Score parameters

Items (score =)

Number (%)

Local extension

Number of fistula tracts

None (0)

9 (13.8%)

Single

Unbranched (1)

46 (70.8%)

Branched (2)

10 (15.4%)

Multiple (3)

0 (0%)

Location

Extra-sphincteric (1)

28 (43.1%)

Inter-sphincteric (1)

25 (38.5%)

Trans-sphincteric (2)

9 (13.8%)

Supra-sphincteric (3)

3 (4.6%)

Extension

Infralevatoric (1)

62 (95.4%)

Supralevatoric (2)

3 (4.5%)

Active inflammation

Hyperintensity on T2-weighted images

Absent (0)

21 (32.3%)

Mild (4)

25 (38.5%)

Pronounced (8)

19 (29.2%)

Collections (cavities > 3 mm in diameter)

Absent (0)

41 (63.1%)

Present (4)

24 (36.9%)

Rectal wall involvement

Normal (0)

56 (86.2%)

Thickened (2)

9 (13.8%)