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Table 5 Comparison of diagnostic efficacy in both direct and indirect fistulography in the detection of primary tract, secondary tract internal orifice and secondary abscess collection

From: Direct hydrogen peroxide MRI fistulography versus indirect (intravenous) MRI fistulography in patients with perianal fistula

MRI imaging finding

Direct fistulography (%)

Indirect fistulography (%)

Primary tract

Sensitivity

97.1

97.1

PPV

94.3

91.7

Accuracy

91.9

89.2

Secondary tract

Sensitivity

91.6

75

Specificity

100.0

92.3

PPV

100.0

81.8

NPV

96.3

88.8

Accuracy

97.37

86.8

Abscess collection

Sensitivity

60.0

100.0

Specificity

100.0

100.0

PPV

100.0

100.0

NPV

87.1

100.0

Accuracy

89.2

100.0

Internal orifices

Sensitivity

97.6

90.7

PPV

95.3

95.1

Accuracy

93.3

86.6

  1. TP true positive, TN true negative, FP false positive, FN false negative, PPV positive predictive value, NPV negative predictive value