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Cornelius E. J. Sloots - One of the best experts on this subject based on the ideXlab platform.
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High resolution MRI for preoperative work-up of neonates with an anorectal malformation: a direct comparison with distal pressure colostography/Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Annick Devos, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard. Methods Thirty-three neonates (22 boys) with ARM were included. All patients underwent both preoperative high-resolution MRI (without sedation or contrast instillation) and colostography/Fistulography. The Krickenbeck classification was used to classify anorectal malformations, and the level of the rectal ending in relation to the levator muscle was evaluated. Results Subjects included nine patients with a bulbar recto-urethral fistula, six with a prostatic recto-urethral fistula, five with a vestibular fistula, five with a cloacal malformation, four without fistula, one with a H-type fistula, one with anal stenosis, one with a rectoperineal fistula and one with a bladderneck fistula. MRI and colostography/Fistulography predicted anatomy in 88 % (29/33) and 61 % (20/33) of cases, respectively ( p = 0.012). The distal end of the rectal pouch was correctly predicted in 88 % (29/33) and 67 % (22/33) of cases, respectively ( p = 0.065). The length of the common channel in cloacal malformation was predicted with MRI in all (100 %, 5/5) and in 80 % of cases (4/5) with colostography/Fistulography. Two bowel perforations occurred during colostography/Fistulography. Conclusions MRI provides the most accurate evaluation of ARM and should be considered a serious alternative to colostography/Fistulography during preoperative work-up. Key Points • High-resolution MRI is feasible without the use of sedation or anaesthesia . • MRI is more accurate than colostography/Fistulography in visualising the type of ARM . • MRI is as reliable as colostography/Fistulography in predicting the level of the rectal pouch . • Colostography/Fistulography can be complicated by bowel perforation .
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high resolution mri for preoperative work up of neonates with an anorectal malformation a direct comparison with distal pressure colostography Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Annick S Devos, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard.
Maarten G. Thomeer - One of the best experts on this subject based on the ideXlab platform.
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High resolution MRI for preoperative work-up of neonates with an anorectal malformation: a direct comparison with distal pressure colostography/Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Annick Devos, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard. Methods Thirty-three neonates (22 boys) with ARM were included. All patients underwent both preoperative high-resolution MRI (without sedation or contrast instillation) and colostography/Fistulography. The Krickenbeck classification was used to classify anorectal malformations, and the level of the rectal ending in relation to the levator muscle was evaluated. Results Subjects included nine patients with a bulbar recto-urethral fistula, six with a prostatic recto-urethral fistula, five with a vestibular fistula, five with a cloacal malformation, four without fistula, one with a H-type fistula, one with anal stenosis, one with a rectoperineal fistula and one with a bladderneck fistula. MRI and colostography/Fistulography predicted anatomy in 88 % (29/33) and 61 % (20/33) of cases, respectively ( p = 0.012). The distal end of the rectal pouch was correctly predicted in 88 % (29/33) and 67 % (22/33) of cases, respectively ( p = 0.065). The length of the common channel in cloacal malformation was predicted with MRI in all (100 %, 5/5) and in 80 % of cases (4/5) with colostography/Fistulography. Two bowel perforations occurred during colostography/Fistulography. Conclusions MRI provides the most accurate evaluation of ARM and should be considered a serious alternative to colostography/Fistulography during preoperative work-up. Key Points • High-resolution MRI is feasible without the use of sedation or anaesthesia . • MRI is more accurate than colostography/Fistulography in visualising the type of ARM . • MRI is as reliable as colostography/Fistulography in predicting the level of the rectal pouch . • Colostography/Fistulography can be complicated by bowel perforation .
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high resolution mri for preoperative work up of neonates with an anorectal malformation a direct comparison with distal pressure colostography Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Annick S Devos, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard.
Ivo Blaauw - One of the best experts on this subject based on the ideXlab platform.
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High resolution MRI for preoperative work-up of neonates with an anorectal malformation: a direct comparison with distal pressure colostography/Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Annick Devos, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard. Methods Thirty-three neonates (22 boys) with ARM were included. All patients underwent both preoperative high-resolution MRI (without sedation or contrast instillation) and colostography/Fistulography. The Krickenbeck classification was used to classify anorectal malformations, and the level of the rectal ending in relation to the levator muscle was evaluated. Results Subjects included nine patients with a bulbar recto-urethral fistula, six with a prostatic recto-urethral fistula, five with a vestibular fistula, five with a cloacal malformation, four without fistula, one with a H-type fistula, one with anal stenosis, one with a rectoperineal fistula and one with a bladderneck fistula. MRI and colostography/Fistulography predicted anatomy in 88 % (29/33) and 61 % (20/33) of cases, respectively ( p = 0.012). The distal end of the rectal pouch was correctly predicted in 88 % (29/33) and 67 % (22/33) of cases, respectively ( p = 0.065). The length of the common channel in cloacal malformation was predicted with MRI in all (100 %, 5/5) and in 80 % of cases (4/5) with colostography/Fistulography. Two bowel perforations occurred during colostography/Fistulography. Conclusions MRI provides the most accurate evaluation of ARM and should be considered a serious alternative to colostography/Fistulography during preoperative work-up. Key Points • High-resolution MRI is feasible without the use of sedation or anaesthesia . • MRI is more accurate than colostography/Fistulography in visualising the type of ARM . • MRI is as reliable as colostography/Fistulography in predicting the level of the rectal pouch . • Colostography/Fistulography can be complicated by bowel perforation .
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high resolution mri for preoperative work up of neonates with an anorectal malformation a direct comparison with distal pressure colostography Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Annick S Devos, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard.
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High resolution MRI for preoperative work-up of neonates with an anorectal malformation: a direct comparison with distal pressure colostography/Fistulography
'Springer Science and Business Media LLC', 2015Co-Authors: Thomeer M.g., Nanko Graaf, Ivo Blaauw, Devos A., Lequin M., Meeussen C.j., Meradji M., Sloots C.e.Abstract:Contains fulltext : 152293.pdf (publisher's version ) (Open Access)OBJECTIVE: To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard. METHODS: Thirty-three neonates (22 boys) with ARM were included. All patients underwent both preoperative high-resolution MRI (without sedation or contrast instillation) and colostography/Fistulography. The Krickenbeck classification was used to classify anorectal malformations, and the level of the rectal ending in relation to the levator muscle was evaluated. RESULTS: Subjects included nine patients with a bulbar recto-urethral fistula, six with a prostatic recto-urethral fistula, five with a vestibular fistula, five with a cloacal malformation, four without fistula, one with a H-type fistula, one with anal stenosis, one with a rectoperineal fistula and one with a bladderneck fistula. MRI and colostography/Fistulography predicted anatomy in 88 % (29/33) and 61 % (20/33) of cases, respectively (p = 0.012). The distal end of the rectal pouch was correctly predicted in 88 % (29/33) and 67 % (22/33) of cases, respectively (p = 0.065). The length of the common channel in cloacal malformation was predicted with MRI in all (100 %, 5/5) and in 80 % of cases (4/5) with colostography/Fistulography. Two bowel perforations occurred during colostography/Fistulography. CONCLUSIONS: MRI provides the most accurate evaluation of ARM and should be considered a serious alternative to colostography/Fistulography during preoperative work-up. KEY POINTS: * High-resolution MRI is feasible without the use of sedation or anaesthesia. * MRI is more accurate than colostography/Fistulography in visualising the type of ARM. * MRI is as reliable as colostography/Fistulography in predicting the level of the rectal pouch. * Colostography/Fistulography can be complicated by bowel perforation
Nanko Graaf - One of the best experts on this subject based on the ideXlab platform.
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High resolution MRI for preoperative work-up of neonates with an anorectal malformation: a direct comparison with distal pressure colostography/Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Annick Devos, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard. Methods Thirty-three neonates (22 boys) with ARM were included. All patients underwent both preoperative high-resolution MRI (without sedation or contrast instillation) and colostography/Fistulography. The Krickenbeck classification was used to classify anorectal malformations, and the level of the rectal ending in relation to the levator muscle was evaluated. Results Subjects included nine patients with a bulbar recto-urethral fistula, six with a prostatic recto-urethral fistula, five with a vestibular fistula, five with a cloacal malformation, four without fistula, one with a H-type fistula, one with anal stenosis, one with a rectoperineal fistula and one with a bladderneck fistula. MRI and colostography/Fistulography predicted anatomy in 88 % (29/33) and 61 % (20/33) of cases, respectively ( p = 0.012). The distal end of the rectal pouch was correctly predicted in 88 % (29/33) and 67 % (22/33) of cases, respectively ( p = 0.065). The length of the common channel in cloacal malformation was predicted with MRI in all (100 %, 5/5) and in 80 % of cases (4/5) with colostography/Fistulography. Two bowel perforations occurred during colostography/Fistulography. Conclusions MRI provides the most accurate evaluation of ARM and should be considered a serious alternative to colostography/Fistulography during preoperative work-up. Key Points • High-resolution MRI is feasible without the use of sedation or anaesthesia . • MRI is more accurate than colostography/Fistulography in visualising the type of ARM . • MRI is as reliable as colostography/Fistulography in predicting the level of the rectal pouch . • Colostography/Fistulography can be complicated by bowel perforation .
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high resolution mri for preoperative work up of neonates with an anorectal malformation a direct comparison with distal pressure colostography Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Annick S Devos, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard.
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High resolution MRI for preoperative work-up of neonates with an anorectal malformation: a direct comparison with distal pressure colostography/Fistulography
'Springer Science and Business Media LLC', 2015Co-Authors: Thomeer M.g., Nanko Graaf, Ivo Blaauw, Devos A., Lequin M., Meeussen C.j., Meradji M., Sloots C.e.Abstract:Contains fulltext : 152293.pdf (publisher's version ) (Open Access)OBJECTIVE: To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard. METHODS: Thirty-three neonates (22 boys) with ARM were included. All patients underwent both preoperative high-resolution MRI (without sedation or contrast instillation) and colostography/Fistulography. The Krickenbeck classification was used to classify anorectal malformations, and the level of the rectal ending in relation to the levator muscle was evaluated. RESULTS: Subjects included nine patients with a bulbar recto-urethral fistula, six with a prostatic recto-urethral fistula, five with a vestibular fistula, five with a cloacal malformation, four without fistula, one with a H-type fistula, one with anal stenosis, one with a rectoperineal fistula and one with a bladderneck fistula. MRI and colostography/Fistulography predicted anatomy in 88 % (29/33) and 61 % (20/33) of cases, respectively (p = 0.012). The distal end of the rectal pouch was correctly predicted in 88 % (29/33) and 67 % (22/33) of cases, respectively (p = 0.065). The length of the common channel in cloacal malformation was predicted with MRI in all (100 %, 5/5) and in 80 % of cases (4/5) with colostography/Fistulography. Two bowel perforations occurred during colostography/Fistulography. CONCLUSIONS: MRI provides the most accurate evaluation of ARM and should be considered a serious alternative to colostography/Fistulography during preoperative work-up. KEY POINTS: * High-resolution MRI is feasible without the use of sedation or anaesthesia. * MRI is more accurate than colostography/Fistulography in visualising the type of ARM. * MRI is as reliable as colostography/Fistulography in predicting the level of the rectal pouch. * Colostography/Fistulography can be complicated by bowel perforation
Maarten Lequin - One of the best experts on this subject based on the ideXlab platform.
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High resolution MRI for preoperative work-up of neonates with an anorectal malformation: a direct comparison with distal pressure colostography/Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Annick Devos, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard. Methods Thirty-three neonates (22 boys) with ARM were included. All patients underwent both preoperative high-resolution MRI (without sedation or contrast instillation) and colostography/Fistulography. The Krickenbeck classification was used to classify anorectal malformations, and the level of the rectal ending in relation to the levator muscle was evaluated. Results Subjects included nine patients with a bulbar recto-urethral fistula, six with a prostatic recto-urethral fistula, five with a vestibular fistula, five with a cloacal malformation, four without fistula, one with a H-type fistula, one with anal stenosis, one with a rectoperineal fistula and one with a bladderneck fistula. MRI and colostography/Fistulography predicted anatomy in 88 % (29/33) and 61 % (20/33) of cases, respectively ( p = 0.012). The distal end of the rectal pouch was correctly predicted in 88 % (29/33) and 67 % (22/33) of cases, respectively ( p = 0.065). The length of the common channel in cloacal malformation was predicted with MRI in all (100 %, 5/5) and in 80 % of cases (4/5) with colostography/Fistulography. Two bowel perforations occurred during colostography/Fistulography. Conclusions MRI provides the most accurate evaluation of ARM and should be considered a serious alternative to colostography/Fistulography during preoperative work-up. Key Points • High-resolution MRI is feasible without the use of sedation or anaesthesia . • MRI is more accurate than colostography/Fistulography in visualising the type of ARM . • MRI is as reliable as colostography/Fistulography in predicting the level of the rectal pouch . • Colostography/Fistulography can be complicated by bowel perforation .
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high resolution mri for preoperative work up of neonates with an anorectal malformation a direct comparison with distal pressure colostography Fistulography
European Radiology, 2015Co-Authors: Maarten G. Thomeer, Maarten Lequin, Nanko Graaf, Conny J. H. M. Meeussen, Morteza Meradji, Ivo Blaauw, Annick S Devos, Cornelius E. J. SlootsAbstract:Objective To compare MRI and colostography/Fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard.