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Thursday 17 October 2013

WUTH publication: Preoperative mapping of fistula in ano: a new 3D MRI based modelling technique

Citation: Colorectal Disease. 2013, 15(11), e699-701
Author: Day N, Earnshaw D, Salazar-Ferrer P, Walsh C
Abstract: AIM: We aimed to develop an intuitive, interactive, 3D MRI modelling technique to produce a 3D image of fistula in ano. METHOD: The 3D model is created from standard 2D MRI sequences to produce an image which is anatomically correct. Individual muscle and soft tissue layers are extracted from T1 weighted sequences and fistula pathology from STIR sequences, to produce two separate volumes. These are then fused using post processing software (Vitrea Workstation version 6.3) to generate a 3D model. RESULTS: The final 3D model is incorporated into a PDF file which has an integrated CAD viewer allowing the surgeon to rotate it in any direction during pre operative planning or whilst in theatre. CONCLUSION: As an adjunct to 2D MRI images and the associated radiology report, this model communicates better the fistula anatomy to the clinician and should be particularly useful in complex cases. This article is protected by copyright. All rights reserved.