ArticleEuropean radiology2017
Anoperineal disease in Hidradenitis Suppurativa : MR imaging distinction from perianal Crohn's disease.
Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 31 citations in OpenAlex.
- Imaging of anorectal and perineal emergencies - a multimodality review.Emergency radiology · 2026Review
- Perianal pathology beyond fistulizing disease: spectrum of MRI findings and diagnostic pitfalls.Abdominal radiology (New York) · 2026Review
- Imaging of perineal suppurations: a pictorial essay.Abdominal radiology (New York) · 2026Review
- Hidradenitis suppurativa in patients with inflammatory bowel disease: a national multicenter study from the GETECCU-ENEIDA Registry.Therapeutic advances in gastroenterology · 2026Article
- Unravelling the Link Between Hidradenitis Suppurativa and Inflammatory Bowel Disease: A Literature Review.Biomedicines · 2025Review
- Nonfistulizing Perianal Crohn's Disease.Clinics in colon and rectal surgery · 2025Review
- Beyond the abdominal and pelvic cavity: abdominal wall and spinal "Aunt Minnies".Abdominal radiology (New York) · 2023Review
- Hidradenitis suppurativa: Coexistence or dermatological extraintestinal manifestation of Crohn's disease?Frontiers in medicine · 2023Article
- Magnetic Resonance Imaging of Hidradenitis Suppurativa: A Focus on the Anoperineal Location.Korean journal of radiology · 2022Review
- A Multi-Disciplinary Approach to Perianal Fistulizing Crohn's Disease.Clinics in colon and rectal surgery · 2022Review
- Association of hidradenitis suppurativa with Crohn's disease.World journal of clinical cases · 2021Review
- Differential Diagnosis Between Perianal Crohn's Disease and Hidradenitis Suppurativa: A Challenging Teamwork.JPGN reports · 2021Article
- Non-contrast-enhanced 3-Tesla Magnetic Resonance Imaging Using Surface-coil and Sonography for Assessment of Hidradenitis Suppurativa Lesions.Acta dermato-venereologica · 2020Review
- MRI of perianal fistulas in Crohn's disease.Acta bio-medica : Atenei Parmensis · 2020Article
- Preoperative evaluation of small bowel complications in Crohn's disease: comparison of diffusion-weighted and contrast-enhanced MR imaging.European radiology · 2019Article
- Role of magnetic resonance imaging in the management of perianal Crohn's disease.Insights into imaging · 2018Review
- Multimodality Imaging Review of Anorectal and Perirectal Diseases with Clinical, Histologic, Endoscopic, and Operative Correlation, Part II: Infectious, Inflammatory, Congenital, and Vascular Conditions.Current problems in diagnostic radiologyReview
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether Hidradenitis suppurativa (HS)-related anoperineal disease can be distinguished from Crohn's disease (CD) using MRI.
methodsPelvic MRI of 23 HS and 46 CD patients with anoperineal disease between 2007 and 2014 were independently analysed by two radiologists. For diagnosis of HS, sensitivity, specificity and positive likelihood ratios (LRs) of inflammatory features and of their anatomical distribution were calculated and compared to those of CD.
resultsIn HS, fistulae were less present (P = .033) and less frequently involved the sphincters (P = .001) than in CD. Granulomas were more frequent (P = .0005). For anterior/inguinal and posterior localizations, sensitivity, specificity and LR for diagnosis of HS were 70% (49.1, 84.4), 87% (74.3, 93.9), 5.3 (2.41, 11.79) and 57% (36.8, 74.4), 93% (82.5, 97.8), 8.67 (2.74, 27.41), respectively. Combination of signs including posterior involvement, absence of rectal wall thickening and bilaterality of features yielded specificity of 100% (95% CI: 92.3-100) for HS.
conclusionAlthough MRI presentations of anoperineal disease may overlap between CD and HS, specific diagnosis of HS is possible with a combination of three features: absence of features' predominance in perianal area, absence of rectal wall thickening and bilaterality of features. KEY POINTS: • Spectrum of MRI features of HS-related anoperineal disease is wide. • Specific diagnosis of HS-related anoperineal disease is possible using MR imaging. • A combination of three MR signs allows distinction between HS and CD.
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