Evidence map›Paper›PMID 30915565›Full record

Observational studyEuropean radiology2019

Comparison of 3D endoanal ultrasound and external phased array magnetic resonance imaging in the diagnosis of obstetric anal sphincter injuries.

Jaan Kirss, Heikki Huhtinen, Eini Niskanen, Jyrki Ruohonen, Marja Kallio-Packalen, Sarita Victorzon, Mikael Victorzon, Tarja Pinta

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jaan KirssDivision of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland. jaan.kirss@tyks.fi.ORCID http://orcid.org/0000-0001-8413-365X
Heikki HuhtinenDivision of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
Eini NiskanenDepartment of Radiology, Vaasa Central Hospital, Vaasa, Finland.
Jyrki RuohonenDepartment of Radiology, Seinäjoki Central Hospital, Seinäjoki, Finland.
Marja Kallio-PackalenDepartment of Radiology, Seinäjoki Central Hospital, Seinäjoki, Finland.
Sarita VictorzonDepartment of Radiology, Vaasa Central Hospital, Vaasa, Finland.
Mikael VictorzonDepartment of Surgery, Vaasa Central Hospital, Vaasa, Finland.
Tarja PintaDepartment of Surgery, Seinäjoki Central Hospital, Seinäjoki, Finland.
Seinäjoki University of Applied Sciences · FIVaasa Central Hospital · FIUniversity of Turku · FI

Funding

Varsinais-Suomen Rahasto 11007
6 · The paper itself

Abstract

objectivesThe gold standard of postpartum anal sphincter imaging has been the 3D endoanal ultrasound (EAUS). Development of magnetic resonance imaging (MRI) has allowed anal sphincter evaluation without the use of endoanal coils. The aim of this study is to compare these two modalities in diagnosing residual sphincter lesions post obstetric anal sphincter injury (OASI).

methodsForty women were followed up after primary repair of OASI with both 3D EAUS and external phased array MRI. Details of the anal sphincter injury and sphincter musculature were gathered and analysed.

resultsThere was a moderate interrater reliability (κ = 0.510) between the two imaging modalities in detecting sphincter lesions, with more lesions detected by MRI. There was a moderate intraclass correlation (ICC) between the circumference of the tear (κ = 0.506) and a fair ICC between the external anal sphincter thickness measurements at locations 3 and 9 on the proctologic clock face (κ = 0.320) and (κ = 0.336).

conclusionsThe results of our study indicate that the use of external phased array MRI is feasible for detecting obstetric anal sphincter lesions postpartum. This allows for imaging of the sphincter defects in centres where EAUS imaging is not available. KEY POINTS: • A two centre prospective study that showed external phased array MRI to be a valid imaging modality for diagnosing obstetric anal sphincter injuries.

Indexed as

AdultAnal CanalDelivery, ObstetricEndosonographyFemaleHumansImaging, Three-DimensionalMagnetic Resonance ImagingPilot ProjectsPostpartum PeriodPregnancyProspective StudiesReproducibility of ResultsRuptureAnal canalMagnetic resonance imagingPostpartum periodRuptureUltrasonography

Identifiers

PMID30915565
PMCPMC6717181
OpenAlexW2924515262

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.