The analysis of different types of anorectal abscesses was conducted using the MRI 3D reconstruction technique

• Published in: Scientific reports Vol. 14; no. 1; pp. 18473 - 11
• Main Authors: Ma, Xutao, Li, Yikun, Xu, Siming, Wang, Bo, Wang, Chen
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 09.08.2024; Nature Publishing Group; Nature Portfolio
• Subjects: 692/4020/1503/1298; 692/698/2741/278/1297; Abscess - diagnostic imaging; Abscess - pathology; Abscesses; Adult; Aged; Anal Canal - diagnostic imaging; Anal Canal - pathology; Anorectal; Anorectal abscess; Anus Diseases - diagnostic imaging; Anus Diseases - pathology; Female; Humanities and Social Sciences; Humans; Imaging, Three-Dimensional - methods; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Male; Middle Aged; multidisciplinary; Pelvic Floor - diagnostic imaging; Pelvic Floor - pathology; Rectal Diseases - diagnostic imaging; Rectal Diseases - pathology; Science; Science (multidisciplinary); Sepsis; Sphincter; Sphincter impairment; Statistical analysis; Three-dimensional reconstruction; Anorectal abscess; Sphincter impairment; Magnetic resonance imaging; Three-dimensional reconstruction
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-024-66892-3

It has not yet been proven whether sepsis affects the tissue around the anal canal. To address this issue, we established three-dimensional models for various types of anorectal abscesses and utilize 3D reconstruction of Magnetic Resonance Imaging scans to assess the extent of muscle damage caused by anorectal abscesses. Patients diagnosed with anorectal abscess, selected from January 2019 to January 2022 underwent pre- and post-operative scanning of pelvic floor and perianal tissues. The aforementioned structures were segmented for the reconstruction of a three-dimensional visual model and measurement of volumes for the abscess as well as the internal and external sphincters and levator ani muscle. The study included a total of 42 patients. Three-dimensional visualization models were created for different types of anorectal abscesses, including perianal, intersphincteric, ischiorectal, and supralevator abscesses. No statistically significant differences were observed in the volume of the internal sphincter, external sphincter, and levator ani muscle between pre- and post-operative patients. The 3D model of anorectal abscess, reconstructed from MRI data, offers a precise and direct visualization of the anatomical structures associated with various types of anorectal abscesses. The infection did not result in any damage to the internal and external anal sphincter and levator ani muscle.