Copyright: ©Author(s) 2026.
World J Gastrointest Surg. Apr 27, 2026; 18(4): 115864
Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.115864
Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.115864
Table 4 Diagnostic performance of multislice spiral computed tomography, 1.5T magnetic resonance imaging, and 3.0T magnetic resonance imaging
| Modality | Finding | Sensitivity | Specificity | PPV | NPV | Diagnostic accuracy | Youden index |
| MSCT | Internal opening | 92.00% (23/25) | 72.22% (13/18) | 82.14% (23/28) | 86.67% (13/15) | 83.72% (36/43) | 0.64 |
| Primary tract | 92.30% (24/26) | 73.68% (14/19) | 82.76% (24/29) | 87.50% (14/16) | 84.44% (38/45) | 0.66 | |
| Abscess | 88.89% (8/9) | 75.00% (3/4) | 88.89% (8/9) | 75.00% (3/4) | 84.61% (11/13) | 0.69 | |
| 1.5T MRI | Internal opening | 90.69% (39/43) | 75.86% (22/29) | 84.78% (39/46) | 84.62% (22/26) | 84.72% (61/72) | 0.67 |
| Primary tract | 95.24% (40/42) | 75.00% (21/28) | 85.11% (40/47) | 91.30% (21/23) | 87.14% (61/70) | 0.7 | |
| Abscess | 100.00% (14/14) | 80.00% (8/10) | 87.50% (14/16) | 100.00% (8/8) | 91.67% (22/24) | 0.8 | |
| 3.0T MRI | Internal opening | 98.11% (52/53)a | 92.59% (25/27)a | 96.30% (52/54)a | 96.15% (25/26)a | 96.25% (77/80)a | 0.91a |
| Primary tract | 98.18% (54/55)a | 96.00% (24/25)a | 98.18% (54/55)a | 96.00% (24/25)a | 97.50% (78/80)a | 0.94a | |
| Abscess | 100.00% (17/17) | 96.00% (24/25)a | 94.44% (17/18)a | 100.00% (24/24) | 97.62% (41/42) | 0.96a |
- Citation: Tang JJ, Wang TH, Jia XF. Detection rates, sensitivity, and specificity of multislice spiral computed tomography, 1.5T and 3.0T magnetic resonance imaging in anal fistula diagnosis. World J Gastrointest Surg 2026; 18(4): 115864
- URL: https://www.wjgnet.com/1948-9366/full/v18/i4/115864.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v18.i4.115864