Endoluminal magnetic resonance imaging (MRI) has become an important techni
que In the diagnostic work-up of patients with anorectal diseases. The high
spatial resolution of endoluminal MRI gives a detailed demonstration of th
e anal and rectal anatomy and pathology. This technique has been demonstrat
ed to be superior to endoluminal sonography and body coil MRI, Endoanal MRI
and phased-array coil MRI seem to have comparable results in perianal fist
ulas, but comparative data are lacking, Phased-array coil MRI is the imagin
g technique of choice for imaging rectal tumors, while endoluminal MRI is t
he alternative technique for imaging rectal tumors and the preferred techni
que for imaging anal tumors. Endoluminal MRI is superior to phased-array co
il MRI in fecal incontinence, as phased-array coil MRI does not give the de
tailed spatial resolution required for evaluation of anal sphincter lesions
. (C) 1999 Wiley-Liss, Inc.