Erschienen in:
01.06.2015 | Pictorial Essay
Magnetic resonance enterography in post-operative inflammatory bowel disease
verfasst von:
Jeffrey S. Quon, Phillip R. Quon, Christopher S. Lim, Nishard Abdeen, Nicola Schieda
Erschienen in:
Abdominal Radiology
|
Ausgabe 5/2015
Einloggen, um Zugang zu erhalten
Abstract
Objective
To describe the role of magnetic resonance enterography (MRE) in patients with inflammatory bowel disease (IBD), and to review the expected post-operative appearance, as well as, potential surgical complications in this unique patient population.
Conclusion
MRE compares favorably to CT Enterography (CTE) in terms of overall diagnostic accuracy and may provide better functional assessment of the small bowel through cine-MRI, diffusion-weighted imaging and dynamic contrast-enhancement. In the post-operative population, MRE provides critical information including: normal post-surgical anatomy, chronic strictures vs. active inflammation and disease/treatment-related complications. The post-operative IBD patient undergoes frequent repeated imaging and MRE may significantly reduce cumulative radiation dose while providing similar or improved diagnostic accuracy compared to CTE. MRE should be considered as an alternative imaging modality in this population.