Skip to main content
Erschienen in: Abdominal Radiology 5/2015

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.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Molodecky NA, Soon IS, Rabi DM, et al. (2012) Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology 142(1):46–54.e42; quiz e30. doi:10.1053/j.gastro.2011.10.001 Molodecky NA, Soon IS, Rabi DM, et al. (2012) Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology 142(1):46–54.e42; quiz e30. doi:10.​1053/​j.​gastro.​2011.​10.​001
2.
Zurück zum Zitat Siddiki HA, Fidler JL, Fletcher JG, et al. (2009) Prospective comparison of state-of-the-art MR enterography and CT enterography in small-bowel Crohn’s disease. AJR Am J Roentgenol 193(1):113–121. doi:10.2214/AJR.08.2027 PubMed Siddiki HA, Fidler JL, Fletcher JG, et al. (2009) Prospective comparison of state-of-the-art MR enterography and CT enterography in small-bowel Crohn’s disease. AJR Am J Roentgenol 193(1):113–121. doi:10.​2214/​AJR.​08.​2027 PubMed
3.
Zurück zum Zitat Martin DR, Kalb B, Sauer CG, Alazraki A, Goldschmid S (2012) Magnetic resonance enterography in Crohn’s disease: techniques, interpretation, and utilization for clinical management. Diagn Interv Radiol 18(4):374–386. doi:10.4261/1305-3825.DIR.4893-11.2 PubMed Martin DR, Kalb B, Sauer CG, Alazraki A, Goldschmid S (2012) Magnetic resonance enterography in Crohn’s disease: techniques, interpretation, and utilization for clinical management. Diagn Interv Radiol 18(4):374–386. doi:10.​4261/​1305-3825.​DIR.​4893-11.​2 PubMed
6.
Zurück zum Zitat Newnham E, Hawkes E, Surender A, et al. (2007) Quantifying exposure to diagnostic medical radiation in patients with inflammatory bowel disease: are we contributing to malignancy? Aliment Pharmacol Ther 26(7):1019–1024. doi:10.1111/j.1365-2036.2007.03449.x PubMed Newnham E, Hawkes E, Surender A, et al. (2007) Quantifying exposure to diagnostic medical radiation in patients with inflammatory bowel disease: are we contributing to malignancy? Aliment Pharmacol Ther 26(7):1019–1024. doi:10.​1111/​j.​1365-2036.​2007.​03449.​x PubMed
7.
Zurück zum Zitat Jaffe TA, Gaca AM, Delaney S, et al. (2007) Radiation doses from small-bowel follow-through and abdominopelvic MDCT in Crohn’s disease. AJR Am J Roentgenol 189(5):1015–1022. doi:10.2214/ajr.07.2427 PubMed Jaffe TA, Gaca AM, Delaney S, et al. (2007) Radiation doses from small-bowel follow-through and abdominopelvic MDCT in Crohn’s disease. AJR Am J Roentgenol 189(5):1015–1022. doi:10.​2214/​ajr.​07.​2427 PubMed
9.
Zurück zum Zitat Sinha R, Verma R, Verma S, Rajesh A (2011) MR enterography of Crohn disease: part 1, rationale, technique, and pitfalls. AJR Am J Roentgenol 197(1):76–79. doi:10.2214/AJR.10.7253 PubMed Sinha R, Verma R, Verma S, Rajesh A (2011) MR enterography of Crohn disease: part 1, rationale, technique, and pitfalls. AJR Am J Roentgenol 197(1):76–79. doi:10.​2214/​AJR.​10.​7253 PubMed
10.
Zurück zum Zitat Leyendecker JR, Bloomfeld RS, DiSantis DJ, et al. (2009) MR enterography in the management of patients with Crohn disease. Radiographics: Rev Publ Radiol Soc N Am 29(6):1827–1846. doi:10.1148/rg.296095510 CrossRef Leyendecker JR, Bloomfeld RS, DiSantis DJ, et al. (2009) MR enterography in the management of patients with Crohn disease. Radiographics: Rev Publ Radiol Soc N Am 29(6):1827–1846. doi:10.​1148/​rg.​296095510 CrossRef
11.
Zurück zum Zitat Lee SS, Kim AY, Yang SK, et al. (2009) Crohn disease of the small bowel: comparison of CT enterography, MR enterography, and small-bowel follow-through as diagnostic techniques. Radiology 251(3):751–761. doi:10.1148/radiol.2513081184 CrossRefPubMed Lee SS, Kim AY, Yang SK, et al. (2009) Crohn disease of the small bowel: comparison of CT enterography, MR enterography, and small-bowel follow-through as diagnostic techniques. Radiology 251(3):751–761. doi:10.​1148/​radiol.​2513081184 CrossRefPubMed
12.
Zurück zum Zitat Schmidt S, Guibal A, Meuwly JY, et al. (2010) Acute complications of Crohn’s disease: comparison of multidetector-row computed tomographic enterography with magnetic resonance enterography. Digestion 82(4):229–238. doi:10.1159/000288521 CrossRefPubMed Schmidt S, Guibal A, Meuwly JY, et al. (2010) Acute complications of Crohn’s disease: comparison of multidetector-row computed tomographic enterography with magnetic resonance enterography. Digestion 82(4):229–238. doi:10.​1159/​000288521 CrossRefPubMed
14.
Zurück zum Zitat Qiu Y, Mao R, Chen BL, et al. (2014) Systematic review with meta-analysis: magnetic resonance enterography vs. computed tomography enterography for evaluating disease activity in small bowel Crohn’s disease. Aliment Pharmacol Ther 40(2):134–146. doi:10.1111/apt.12815 PubMed Qiu Y, Mao R, Chen BL, et al. (2014) Systematic review with meta-analysis: magnetic resonance enterography vs. computed tomography enterography for evaluating disease activity in small bowel Crohn’s disease. Aliment Pharmacol Ther 40(2):134–146. doi:10.​1111/​apt.​12815 PubMed
15.
Zurück zum Zitat Hara AK, Leighton JA, Heigh RI, et al. (2006) Crohn disease of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy. Radiology 238(1):128–134. doi:10.1148/radiol.2381050296 CrossRefPubMed Hara AK, Leighton JA, Heigh RI, et al. (2006) Crohn disease of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy. Radiology 238(1):128–134. doi:10.​1148/​radiol.​2381050296 CrossRefPubMed
16.
Zurück zum Zitat Wold PB, Fletcher JG, Johnson CD, Sandborn WJ (2003) Assessment of small bowel Crohn disease: noninvasive peroral CT enterography compared with other imaging methods and endoscopy–feasibility study. Radiology 229(1):275–281. doi:10.1148/radiol.2291020877 CrossRefPubMed Wold PB, Fletcher JG, Johnson CD, Sandborn WJ (2003) Assessment of small bowel Crohn disease: noninvasive peroral CT enterography compared with other imaging methods and endoscopy–feasibility study. Radiology 229(1):275–281. doi:10.​1148/​radiol.​2291020877 CrossRefPubMed
19.
Zurück zum Zitat Maglinte DD, Sandrasegaran K, Chiorean M, et al. (2007) Radiologic investigations complement and add diagnostic information to capsule endoscopy of small-bowel diseases. AJR Am J Roentgenol 189(2):306–312. doi:10.2214/ajr.07.2253 PubMed Maglinte DD, Sandrasegaran K, Chiorean M, et al. (2007) Radiologic investigations complement and add diagnostic information to capsule endoscopy of small-bowel diseases. AJR Am J Roentgenol 189(2):306–312. doi:10.​2214/​ajr.​07.​2253 PubMed
20.
Zurück zum Zitat Tielbeek JA, Ziech ML, Li Z, et al. (2014) Evaluation of conventional, dynamic contrast enhanced and diffusion weighted MRI for quantitative Crohn’s disease assessment with histopathology of surgical specimens. Eur Radiol 24(3):619–629. doi:10.1007/s00330-013-3015-7 PubMed Tielbeek JA, Ziech ML, Li Z, et al. (2014) Evaluation of conventional, dynamic contrast enhanced and diffusion weighted MRI for quantitative Crohn’s disease assessment with histopathology of surgical specimens. Eur Radiol 24(3):619–629. doi:10.​1007/​s00330-013-3015-7 PubMed
21.
Zurück zum Zitat Giusti S, Faggioni L, Neri E, et al. (2010) Dynamic MRI of the small bowel: usefulness of quantitative contrast-enhancement parameters and time-signal intensity curves for differentiating between active and inactive Crohn’s disease. Abdom Imaging 35(6):646–653. doi:10.1007/s00261-010-9624-6 PubMed Giusti S, Faggioni L, Neri E, et al. (2010) Dynamic MRI of the small bowel: usefulness of quantitative contrast-enhancement parameters and time-signal intensity curves for differentiating between active and inactive Crohn’s disease. Abdom Imaging 35(6):646–653. doi:10.​1007/​s00261-010-9624-6 PubMed
23.
Zurück zum Zitat Torkzad MR, Vargas R, Tanaka C, Blomqvist L (2007) Value of cine MRI for better visualization of the proximal small bowel in normal individuals. Eur Radiol 17(11):2964–2968. doi:10.1007/s00330-007-0721-z PubMed Torkzad MR, Vargas R, Tanaka C, Blomqvist L (2007) Value of cine MRI for better visualization of the proximal small bowel in normal individuals. Eur Radiol 17(11):2964–2968. doi:10.​1007/​s00330-007-0721-z PubMed
25.
Zurück zum Zitat Udayasankar UK, Martin D, Lauenstein T, et al. (2008) Role of spectral presaturation attenuated inversion-recovery fat-suppressed T2-weighted MR imaging in active inflammatory bowel disease. J Magn Reson Imaging 28(5):1133–1140. doi:10.1002/jmri.21574 PubMed Udayasankar UK, Martin D, Lauenstein T, et al. (2008) Role of spectral presaturation attenuated inversion-recovery fat-suppressed T2-weighted MR imaging in active inflammatory bowel disease. J Magn Reson Imaging 28(5):1133–1140. doi:10.​1002/​jmri.​21574 PubMed
26.
Zurück zum Zitat Cronin CG, Lohan DG, Mhuircheartaigh JN, et al. (2008) MRI small-bowel follow-through: prone versus supine patient positioning for best small-bowel distention and lesion detection. AJR Am J Roentgenol 191(2):502–506. doi:10.2214/ajr.07.2338 PubMed Cronin CG, Lohan DG, Mhuircheartaigh JN, et al. (2008) MRI small-bowel follow-through: prone versus supine patient positioning for best small-bowel distention and lesion detection. AJR Am J Roentgenol 191(2):502–506. doi:10.​2214/​ajr.​07.​2338 PubMed
27.
Zurück zum Zitat Negaard A, Paulsen V, Sandvik L, et al. (2007) A prospective randomized comparison between two MRI studies of the small bowel in Crohn’s disease, the oral contrast method and MR enteroclysis. Eur Radiol 17(9):2294–2301. doi:10.1007/s00330-007-0648-4 PubMed Negaard A, Paulsen V, Sandvik L, et al. (2007) A prospective randomized comparison between two MRI studies of the small bowel in Crohn’s disease, the oral contrast method and MR enteroclysis. Eur Radiol 17(9):2294–2301. doi:10.​1007/​s00330-007-0648-4 PubMed
28.
Zurück zum Zitat Young BM, Fletcher JG, Booya F, et al. (2008) Head-to-head comparison of oral contrast agents for cross-sectional enterography: small bowel distention, timing, and side effects. J Comput Assist Tomogr 32(1):32–38. doi:10.1097/RCT.0b013e318061961d PubMed Young BM, Fletcher JG, Booya F, et al. (2008) Head-to-head comparison of oral contrast agents for cross-sectional enterography: small bowel distention, timing, and side effects. J Comput Assist Tomogr 32(1):32–38. doi:10.​1097/​RCT.​0b013e318061961d​ PubMed
29.
Zurück zum Zitat Ajaj W, Goyen M, Schneemann H, et al. (2005) Oral contrast agents for small bowel distension in MRI: influence of the osmolarity for small bowel distention. Eur Radiol 15(7):1400–1406. doi:10.1007/s00330-005-2711-3 PubMed Ajaj W, Goyen M, Schneemann H, et al. (2005) Oral contrast agents for small bowel distension in MRI: influence of the osmolarity for small bowel distention. Eur Radiol 15(7):1400–1406. doi:10.​1007/​s00330-005-2711-3 PubMed
30.
Zurück zum Zitat Negaard A, Sandvik L, Berstad AE, et al. (2008) MRI of the small bowel with oral contrast or nasojejunal intubation in Crohn’s disease: randomized comparison of patient acceptance. Scand J Gastroenterol 43(1):44–51. doi:10.1080/00365520701494813 PubMed Negaard A, Sandvik L, Berstad AE, et al. (2008) MRI of the small bowel with oral contrast or nasojejunal intubation in Crohn’s disease: randomized comparison of patient acceptance. Scand J Gastroenterol 43(1):44–51. doi:10.​1080/​0036552070149481​3 PubMed
31.
Zurück zum Zitat Masselli G, Casciani E, Polettini E, Gualdi G (2008) Comparison of MR enteroclysis with MR enterography and conventional enteroclysis in patients with Crohn’s disease. Eur Radiol 18(3):438–447. doi:10.1007/s00330-007-0763-2 PubMed Masselli G, Casciani E, Polettini E, Gualdi G (2008) Comparison of MR enteroclysis with MR enterography and conventional enteroclysis in patients with Crohn’s disease. Eur Radiol 18(3):438–447. doi:10.​1007/​s00330-007-0763-2 PubMed
32.
33.
Zurück zum Zitat Hoeffel C, Arrive L, Mourra N, et al. (2006) Anatomic and pathologic findings at external phased-array pelvic MR imaging after surgery for anorectal disease. Radiographics: Rev Publ Radiol Soc N Am 26(5):1391–1407. doi:10.1148/rg.265055723 CrossRef Hoeffel C, Arrive L, Mourra N, et al. (2006) Anatomic and pathologic findings at external phased-array pelvic MR imaging after surgery for anorectal disease. Radiographics: Rev Publ Radiol Soc N Am 26(5):1391–1407. doi:10.​1148/​rg.​265055723 CrossRef
34.
Zurück zum Zitat Broder JC, Tkacz JN, Anderson SW, Soto JA, Gupta A (2010) Ileal pouch-anal anastomosis surgery: imaging and intervention for post-operative complications. Radiographics: Rev Publ Radiol Soc N Am 30(1):221–233. doi:10.1148/rg.301095084 CrossRef Broder JC, Tkacz JN, Anderson SW, Soto JA, Gupta A (2010) Ileal pouch-anal anastomosis surgery: imaging and intervention for post-operative complications. Radiographics: Rev Publ Radiol Soc N Am 30(1):221–233. doi:10.​1148/​rg.​301095084 CrossRef
35.
Zurück zum Zitat Buisson A, Joubert A, Montoriol PF, et al. (2013) Diffusion-weighted magnetic resonance imaging for detecting and assessing ileal inflammation in Crohn’s disease. Aliment Pharmacol Ther 37(5):537–545. doi:10.1111/apt.12201 PubMed Buisson A, Joubert A, Montoriol PF, et al. (2013) Diffusion-weighted magnetic resonance imaging for detecting and assessing ileal inflammation in Crohn’s disease. Aliment Pharmacol Ther 37(5):537–545. doi:10.​1111/​apt.​12201 PubMed
36.
Zurück zum Zitat Oto A, Kayhan A, Williams JT, et al. (2011) Active Crohn’s disease in the small bowel: evaluation by diffusion weighted imaging and quantitative dynamic contrast enhanced MR imaging. J Magn Reson Imaging 33(3):615–624. doi:10.1002/jmri.22435 PubMed Oto A, Kayhan A, Williams JT, et al. (2011) Active Crohn’s disease in the small bowel: evaluation by diffusion weighted imaging and quantitative dynamic contrast enhanced MR imaging. J Magn Reson Imaging 33(3):615–624. doi:10.​1002/​jmri.​22435 PubMed
37.
Zurück zum Zitat Guglielmo FF, Mitchell DG, O’Kane PL, et al. (2014) Erratum to: Identifying decreased peristalsis of abnormal small bowel segments in Crohn’s disease using cine MR enterography: the frozen bowel sign. Abdom Imaging . doi:10.1007/s00261-014-0293-8 Guglielmo FF, Mitchell DG, O’Kane PL, et al. (2014) Erratum to: Identifying decreased peristalsis of abnormal small bowel segments in Crohn’s disease using cine MR enterography: the frozen bowel sign. Abdom Imaging . doi:10.​1007/​s00261-014-0293-8
38.
Zurück zum Zitat Heye T, Stein D, Antolovic D, et al. (2012) Evaluation of bowel peristalsis by dynamic cine MRI: detection of relevant functional disturbances—initial experience. J Magn Reson Imaging 35(4):859–867. doi:10.1002/jmri.22851 PubMed Heye T, Stein D, Antolovic D, et al. (2012) Evaluation of bowel peristalsis by dynamic cine MRI: detection of relevant functional disturbances—initial experience. J Magn Reson Imaging 35(4):859–867. doi:10.​1002/​jmri.​22851 PubMed
39.
Zurück zum Zitat Florie J, Wasser MN, Arts-Cieslik K, et al. (2006) Dynamic contrast-enhanced MRI of the bowel wall for assessment of disease activity in Crohn’s disease. AJR Am J Roentgenol 186(5):1384–1392. doi:10.2214/ajr.04.1454 PubMed Florie J, Wasser MN, Arts-Cieslik K, et al. (2006) Dynamic contrast-enhanced MRI of the bowel wall for assessment of disease activity in Crohn’s disease. AJR Am J Roentgenol 186(5):1384–1392. doi:10.​2214/​ajr.​04.​1454 PubMed
40.
Zurück zum Zitat Pauls S, Gabelmann A, Schmidt SA, et al. (2006) Evaluating bowel wall vascularity in Crohn’s disease: a comparison of dynamic MRI and wideband harmonic imaging contrast-enhanced low MI ultrasound. Eur Radiol 16(11):2410–2417. doi:10.1007/s00330-006-0330-2 PubMed Pauls S, Gabelmann A, Schmidt SA, et al. (2006) Evaluating bowel wall vascularity in Crohn’s disease: a comparison of dynamic MRI and wideband harmonic imaging contrast-enhanced low MI ultrasound. Eur Radiol 16(11):2410–2417. doi:10.​1007/​s00330-006-0330-2 PubMed
41.
Zurück zum Zitat Del Vescovo R, Sansoni I, Caviglia R, et al. (2008) Dynamic contrast enhanced magnetic resonance imaging of the terminal ileum: differentiation of activity of Crohn’s disease. Abdom Imaging 33(4):417–424. doi:10.1007/s00261-007-9267-4 PubMed Del Vescovo R, Sansoni I, Caviglia R, et al. (2008) Dynamic contrast enhanced magnetic resonance imaging of the terminal ileum: differentiation of activity of Crohn’s disease. Abdom Imaging 33(4):417–424. doi:10.​1007/​s00261-007-9267-4 PubMed
43.
Zurück zum Zitat Roses RE, Rombeau JL (2008) Recent trends in the surgical management of inflammatory bowel disease. World J Gastroenterol 14(3):408–412PubMedCentralPubMed Roses RE, Rombeau JL (2008) Recent trends in the surgical management of inflammatory bowel disease. World J Gastroenterol 14(3):408–412PubMedCentralPubMed
44.
45.
Zurück zum Zitat Nanda K, Courtney W, Keegan D, et al. (2013) Prolonged avoidance of repeat surgery with endoscopic balloon dilatation of anastomotic strictures in Crohn’s disease. J Crohn’s Colitis 7(6):474–480. doi:10.1016/j.crohns.2012.07.019 Nanda K, Courtney W, Keegan D, et al. (2013) Prolonged avoidance of repeat surgery with endoscopic balloon dilatation of anastomotic strictures in Crohn’s disease. J Crohn’s Colitis 7(6):474–480. doi:10.​1016/​j.​crohns.​2012.​07.​019
46.
48.
Zurück zum Zitat Knuesel PR, Kubik RA, Crook DW, Eigenmann F, Froehlich JM (2010) Assessment of dynamic contrast enhancement of the small bowel in active Crohn’s disease using 3D MR enterography. Eur J Radiol 73(3):607–613. doi:10.1016/j.ejrad.2008.12.001 PubMed Knuesel PR, Kubik RA, Crook DW, Eigenmann F, Froehlich JM (2010) Assessment of dynamic contrast enhancement of the small bowel in active Crohn’s disease using 3D MR enterography. Eur J Radiol 73(3):607–613. doi:10.​1016/​j.​ejrad.​2008.​12.​001 PubMed
49.
Zurück zum Zitat Horsthuis K, Bipat S, Stokkers PC, Stoker J (2009) Magnetic resonance imaging for evaluation of disease activity in Crohn’s disease: a systematic review. Eur Radiol 19(6):1450–1460. doi:10.1007/s00330-008-1287-0 PubMed Horsthuis K, Bipat S, Stokkers PC, Stoker J (2009) Magnetic resonance imaging for evaluation of disease activity in Crohn’s disease: a systematic review. Eur Radiol 19(6):1450–1460. doi:10.​1007/​s00330-008-1287-0 PubMed
50.
Zurück zum Zitat Kiryu S, Dodanuki K, Takao H, et al. (2009) Free-breathing diffusion-weighted imaging for the assessment of inflammatory activity in Crohn’s disease. J Magn Reson Imaging 29(4):880–886. doi:10.1002/jmri.21725 PubMed Kiryu S, Dodanuki K, Takao H, et al. (2009) Free-breathing diffusion-weighted imaging for the assessment of inflammatory activity in Crohn’s disease. J Magn Reson Imaging 29(4):880–886. doi:10.​1002/​jmri.​21725 PubMed
52.
57.
Zurück zum Zitat Lam TJ, van Bodegraven AA, Felt-Bersma RJ (2014) Anorectal complications and function in patients suffering from inflammatory bowel disease: a series of patients with long-term follow-up. Int J Colorectal Dis 29(8):923–929. doi:10.1007/s00384-014-1926-7 PubMed Lam TJ, van Bodegraven AA, Felt-Bersma RJ (2014) Anorectal complications and function in patients suffering from inflammatory bowel disease: a series of patients with long-term follow-up. Int J Colorectal Dis 29(8):923–929. doi:10.​1007/​s00384-014-1926-7 PubMed
58.
59.
Zurück zum Zitat de Miguel Criado J, del Salto LG, Rivas PF, del Hoyo LF, Velasco LG, de las Vacas MI, Marco Sanz AG, Paradela MM, Moreno EF (2012) MR imaging evaluation of perianal fistulas: spectrum of imaging features. Radiographics: Rev Publ Radiol Soc N Am 32(1):175–194. doi:10.1148/rg.321115040 de Miguel Criado J, del Salto LG, Rivas PF, del Hoyo LF, Velasco LG, de las Vacas MI, Marco Sanz AG, Paradela MM, Moreno EF (2012) MR imaging evaluation of perianal fistulas: spectrum of imaging features. Radiographics: Rev Publ Radiol Soc N Am 32(1):175–194. doi:10.​1148/​rg.​321115040
61.
Zurück zum Zitat Szurowska E, Wypych J, Izycka-Swieszewska E (2007) Perianal fistulas in Crohn’s disease: MRI diagnosis and surgical planning: MRI in fistulazing perianal Crohn’s disease. Abdom Imaging 32(6):705–718. doi:10.1007/s00261-007-9188-2 PubMed Szurowska E, Wypych J, Izycka-Swieszewska E (2007) Perianal fistulas in Crohn’s disease: MRI diagnosis and surgical planning: MRI in fistulazing perianal Crohn’s disease. Abdom Imaging 32(6):705–718. doi:10.​1007/​s00261-007-9188-2 PubMed
63.
Zurück zum Zitat Bellolio F, Cohen Z, Macrae HM, et al. (2013) Outcomes following surgery for perforating Crohn’s disease. Brit J Surg 100(10):1344–1348. doi:10.1002/bjs.9212 PubMed Bellolio F, Cohen Z, Macrae HM, et al. (2013) Outcomes following surgery for perforating Crohn’s disease. Brit J Surg 100(10):1344–1348. doi:10.​1002/​bjs.​9212 PubMed
66.
Zurück zum Zitat Magnano G, Granata C, Barabino A, et al. (2003) Polyethylene glycol and contrast-enhanced MRI of Crohn’s disease in children: preliminary experience. Pediatr Radiol 33(6):385–391. doi:10.1007/s00247-003-0903-z PubMed Magnano G, Granata C, Barabino A, et al. (2003) Polyethylene glycol and contrast-enhanced MRI of Crohn’s disease in children: preliminary experience. Pediatr Radiol 33(6):385–391. doi:10.​1007/​s00247-003-0903-z PubMed
67.
Zurück zum Zitat Keighley MR (2000) The final diagnosis in pouch patients for presumed ulcerative colitis may change to Crohn’s disease: patients should be warned of the consequences. Acta Chir Iugosl 47(4 Suppl 1):27–31PubMed Keighley MR (2000) The final diagnosis in pouch patients for presumed ulcerative colitis may change to Crohn’s disease: patients should be warned of the consequences. Acta Chir Iugosl 47(4 Suppl 1):27–31PubMed
68.
Zurück zum Zitat Hyman NH, Fazio VW, Tuckson WB, Lavery IC (1991) Consequences of ileal pouch-anal anastomosis for Crohn’s colitis. Dis Colon Rectum 34(8):653–657PubMed Hyman NH, Fazio VW, Tuckson WB, Lavery IC (1991) Consequences of ileal pouch-anal anastomosis for Crohn’s colitis. Dis Colon Rectum 34(8):653–657PubMed
69.
Zurück zum Zitat Subramaniam K, D’Rozario J, Pavli P (2013) Lymphoma and other lymphoproliferative disorders in inflammatory bowel disease: a review. J Gastroenterol Hepatol 28(1):24–30. doi:10.1111/jgh.12015 PubMed Subramaniam K, D’Rozario J, Pavli P (2013) Lymphoma and other lymphoproliferative disorders in inflammatory bowel disease: a review. J Gastroenterol Hepatol 28(1):24–30. doi:10.​1111/​jgh.​12015 PubMed
72.
Zurück zum Zitat Lohan DG, Alhajeri AN, Cronin CG, Roche CJ, Murphy JM (2008) MR enterography of small-bowel lymphoma: potential for suggestion of histologic subtype and the presence of underlying celiac disease. AJR Am J Roentgenol 190(2):287–293. doi:10.2214/ajr.07.2721 PubMed Lohan DG, Alhajeri AN, Cronin CG, Roche CJ, Murphy JM (2008) MR enterography of small-bowel lymphoma: potential for suggestion of histologic subtype and the presence of underlying celiac disease. AJR Am J Roentgenol 190(2):287–293. doi:10.​2214/​ajr.​07.​2721 PubMed
73.
75.
Zurück zum Zitat Pappalardo G, Gualdi G, Nunziale A, et al. (2013) Impact of magnetic resonance in the preoperative staging and the surgical planning for treating small bowel neoplasms. Surg Today 43(6):613–619. doi:10.1007/s00595-012-0270-1 PubMed Pappalardo G, Gualdi G, Nunziale A, et al. (2013) Impact of magnetic resonance in the preoperative staging and the surgical planning for treating small bowel neoplasms. Surg Today 43(6):613–619. doi:10.​1007/​s00595-012-0270-1 PubMed
76.
Zurück zum Zitat Patel DR, Levine MS, Rubesin SE, Zafar H, Lev-Toaff AS (2013) Comparison of small bowel follow through and abdominal CT for detecting recurrent Crohn’s disease in neoterminal ileum. Eur J Radiol 82(3):464–471. doi:10.1016/j.ejrad.2012.10.032 PubMed Patel DR, Levine MS, Rubesin SE, Zafar H, Lev-Toaff AS (2013) Comparison of small bowel follow through and abdominal CT for detecting recurrent Crohn’s disease in neoterminal ileum. Eur J Radiol 82(3):464–471. doi:10.​1016/​j.​ejrad.​2012.​10.​032 PubMed
77.
Zurück zum Zitat Fiorino G, Bonifacio C, Peyrin-Biroulet L, et al. (2011) Prospective comparison of computed tomography enterography and magnetic resonance enterography for assessment of disease activity and complications in ileocolonic Crohn’s disease. Inflamm Bowel Dis 17(5):1073–1080. doi:10.1002/ibd.21533 PubMed Fiorino G, Bonifacio C, Peyrin-Biroulet L, et al. (2011) Prospective comparison of computed tomography enterography and magnetic resonance enterography for assessment of disease activity and complications in ileocolonic Crohn’s disease. Inflamm Bowel Dis 17(5):1073–1080. doi:10.​1002/​ibd.​21533 PubMed
79.
Zurück zum Zitat Hurst RD, Molinari M, Chung TP, Rubin M, Michelassi F (1996) Prospective study of the incidence, timing and treatment of pouchitis in 104 consecutive patients after restorative proctocolectomy. Arch Surg (Chicago, Ill: 1960) 131(5):497–500; discussion 501-492 Hurst RD, Molinari M, Chung TP, Rubin M, Michelassi F (1996) Prospective study of the incidence, timing and treatment of pouchitis in 104 consecutive patients after restorative proctocolectomy. Arch Surg (Chicago, Ill: 1960) 131(5):497–500; discussion 501-492
81.
Metadaten
Titel
Magnetic resonance enterography in post-operative inflammatory bowel disease
verfasst von
Jeffrey S. Quon
Phillip R. Quon
Christopher S. Lim
Nishard Abdeen
Nicola Schieda
Publikationsdatum
01.06.2015
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 5/2015
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-015-0392-1

Weitere Artikel der Ausgabe 5/2015

Abdominal Radiology 5/2015 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.