Skip to main content
Erschienen in: Abdominal Radiology 5/2005

01.10.2005 | INVITED UPDATE

Ulcerative colitis: value of MR imaging

verfasst von: F. Maccioni, M. C. Colaiacomo, S. Parlanti

Erschienen in: Abdominal Radiology | Ausgabe 5/2005

Einloggen, um Zugang zu erhalten

Abstract

Recent technologic advances have greatly improved the quality of abdominal magnetic resonance imaging (MRI) by allowing the identification of abnormalities in inflammatory bowel disease. Thus far, the role of MRI has been extensively investigated in Crohn disease (CD) and, to a minor extent, in ulcerative colitis (UC), likely due to intrinsic differences between these two diseases. In UC the inflammatory lesions, unlike CD, are confined to the colon, have a predictable spreading, and affect only the inner wall layer; thus endoscopy alone can assess the extent and severity of disease in most cases. However, preliminary studies have demonstrated that MRI also can be a reliable diagnostic tool for UC because it is useful for integrating clinical and endoscopic data. MRI can be valuable in distinguishing CD from UC in uncertain cases by assessing the sparing of the distal ileum and the continuity of colonic involvement. Moreover, MRI can provide important information if endoscopy is incomplete, e.g., due to tight strictures, or contraindicated, e.g., in severely acute disease, due to a high risk of perforation. MRI can detect most of the typical findings of the diseases, such as wall thickening, mural stratification, loss of haustrations, and several complications including fibrotic or neoplastic strictures. In addition, MRI can be extremely valuable in assessing disease activity by monitoring the degree of wall gadolinium enhancement and T2 signal at the level of the affected bowel segments, thus influencing pharmacologic and surgical planning. In the next few years, MRI will likely become the imaging modality of choice in the clinical management of this disease.
Literatur
1.
Zurück zum Zitat Jewell, DP 1993Ulcerative colitisSleisenger, MHFoerdtran, JS eds. Gastrointestinal disease4SaundersPhiladelphia13051330 Jewell, DP 1993Ulcerative colitisSleisenger, MHFoerdtran, JS eds. Gastrointestinal disease4SaundersPhiladelphia13051330
2.
Zurück zum Zitat Riddell, RH 2000Patology of idiopatic inflammatory bowel diseaseKirsner, JB eds. Inflammatory bowel disease5thWB SaundersPhiladelphia427447 Riddell, RH 2000Patology of idiopatic inflammatory bowel diseaseKirsner, JB eds. Inflammatory bowel disease5thWB SaundersPhiladelphia427447
3.
Zurück zum Zitat Lasner, BH 2000Clinical features, course, laboratory findings, and complications in ulcerative colitisKirsner, JB eds. Inflammatory bowel disease5thWB SaundersPhiladelphia305314 Lasner, BH 2000Clinical features, course, laboratory findings, and complications in ulcerative colitisKirsner, JB eds. Inflammatory bowel disease5thWB SaundersPhiladelphia305314
4.
5.
Zurück zum Zitat Lomas, DJ 1999The potential of MR for small bowel imagingImaging11161169 Lomas, DJ 1999The potential of MR for small bowel imagingImaging11161169
7.
Zurück zum Zitat Shoenut, JP, Semelka, RC, Silverman, R, et al. 1993Magnetic resonance imaging in inflammatory bowel diseaseJ Clin Gastroenterol177378PubMed Shoenut, JP, Semelka, RC, Silverman, R,  et al. 1993Magnetic resonance imaging in inflammatory bowel diseaseJ Clin Gastroenterol177378PubMed
8.
Zurück zum Zitat Kettritz, U, Isaaks, K, Warshauer, DM, et al. 1995Crohn disease. Pilot study comparing MRI of the abdomen with clinical evaluationJ Clin Gastroenterol21249253PubMed Kettritz, U, Isaaks, K, Warshauer, DM,  et al. 1995Crohn disease. Pilot study comparing MRI of the abdomen with clinical evaluationJ Clin Gastroenterol21249253PubMed
9.
Zurück zum Zitat Ernst, O, Asselah, T, Cablan, X, et al. 1998Breath-hold fast spin-echo MR imaging of Crohn’s diseaseAJR170127128PubMed Ernst, O, Asselah, T, Cablan, X,  et al. 1998Breath-hold fast spin-echo MR imaging of Crohn’s diseaseAJR170127128PubMed
10.
Zurück zum Zitat Madsen, SM, Thomsen, HS, Munkholm, P, et al. 1998Active Crohn’s disease and ulcerative colitis evaluated by low-field magnetic resonance imagingScand J Gastroenterol331193 1200CrossRefPubMed Madsen, SM, Thomsen, HS, Munkholm, P,  et al. 1998Active Crohn’s disease and ulcerative colitis evaluated by low-field magnetic resonance imagingScand J Gastroenterol331193 1200CrossRefPubMed
11.
Zurück zum Zitat Maccioni, F, Viscido, A, Broglia, L, et al. 2000Evaluation of Crohn disease activity with MRIAbdom Imaging25219228CrossRefPubMed Maccioni, F, Viscido, A, Broglia, L,  et al. 2000Evaluation of Crohn disease activity with MRIAbdom Imaging25219228CrossRefPubMed
12.
Zurück zum Zitat Rieber, A, Aschoff, A, Nussle, K, et al. 2000MRI in the diagnosis of small bowel disease: use of positive and negative oral contrast media in combination with enteroclysisEur Radiol1013771382CrossRefPubMed Rieber, A, Aschoff, A, Nussle, K,  et al. 2000MRI in the diagnosis of small bowel disease: use of positive and negative oral contrast media in combination with enteroclysisEur Radiol1013771382CrossRefPubMed
13.
Zurück zum Zitat Gourtsoyiannis, N, Papanikolaou, N, Grammatikakis, J, et al. 2001MR enteroclysis protocol optimization: comparison between 3D FLASH with fat saturation after intravenous gadolinium injection and true FISP sequencesEur Radiol11908913CrossRefPubMed Gourtsoyiannis, N, Papanikolaou, N, Grammatikakis, J,  et al. 2001MR enteroclysis protocol optimization: comparison between 3D FLASH with fat saturation after intravenous gadolinium injection and true FISP sequencesEur Radiol11908913CrossRefPubMed
14.
Zurück zum Zitat Koh, DM, Miao, Y, Chinn, RI, et al. 2001MR imaging evaluation of the activity of Crohn’s diseaseAJR17713251332PubMed Koh, DM, Miao, Y, Chinn, RI,  et al. 2001MR imaging evaluation of the activity of Crohn’s diseaseAJR17713251332PubMed
15.
Zurück zum Zitat Maccioni, F, Viscido, A, Marini, M, et al. 2002MRI evaluation of Crohn’s disease of the small and large bowel with the use of negative superparamagnetic oral contrast agentsAbdom Imaging27384393CrossRefPubMed Maccioni, F, Viscido, A, Marini, M,  et al. 2002MRI evaluation of Crohn’s disease of the small and large bowel with the use of negative superparamagnetic oral contrast agentsAbdom Imaging27384393CrossRefPubMed
16.
Zurück zum Zitat Low, RN, Sebrechts, CP, Politoske, DA, et al. 2002Crohn disease with endoscopic correlation: single shot fast spin echo and gadolinium enhanced fat-suppressed spoiled gradient-echo MR imagingRadiology222652660PubMed Low, RN, Sebrechts, CP, Politoske, DA,  et al. 2002Crohn disease with endoscopic correlation: single shot fast spin echo and gadolinium enhanced fat-suppressed spoiled gradient-echo MR imagingRadiology222652660PubMed
17.
Zurück zum Zitat Giovagnoni, A, Misericordia, M, Terilli, F, et al. 1993MR imaging of ulcerative colitisAbdom Imaging18371375CrossRefPubMed Giovagnoni, A, Misericordia, M, Terilli, F,  et al. 1993MR imaging of ulcerative colitisAbdom Imaging18371375CrossRefPubMed
18.
Zurück zum Zitat F Maccioni 2004 MRI of colitis A Chapman Radiology and imaging of the colon Springer-Verlag, New York 20 201 214 F Maccioni 2004 MRI of colitis A Chapman Radiology and imaging of the colon Springer-Verlag, New York 20 201 214
19.
Zurück zum Zitat Giovagnoni, A, Fabbri, A, Maccioni, F 2002Oral contrast agent in MRI of the gastrointestinal tractAbdom Imaging27367375CrossRefPubMed Giovagnoni, A, Fabbri, A, Maccioni, F 2002Oral contrast agent in MRI of the gastrointestinal tractAbdom Imaging27367375CrossRefPubMed
20.
Zurück zum Zitat Laghi, A, Catalano, C, Iannaccone, R, et al. 2001Polyethylene glycol solution as an oral contrast agent for MR Imaging of the small bowelAJR17713331334PubMed Laghi, A, Catalano, C, Iannaccone, R,  et al. 2001Polyethylene glycol solution as an oral contrast agent for MR Imaging of the small bowelAJR17713331334PubMed
21.
Zurück zum Zitat Lee, JK, Semelka, RC 1998MR imaging of the small bowel using the HASTE sequenceAJR17014571463PubMed Lee, JK, Semelka, RC 1998MR imaging of the small bowel using the HASTE sequenceAJR17014571463PubMed
22.
Zurück zum Zitat F Maccioni 2004 MRI of colitis A Chapman Radiology and imaging of the colon Springer-Verlag, New York 20 201 214 F Maccioni 2004 MRI of colitis A Chapman Radiology and imaging of the colon Springer-Verlag, New York 20 201 214
23.
Zurück zum Zitat Philpotts, LE, Heiken, JP, Westcott, MA, et al. 1994Colitis: use of CT findings in differential diagnosisRadiology190445449PubMed Philpotts, LE, Heiken, JP, Westcott, MA,  et al. 1994Colitis: use of CT findings in differential diagnosisRadiology190445449PubMed
24.
Zurück zum Zitat Gore, RM 1994Cross sectional imaging of the colonGore, RMLevine, MSLaufer, I eds. Textbook of gastrointestinal radiologyWB SaundersPhiladelphia10521063 Gore, RM 1994Cross sectional imaging of the colonGore, RMLevine, MSLaufer, I eds. Textbook of gastrointestinal radiologyWB SaundersPhiladelphia10521063
25.
Zurück zum Zitat Gore, RM, Balthazar, EJ, Ghahremani, GG, Miller, FH 1996CT features of ulcerative colitis and Crohn’s diseaseAJR167315PubMed Gore, RM, Balthazar, EJ, Ghahremani, GG, Miller, FH 1996CT features of ulcerative colitis and Crohn’s diseaseAJR167315PubMed
26.
Zurück zum Zitat Gore RM, Ghahremani GG, Miller FH. Inflammatory bowel disease: radiologic diagnosis. In: Balfe DM, Levie MS, eds. Syllabus of Radiological Society of North America categorical course in gastrointestinal radiology produced by RSNA publications. RSNA 1997:95–110 Gore RM, Ghahremani GG, Miller FH. Inflammatory bowel disease: radiologic diagnosis. In: Balfe DM, Levie MS, eds. Syllabus of Radiological Society of North America categorical course in gastrointestinal radiology produced by RSNA publications. RSNA 1997:95–110
27.
Zurück zum Zitat Klein, VHM, Wein, B, Adam, G, et al. 1995Computed tomography of Crohn’s disease and ulcerative colitisFortschr Roentgenstr163915 Klein, VHM, Wein, B, Adam, G,  et al. 1995Computed tomography of Crohn’s disease and ulcerative colitisFortschr Roentgenstr163915
28.
Zurück zum Zitat Muldowney, SM, Balfe, DM, Hammerman, A, et al. 1995“Acute” fat deposition in bowel wall submucosa: CT appearanceJ Comput Assist Tomogr19390393PubMed Muldowney, SM, Balfe, DM, Hammerman, A,  et al. 1995“Acute” fat deposition in bowel wall submucosa: CT appearanceJ Comput Assist Tomogr19390393PubMed
29.
Zurück zum Zitat Jones, B, Fishman, EK, Hamilton, SR, et al. 1986Submucosal accumulation of fat in inflammatory bowel disease: CT/pathologic correlationJ Comput Assist Tomogr10759763PubMed Jones, B, Fishman, EK, Hamilton, SR,  et al. 1986Submucosal accumulation of fat in inflammatory bowel disease: CT/pathologic correlationJ Comput Assist Tomogr10759763PubMed
30.
Zurück zum Zitat Maccioni F, Colaiacomo MC, Bruni A, et al. Role of MR Imaging in the clinical management of patients with Ulcerative colitis [abstract]. Presented at the Scientific Assembly and Annual Meeting of the RSNA; 2003 Maccioni F, Colaiacomo MC, Bruni A, et al. Role of MR Imaging in the clinical management of patients with Ulcerative colitis [abstract]. Presented at the Scientific Assembly and Annual Meeting of the RSNA; 2003
31.
Zurück zum Zitat Truelove, SC, Pena, AS 1976Course and prognosis of Crohn’s diseaseGut17192198PubMed Truelove, SC, Pena, AS 1976Course and prognosis of Crohn’s diseaseGut17192198PubMed
32.
Zurück zum Zitat Kangas, E, Matikainen, M, Mattila, J 1994Is “indeterminate colitis” Crohn’s disease in the long-term follow-up?Int Surg79120125PubMed Kangas, E, Matikainen, M, Mattila, J 1994Is “indeterminate colitis” Crohn’s disease in the long-term follow-up?Int Surg79120125PubMed
33.
Zurück zum Zitat Price, AB 1978Overlap in the spectrum of non-specific inflammatory bowel disease “colitis indeterminate.”J Clin Pathol31567574PubMed Price, AB 1978Overlap in the spectrum of non-specific inflammatory bowel disease “colitis indeterminate.”J Clin Pathol31567574PubMed
34.
Zurück zum Zitat Rioux, M, Gagnon, J 1997Imaging modalities in the puzzling world of inflammatory bowel diseaseAbdom Imaging22173174CrossRefPubMed Rioux, M, Gagnon, J 1997Imaging modalities in the puzzling world of inflammatory bowel diseaseAbdom Imaging22173174CrossRefPubMed
Metadaten
Titel
Ulcerative colitis: value of MR imaging
verfasst von
F. Maccioni
M. C. Colaiacomo
S. Parlanti
Publikationsdatum
01.10.2005
Erschienen in
Abdominal Radiology / Ausgabe 5/2005
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-004-0284-2

Weitere Artikel der Ausgabe 5/2005

Abdominal Radiology 5/2005 Zur Ausgabe

Update Radiologie

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