CT and MR enterography in evaluating small bowel diseases: when to use which modality?

作者: Gabriele Masselli , Gianfranco Gualdi

DOI: 10.1007/S00261-012-9961-8

关键词:

摘要: MR and CT techniques optimized for small bowel imaging are playing an increasing role in the evaluation of disorders. Several studies have shown advantages these over traditional barium fluoroscopic examinations due to improvements spatial temporal resolution combined with improved distending agents. The preference vs. has been geographical based on expertise public policy. With awareness radiation exposure, there a more global interest implementing that either reduce or eliminate exposure. This is especially important patients chronic diseases such as inflammatory disease who may require multiple lifetime sequential time points assessment gastrointestinal motility. MRI many properties make it well suited bowel: lack ionizing radiation, tissue contrast can be obtained by using variety pulse sequences, ability perform real functional imaging. Moreover, modalities allow visualization entire bowel, without overlapping loops, detection both intra- extraluminal abnormalities.The findings, enhancement information, help accurate diagnosis consequently characterize diseases.

参考文章(55)
Laura Maria Minordi, Amorino Vecchioli Scaldazza, Gabriele Masselli, Laura Menchini, Maria Gabriella Brizi, Magnetic Resonance Enteroclysis imaging of Crohn's. Radiologia Medica. ,vol. 110, pp. 221- 233 ,(2005)
Jeff L. Fidler, Luis Guimaraes, David M. Einstein, MR imaging of the small bowel Radiographics. ,vol. 29, pp. 1811- 1825 ,(2009) , 10.1148/RG.296095507
Nicholas Gourtsoyiannis, Nickolas Papanikolaou, John Grammatikakis, Panos Prassopoulos, MR enteroclysis: technical considerations and clinical applications. European Radiology. ,vol. 12, pp. 2651- 2658 ,(2002) , 10.1007/S00330-002-1507-Y
[edited by] Richard M. Gore, Marc S. Levine, Textbook of Gastrointestinal Radiology ,(2007)
Anne Negaard, Vemund Paulsen, Leiv Sandvik, Audun Elnaes Berstad, Arne Borthne, Kirsti Try, Idar Lygren, Tryggve Storaas, Nils-Einar Klow, A prospective randomized comparison between two MRI studies of the small bowel in Crohn’s disease, the oral contrast method and MR enteroclysis European Radiology. ,vol. 17, pp. 2294- 2301 ,(2007) , 10.1007/S00330-007-0648-4
Frans-Thomas Fork, Lars Aabakken, Capsule enteroscopy and radiology of the small intestine European Radiology. ,vol. 17, pp. 3103- 3111 ,(2007) , 10.1007/S00330-007-0718-7
G. Masselli, A. Vecchioli, G. F. Gualdi, Crohn disease of the small bowel: MR enteroclysis versus conventional enteroclysis. Abdominal Imaging. ,vol. 31, pp. 400- 409 ,(2006) , 10.1007/S00261-005-0395-4
U Korman, S Kurugoglu, G Ogut, None, Conventional enteroclysis with complementary MR enteroclysis: a combination of small bowel imaging. Abdominal Imaging. ,vol. 30, pp. 564- 575 ,(2005) , 10.1007/S00261-005-0331-7
Johannes M. Froehlich, Christian Waldherr, Christoforos Stoupis, S. Mehmet Erturk, Michael A. Patak, MR motility imaging in Crohn's disease improves lesion detection compared with standard MR imaging. European Radiology. ,vol. 20, pp. 1945- 1951 ,(2010) , 10.1007/S00330-010-1759-X
Andreas G. Schreyer, Angela Geissler, Helga Albrich, Jürgen Schölmerich, Stefan Feuerbach, Gerhard Rogler, Markus Völk, Hans Herfarth, Abdominal MRI after enteroclysis or with oral contrast in patients with suspected or proven Crohn's disease. Clinical Gastroenterology and Hepatology. ,vol. 2, pp. 491- 497 ,(2004) , 10.1016/S1542-3565(04)00168-5