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Pictorial essay


Magnetic Resonance Enterography Findings in Crohn's disease in the Pediatric Population and Correlation with Fluoroscopic and Multidetector Computed Tomographic Techniques

Parul PatelMargaret OrmanoskiKim M Hoadley
Date of Submission: 06-Apr-2011, Date of Acceptance: 27-Jun-2011, Date of Web Publication: 30-Jul-2011.
Corresponding Author:
Corresponding Author

Parul Patel

University of Rochester Medical Center, 284 Wintergreen Way, Rochester, NY - 14618, USA.
E-mail: parul_patel@urmc.rochester.edu

Corresponding Author:
Corresponding Author

Parul Patel

University of Rochester Medical Center, 284 Wintergreen Way, Rochester, NY - 14618, USA.
E-mail: parul_patel@urmc.rochester.edu

DOI: 10.4103/2156-7514.83399 Facebook Twitter Google Linkedin

ABSTRACT


Traditionally, fluoroscopic examinations such as enteroclysis, upper GI studies, and small bowel follow through exams have been the procedures of choice in evaluating inflammatory bowel disease (IBD) in pediatric populations. With the advent of multidetector computed tomography (MDCT), it has subsequently become a complementary examination in imaging inflammatory bowel disease. A major advantage of MDCT over fluoroscopic examination is its ability to directly visualize bowel mucosa, as well as demonstrate extra-enteric complications of IBD such as abscesses, fistulae, and sinus tracts. The major disadvantage of CT however is exposure to ionizing radiation, especially in IBD patients of the pediatric age group who maybe repeatedly imaged due to exacerbations. As a result, magnetic resonance enterography (MRE) is becoming increasingly important in the evaluation and follow-up of pediatric patients with IBD. This pictorial essay will summarize the multi-modality imaging findings of IBD with emphasis on MRE including the imaging protocol and procedure. For the purposes of this article, patients less than 17 years of age have been considered to represent the pediatric population.
Keywords: Inflammatory Bowel Disease, Magnetic Resonance Enterography, Pediatric

Cited in 4 Documents

  1. Shankar Kumar, Nikhil Rao and Stuart A. Taylor Cross-Sectional Imaging in Crohn’s Disease (Chapter 6) 2019 93. Doi: 10.1007/978-3-319-96586-4_6
  2. André Åkerman, Sven Månsson, Frans-Thomas Fork, Peter Leander, Olle Ekberg, Stuart Taylor, Alex Menys and Bodil Ohlsson Computational postprocessing quantification of small bowel motility using magnetic resonance images in clinical practice: An initial experience J. Magn. Reson. Imaging 44(2) 2016 277. Doi: 10.1002/jmri.25166
  3. Kayalvily Jesuratnam-Nielsen, Vibeke Berg Løgager, Pia Munkholm and Henrik S Thomsen Diagnostic accuracy of three different MRI protocols in patients with inflammatory bowel disease Acta Radiologica Open 4(6) 2015 205846011558809. Doi: 10.1177/2058460115588099
  4. Kayalvily Jesuratnam-Nielsen, Vibeke B. Løgager, Bijan Rezanavaz-Gheshlagh, Pia Munkholm and Henrik S. Thomsen Plain magnetic resonance imaging as an alternative in evaluating inflammation and bowel damage in inflammatory bowel disease – a prospective comparison with conventional magnetic resonance follow-through Scandinavian Journal of Gastroenterology 50(5) 2015 519. Doi: 10.3109/00365521.2014.1003398

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