PMID: 9530775Apr 8, 1998Paper

MRI of the abdomen combined with enteroclysis in Crohn disease using oral and intravenous Gd-DTPA

Der Radiologe
A RieberR Tomczak

Abstract

In spite of the improved MR-diagnosis of the abdomen, MRI is not used as a routine method for the diagnosis of inflammatory small bowel disease. The aim of this study was--after optimazation of the bowel opacification--the correlation of the findings obtained with enteroclysis and MRI in patients with known Crohns' disease. 60 patients between 17 and 72 years of age were investigated. First, an enteroclysis was performed in typical manner. The applicated methylcellulosis was blended with positive oral MR contrast media (Magnevist oral, Schering). After enteroclysis, MRI of the abdomen was performed using T1- and T2-weighted breathhold sequences (Flash 2D pre- and postcontrast and TSE) in axial and coronal planes. The length of the affected bowel and the stenosis seen with enteroclysis correlated well with the visible thickening of the small bowel wall and the stenosis seen in MRI. Using MRI, additional findings could be obtained in 28 patients, such as fistulas, abscesses or a hydronephrosis, or a better assessment of the stenosis was possible with MRI, because of the avoidance of overshadowing of the affected bowel loop with MRI. A brilliant MR-tomographic imaging of the small bowel is possible under the condition, that the sm...Continue Reading

Citations

Sep 13, 2006·Abdominal Imaging·Pasquale PaolantonioAndrea Laghi
Jun 7, 2005·Magnetic Resonance Imaging Clinics of North America·Andrea LaghiRoberto Passariello
Nov 19, 2005·Gastroentérologie Clinique Et Biologique·Frank PilleulPierre-Jean Valette
Jun 8, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Andreas G SchreyerHans Herfarth
Dec 13, 2002·Topics in Magnetic Resonance Imaging : TMRI·Nickolas PapanikolaouNicholas C Gourtsoyiannis
Dec 13, 2002·Topics in Magnetic Resonance Imaging : TMRI·Klaus Schunk
Jun 6, 2008·World Journal of Gastroenterology : WJG·Jiong ZhuYan Zhou
Jan 10, 2009·European Journal of Radiology·Patrick R KnueselJohannes M Froehlich
Jun 21, 2006·Journal of Magnetic Resonance Imaging : JMRI·Karin van Gemert-HorsthuisJaap Stoker
Sep 13, 2005·Seminars in Ultrasound, CT, and MR·Nicholas C Gourtsoyiannis, Nickolas Papanikolaou
Mar 28, 2003·Radiologic Clinics of North America·Heinz Werner Umschaden, Johann Gasser

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