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[Assessment of inflammatory activity in Crohn disease with hydro-MRI]
K Schunk1, A Kern, C P Heussel
1Klinik und Poliklinik für Radiologie, Klinikum der Johannes-Gutenberg-Universität, Mainz. schunk@radiologie.klinik.uni-mainz.de
Purpose:
To assess the value of hydro-MRI in the assessment of the activity of Crohn's disease.
Materials And Methods:
After an oral bowel opacification using 1000 ml of a 2.5% mannitol solution, axial and coronal breath-hold sequences (T2W HASTE +/- FS, contrast-enhanced T1W FLASH FS) were acquired in 63 patients with Crohn's disease at 1.0 T. The enhancement of the bowel wall was correlated with other MRI findings, with the Crohn's disease activity index (CDAI), and the C-reactive protein (CRP).
Results:
In Crohn's disease, contrast enhancement of the affected bowel wall is markedly increased in comparison with the normal bowel wall (+80 +/- 23% vs. +43 +/- 11%; p = 8 x 10(-11)). Positive correlations could be established between the increase of bowel wall enhancement and other MRI findings. Between the increase of bowel wall enhancement and the CDAI a poor correlation was found (r = 0.25; p = 0.046). There was no statistical correlation between the increase of bowel wall enhancement and the CRP (r = 0.09; p = 0.24).
Conclusion:
Hydro-MRI allows an assessment of the activity of Crohn's disease.