[Imaging of intestinal ischemia]

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Updated: Aug 24, 2026

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

B E Van Beers1, E Danse, F Hammer

  • 1Département d'imagerie médicale, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, B-1200 Bruxelles, Belgique. vanbeers@rdgn.ucl.ac.be

Journal De Radiologie
|June 9, 2004
PubMed

Insights

Computed tomography and MRI are increasingly used to detect acute and chronic mesenteric ischemia by identifying vascular issues and bowel wall changes. Arteriography remains the gold standard for diagnosing acute mesenteric ischemia.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Radiology

Context:

  • Ischemic bowel disease encompasses acute and chronic mesenteric ischemia and colon ischemia.
  • Accurate diagnosis is crucial for timely intervention and improved patient outcomes.

Purpose:

  • To highlight the evolving role of cross-sectional imaging, particularly computed tomography (CT), in diagnosing mesenteric ischemia.
  • To discuss the complementary functional information provided by MRI and the established role of arteriography.

Summary:

  • Cross-sectional imaging, especially CT, is vital for detecting vascular obstructions, stenoses, and bowel wall abnormalities in acute and chronic mesenteric ischemia.
  • MRI offers functional insights into mesenteric ischemia by assessing oxygen saturation in the superior mesenteric vein.
  • Arteriography remains the definitive diagnostic tool for acute mesenteric ischemia.

Impact:

  • Enhanced diagnostic capabilities for ischemic bowel disease.
  • Potential for earlier detection and treatment of mesenteric ischemia.
  • Improved understanding of imaging modalities for mesenteric vascular disease.

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