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Published on: February 9, 2012
Magnetic resonance enteroclysis
Nicholas C Gourtsoyiannis1, Nickolas Papanikolaou
1Department of Radiology, University Hospital of Iraklion, University of Crete Medical School, P.O. Box 1352, 711 10 Iraklion Crete, Greece. gournick@med.uoc.gr
Abstract:
MR enteroclysis (MRE) is an emerging technique for the evaluation of small intestinal diseases. Administration of an iso-osmotic water solution through a nasojejunal catheter can guarantee adequate luminal distention, and in combination with ultrafast sequences, such as single shot TSE, true FISP, HASTE and 3D FLASH, results in excellent anatomic demonstration of the small intestine. MR fluoroscopy can be performed during MRE examination to monitor the filling process and might be useful in studying low-grade stenosis or motility related disorders. MRE is a very promising technique for the detection and characterization of involved small bowel segments in patients with Crohn's disease while its diagnostic performance in disclosing lumen narrowing and extramural manifestations and complications of the disease is outstanding. Initial experience shows that MRE is very efficient in the diagnosis of small bowel tumors and can be used in the evaluation of small bowel obstruction.
Insights
MR enteroclysis (MRE) offers excellent visualization of the small intestine for diagnosing diseases like Crohn's. This advanced MRI technique effectively detects tumors and obstructions, showing great promise in gastroenterology.
Area of Science:
- Radiology
- Gastroenterology
- Medical Imaging
Background:
- Small intestinal diseases require advanced diagnostic tools.
- MR enteroclysis (MRE) is an emerging technique for small bowel evaluation.
Purpose of the Study:
- To evaluate the effectiveness of MR enteroclysis (MRE) in diagnosing small intestinal diseases.
- To highlight MRE's capabilities in visualizing small bowel anatomy and pathology.
Main Methods:
- Utilized MR enteroclysis (MRE) with an iso-osmotic water solution via a nasojejunal catheter.
- Employed ultrafast MRI sequences (single shot TSE, true FISP, HASTE, 3D FLASH) for enhanced imaging.
- Incorporated MR fluoroscopy to monitor contrast agent distribution and assess motility.
Main Results:
- Achieved excellent anatomic demonstration of the small intestine.
- Demonstrated outstanding diagnostic performance in detecting Crohn's disease involvement, including lumen narrowing and extramural complications.
- Showed high efficiency in diagnosing small bowel tumors and evaluating small bowel obstruction.
Conclusions:
- MR enteroclysis (MRE) is a highly promising technique for small intestinal disease evaluation.
- MRE provides excellent visualization and characterization of Crohn's disease, tumors, and obstructions.
- MR fluoroscopy during MRE aids in assessing stenosis and motility disorders.
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