MR imaging of acute bowel pathology: a pictorial review

Nancy A Hammond1, Frank H Miller, Vahid Yaghmai

  • 1Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 North Saint Clair Street, Ste 800, Chicago, IL 60611, USA. nhammond@nmff.org

Emergency Radiology
|December 22, 2007
PubMed

Insights

Magnetic resonance (MR) imaging offers advantages for diagnosing acute bowel conditions, including better soft tissue detail and no radiation. Radiologists should learn these MR features for improved abdominal pain diagnosis.

Area of Science:

  • Radiology
  • Medical Imaging

Background:

  • Computed tomography (CT) is often the primary imaging choice for acute abdominal conditions.
  • Magnetic resonance (MR) imaging presents unique advantages in specific clinical scenarios.

Purpose of the Study:

  • To illustrate the magnetic resonance imaging features of acute bowel pathologies.
  • To enhance radiologists' recognition of MR findings in acute abdominal pain.

Main Methods:

  • Pictorial essay format.
  • Review of key MR imaging findings for various acute bowel conditions.

Main Results:

  • MR imaging provides high soft tissue contrast, beneficial for evaluating bowel abnormalities.
  • MR imaging avoids ionizing radiation, a key advantage over CT.
  • Gadolinium contrast administration is feasible in patients with iodinated contrast allergies.

Conclusions:

  • Abdominal/pelvic MR utilization is increasing, necessitating familiarity with its findings in acute bowel disease.
  • Radiologists must be adept at interpreting MR imaging for acute abdominal pain.
  • MR imaging is a valuable tool for diagnosing acute processes involving the bowel.

Related Concept Videos

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...