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Multidetector computed tomographic and magnetic resonance enterography in children: state of the art
Matthew R Hammer1, Daniel J Podberesky, Jonathan R Dillman
1Section of Pediatric Radiology, Department of Radiology, C.S. Mott Children's Hospital, University of Michigan Health System, 1540 East Hospital Drive, Room 3-220, Ann Arbor, MI 48109-4252, USA. hammerm@med.umich.edu
Insights
Advanced CT and MR enterography imaging techniques are effective for diagnosing pediatric inflammatory bowel disease (IBD) and its complications in children of all ages, often without sedation.
Area of Science:
- Pediatric Radiology
- Gastroenterology
- Medical Imaging
Background:
- Inflammatory Bowel Disease (IBD) diagnosis in children requires accurate imaging.
- Current imaging modalities may have limitations in visualizing the bowel and mesentery comprehensively.
Purpose of the Study:
- To review advanced CT and MR enterography techniques for pediatric IBD.
- To highlight clinical applications and illustrated bowel abnormalities.
Main Methods:
- Utilized advanced multidetector computed tomographic (CT) and magnetic resonance (MR) enterography.
- Focused on techniques applicable to pediatric patients of all ages.
Main Results:
- CT and MR enterography are successfully performed in children, often without sedation.
- These cross-sectional imaging techniques enable noninvasive diagnosis, complication detection, and inflammation monitoring in pediatric IBD.
Conclusions:
- Advanced CT and MR enterography are valuable tools for evaluating pediatric IBD.
- These methods provide detailed insights into bowel and mesenteric conditions and their manifestations.
Abstract:
Advanced multidetector computed tomographic and magnetic resonance imaging techniques (CT and MR enterography, respectively), designed to provide detailed images of the bowel and mesentery, can be successfully performed in children of all ages, frequently without sedation. Cross-sectional enterography allows for noninvasive diagnosis, detection of various disease-related complications and extraintestinal manifestations, and monitoring of bowel-wall inflammation in pediatric inflammatory bowel disease (IBD). This article provides a contemporary review of CT and MR enterography in the pediatric population, including up-to-date techniques and clinical applications. A range of bowel abnormalities is illustrated, with an emphasis on IBD and its many abdominopelvic manifestations.
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