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Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
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Pearls and Pitfalls in MR Enterography Interpretation for Pediatric Patients

S G Harrington1, M K Johnson1, Mlc Greer2

  • 1Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

Seminars in Ultrasound, CT, and MR
|September 27, 2020
PubMed

Insights

Magnetic resonance enterography (MRE) is the top choice for diagnosing Crohn disease in children. This guide covers MRE techniques, crucial findings, and potential challenges for accurate pediatric Crohn disease evaluation.

Area of Science:

  • Pediatric Radiology
  • Gastrointestinal Imaging
  • Inflammatory Bowel Disease

Background:

  • Magnetic resonance enterography (MRE) is increasingly preferred for pediatric Crohn disease.
  • Standardization in MRE performance and interpretation is growing.
  • MRE significantly impacts clinical management decisions in children.

Purpose of the Study:

  • To detail technical aspects of pediatric MRE.
  • To highlight critical "do not miss" findings in pediatric MRE.
  • To discuss potential limitations and troubleshooting for pediatric MRE.

Main Methods:

  • Focus on technical considerations for performing MRE in pediatric patients.
  • Review of key imaging findings relevant to Crohn disease.
  • Discussion of potential pitfalls and limitations of the technique.

Main Results:

  • Standardized MRE protocols enhance diagnostic accuracy.
  • "Do not miss" findings are crucial for timely clinical intervention.
  • Understanding potential problems improves diagnostic utility.

Conclusions:

  • MRE is a vital tool for pediatric Crohn disease assessment.
  • Technical expertise and awareness of potential issues are essential for optimal MRE use.
  • Accurate interpretation of MRE aids in effective patient management.

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