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[The hydro-MRT of chronic inflammatory bowel diseases]
1Ruprecht-Karls-Universität Heidelberg, Abt. Radiodiagnostik.
Purpose:
Evaluation of hydro-MRI in the diagnosis of chronic inflammatory bowel disease (IBD).
Material And Methods:
33 patients with suspected Crohn's disease or ulcerative colitis were studied prospectively. After distension of the colon by a rectal enema, breathhold MR imaging was performed during bowel relaxation. Results were compared to the clinical diagnosis, endoscopy, barium studies and histopathology.
Results:
24/24 patients with active Crohn's disease were correctly diagnosed by MRI. Conversely, MRI was positive in only 2/5 patients with ulcerative colitis. In 5 patients the presence of IBD was excluded. There were no false positives.
Conclusion:
Hydro-MRI is a very reliable modality in the diagnosis of Crohn's disease. In the differentiation of Crohn's disease from ulcerative colitis, hydro-MRI seems to be a promising imaging procedure.