在性结肠炎中MR肠镜:超越内镜
Amir Reza Radmard1, Mehrnam Amouei1, Ala Torabi1
1From the Departments of Radiology (A.R.R., M.A., A.T.) and Pathology (H.S.), Shariati Hospital, Tehran University of Medical Sciences, North Kargar St, Tehran 14117, Iran; Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran (A.R.R., M.A., A.T.); Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran (A.R.S.); Sasan Alborz Biomedical Research Center, Masoud Gastroenterology and Hepatology Center, Tehran, Iran (A.R.S.); Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY (A.G., B.T.); Biomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY (A.G., B.T.); and Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (A.H.D.).
磁共振肠道学 (MRE) 为评估性结肠炎 (UC) 提供了超越内镜的宝贵见解. 这种先进的成像技术有助于诊断UC活动,慢性和并发症,补充内镜评估.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 性结肠炎 (UC) 是一种慢性炎症性肠病 (IBD),影响结肠和直肠.
- 克罗恩氏病 (CD) 是另一种IBD类型,其特点是肠道管道的任何部位都有转移性炎症.
- 内镜是UC评估的主要工具,而MR肠道学 (MRE) 却未得到充分利用.
研究的目的:
- 突出MRE在评估性结肠炎 (UC) 中使用不足的诊断潜力.
- 展示MRE如何为UC管理提供超越内镜发现的信息.
- 强调MRE在区分UC和CD以及管理并发症方面的作用.
主要方法:
- 审查当前文献和临床应用的MR肠道学 (MRE) 性结肠炎 (UC).
- 将MRE发现与UC患者内镜评估进行比较.
- 讨论MRE检测壁面,壁外和肠外异常的能力.
主要成果:
- MRE提供了关于UC活动,疾病慢性和内镜无法看到的并发症的信息.
- 磁力共振可以识别壁面/外壁异常,难以进入的结肠片段和肠外表现.
- 在UC患者中排除未诊断的克罗恩病 (CD) 和评估结肠切除术后并发症时,MRE非常有价值.
结论:
- 在评估性结肠炎 (UC) 方面,MRE比内镜具有显著的优势,提供全面的信息.
- 放射科医生可以通过利用MRE来提高UC管理,以揭示除内镜可视化之外的发现.
- MRE是复杂的UC病例的关键工具,包括区分CD和管理并发症.
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