Diffusion-weighted magnetic resonance imaging of abdominal tuberculosis: a new take on an old disease
Tóm tắt
Abdominal tuberculosis is a major cause of mortality and morbidity in developing countries also re-emerging in western world due to the AIDS epidemic and population migration. Large proportion of the patients are young and hence radiation exposure is of concern. In addition, in some patients, contrast may be contraindicated or repeat studies may be required, where MR especially DWI may be useful. The aim of the study is to describe MRI features in abdominal tuberculosis including DWI in the involved bowel, lymphadenopathy, omental, and peritoneal thickening. Nodes being especially easy to appreciate on DWI, thus DWI in conjunction with routine noncontrast MR sequence can be useful technique to identify abdominal tubercular lesions in patients with contraindication to contrast.
Tài liệu tham khảo
Suri S, Gupta S, Suri R. Computed tomography in abdominal tuberculosis. Br J Radiol. 1999 Jan;72(853):92-8.
Debi U, Ravisankar V, Prasad RK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract. Revisited. World J Gastroenterol. 2014; 20(40):14831-40.
Vanhoenacker FM, De Backer AI, de Beeck BO, Maes M, Van Altena R, Van Beckevoort D, et al. Imaging of gastrointestinal and abdominal tuberculosis. Eur Radiol. 2004 Mar 1;14(3):E103-15.
WHO Global Tuberculosis report (Internet) 2015. Available from: http:www.who.int/tb/publications/globalreport/en/-WHO Tuberculosis Report 2015.
Sharma R, Madhusudhan KS, Ahuja V. Intestinal tuberculosis versus Crohn’s disease: Clinical and radiological recommendations. Indian J Radiol Imaging 2016;26:161-72.
Joshi AR, Basantani AS, Patel TC. Role of CT and MRI in abdominal tuberculosis. Curr Radiol Rep 2014;2:66-82.
Bhargava S K, Kumar P, Bhargava S. Role of Multi Slice CT in Abdominal Tuberculosis. JIMSA 2013; 26:47-50.
Ray D, Thukral B, Gupta R, Chintamani, Prasad R. Small bowel tuberculosis by multidetector CT enteroclysis. Jpn J Radiol 2013;31(7):471–9.
Uygur-Bayramiçli O, Dabak G, Dabak R. A clinical dilemma: abdominal tuberculosis. World J Gastroenterol. 2003 May 15;9(5):1098.
Ihekwaba FN. Abdominal tuberculosis: a study of 881 cases. J R Coll Surg Edinb. 1993 Oct;38(5):293-5.
Aston NO. Abdominal tuberculosis. World J Surg. 1997 Jun 1;21(5):492-9.
De Backer AI, Mortele KJ, Deeren D, Vanschoubroeck IJ, De Keulenaer BL. Abdominal tuberculous lymphadenopathy: MRI features. Eur Radiol. 2005;15(10):2104–9.
Shao H, Yang ZG, Xu G-H, He C, Wen LY, Zhang S et al. Tuberculosis in the abdominal lymph nodes: evaluation with contrast-enhanced magnetic resonance imaging. Int J Tuberc Lung Dis 2013 Jan;17(1):90-5.
Krishna S, Kalra N, Singh P, Kochhar R, Gupta R, Singh R, Khandelwal N. Small-bowel tuberculosis: a comparative study of MR enterography and small-bowel follow-through. AJR Am J Roentgenol. 2016 Sep;207(3):571-7.
Zhao J, Cui MY, Chan T, Mao R, Luo Y, Barual I etal. Evaluation of intestinal tuberculosis by multi-slice computed tomography enterography. BMC Infect Dis 2015;15:577-84.
Leder RA, Low VH. Tuberculosis of the abdomen. Radiol Clin North Am. 1995;33(4):691–705.
De Backer AI, Mortele KJ, De Keulenaer BL, Henckaerts L, Verhaert L. CT and MR imaging of gastrointestinal tuberculosis. JBR-BTR. 2006;89(4):190–4.
Huh, J., Byun, J.H., Kim, J.H. et al. Value of apparent diffusion coefficient for differentiating peripancreatic tuberculous lymphadenopathy from metastatic lymphadenopathy. Abdom Radiol 45, 3163–3171 (2020).
Rocha EL, Pedrassa BC, Bormann RL, Kierszenbaum ML, Torres LR, D’Ippolito G. Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings. Radiol Bras. 2015;48(3):181–91.
Levine C. Primary macronodular hepatic tuberculosis: US and CT appearances. Gastrointest Radiol. 1990 Dec 1;15(1):307-9.
Oto A, Zhu F, Kulkarni K, Karczmar GS, Turner JR, Rubin D. Evaluation of Diffusion-weighted MR Imaging for Detection of Bowel Inflammation in Patients with Crohn's Disease. Acad Radiol. 2009;16(5):597–603.
Oto A, Kayhan A, Williams J, Fan X, Yun L, Arkani S, et al. Active Crohn’s Disease in the Small Bowel: Evaluation by Diffusion Weighted Imaging and Quantitative Dynamic Contrast Enhanced MR Imaging. Journal of magnetic resonance imaging 2011;33:615–24.
Mahmoud, B.E., Abdelzaher, A.A., Mohamed, A.A. et al. The role of diffusion-weighted MR imaging in assessment of peritoneal lesions: radiologic-pathologic correlation. Egypt J Radiol Nucl Med 51, 149 (2020).
Sharma D, Nair RP, Dani T, Shetty P. Abdominal cocoon-A rare cause of intestinal obstruction. Int J Surg Case Rep. 2013;4(11):955-957.
Lim J, Yu JS, Hong SW, Chung JJ, Kim JH, Kim KW. A case of mass-forming splenic tuberculosis: MRI findings with emphasis of diffusion weighted imaging characteristics. J Korean Med Sci 2011; 26:457–60.
Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol. 2002 Feb 1;12(2):312-23.
Palmer PE. The imaging of tuberculosis: with epidemiological, pathological, and clinical correlation. Springer Science & Business Media; 2002.
Yang ZG, Min PQ, Sone S, He ZY, Liao ZY, Zhou XP, et al. Tuberculosis versus lymphomas in the abdominal lymph nodes: evaluation with contrast-enhanced CT. AJR Am J Roentgenol. 1999 Mar;172(3):619-23.
Pombo F, Candamio MD, Rodriguez E, Pombo S. Pancreatic tuberculosis: CT findings. Abdom imaging. 1998 Jul 1;23(4):394-7.
Yu RS, Zhang SZ, Wu JJ, Li RF. Imaging diagnosis of 12 patients with hepatic tuberculosis. World J Gastroenterol. 2004 Jun 1;10(11):1639-42.
Nayyar V, Ramakrishna B, Mathew G, Williams RR, Khanduri P. Response to antituberculous chemotherapy after splenectomy. J int med. 1993 Jan 1;233(1):81-3.
Sinan T, Sheikh M, Ramadan S, Sahwney S, Behbehani A. CT features in abdominal tuberculosis: 20 years experience. BMC Med Imaging. 2002 Dec;2(1):3
Murata Y, Yamada I, Sumiya Y, Shichijo Y, Suzuki Y. Abdominal macronodular tuberculomas: MR findings. J Comput Assist Tomogr. 1996 Jul 1;20(4):643-6.