MR enterography: what is next after Crohn’s disease?

Springer Science and Business Media LLC - Tập 37 - Trang 511-517 - 2019
Giuseppe Cicero1, Giorgio Ascenti1, Antonio Bottari1, Francesca Catanzariti1, Alfredo Blandino1, Silvio Mazziotti1
1Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy

Tóm tắt

Within the gastrointestinal system, the small bowel represents the most difficult site to approach with imaging modalities. During the last decades, magnetic resonance enterography has reached an increasing interest, up to be considered an essential part in the diagnostic framework of Crohn’s disease patients. Nevertheless, the distention of the intestinal loops provided by the administration of oral contrast medium, the possibility of a dynamic evaluation, and the lack of radiation exposure are huge advantages that can be exploited for the assessment of other clinical conditions affecting the small bowel. Physicians and radiologists should be aware of the possibilities offered by this technique, looking at it as a trustful alternative to the well-worn radiological examinations. In this respect, the purpose of this work is to show some uncommon clinical conditions that can be assessed with magnetic resonance enterography and that fall within the various differential diagnosis of the intestinal disorders.

Tài liệu tham khảo

Amzallag-Bellenger E, Oudjit A, Ruiz A, Cadiot G, Soyer PA, Hoeffel CC. Effectiveness of MR enterography for the assessment of small-bowel diseases beyond Crohn disease. Radiographics. 2012;32(5):1423–44. Schreyer AG, Menzel C, Friedrich C, Poschenrieder F, Egger L, Dornia C, et al. Comparison of high-resolution ultrasound and MR-enterography in patients with inflammatory bowel disease. WJG. 2011;17(8):1018–25. Mazziotti S, Ascenti G, Scribano E, Gaeta M, Pandolfo A, Bombaci F, et al. Guide to magnetic resonance in Crohn's disease: from common findings to the more rare complicances. Inflamm Bowel Dis. 2011;17(5):1209–22. Paulson EK, Thompson WM. Review of small-bowel obstruction: the diagnosis and when to worry. Radiology. 2015;275(2):332–42. Silva AC, Pimenta M, Guimarães LS. Small bowel obstruction: what to look for. Radiographics. 2009;29(2):423–39. Nicolaou S, Kai B, Ho S, Su J, Ahamed K. Imaging of acute small-bowel obstruction. AJR. 2005;185(4):1036–44. Jennette J, Falk R, Bacon P, Basu N, Cid M, Ferrario F, et al. Revised international Chapel Hill consensus conference nomenclature of vasculitides. Arthritis Rheum. 2013;65:1–11. Gong EJ, Kim D, Chun JH, Ahn JY, Choi KS, Jung KW, et al. Endoscopic findings of upper gastrointestinal involvement in primary vasculitis. Gut Liver. 2016;10(4):542–8. Quartuccio L, De Vita S. Gastrointestinal involvement in systemic vasculitis. In: Ramos-Casals M, Khamashta M, Britó-Zeron P, Atzeni F, Rodés Teixidor J, editors. Handbook of systemic autoimmune diseases. New York: Elsevier; 2017. p. 293–320. Hokama A, Kishimoto K, Ihama Y, Kobashigawa C, Nakamoto M, Hirata T, et al. Endoscopic and radiographic features of gastrointestinal involvement in vasculitis. World J Gastrointest Endosc. 2012;4(3):50–6. Rha SE, Ha HK, Lee S-H, Kim J-H, Kim J-K, Kim JH, et al. CT and mr imaging findings of bowel ischemia from various primary causes. RadioGraphics. 2000;20(1):29–422. D'Angelo T, Gallizzi R, Romano C, Cicero G, Mazziotti S. Magnetic resonance enterography findings of intestinal Behçet disease in a child. Case Rep Radiol. 2017;2017:8061648. Cicero G, Blandino A, D'Angelo T, Bottari A, Cavallaro M, Ascenti G, Mazziotti S. Magnetic resonance enterography appraisal of lupus enteritis: a case report. Radiol Case Rep. 2018;13(5):915–9. Ha HK, Lee SH, Rha SE, Kim J-H, Byun JY, Lim HK, et al. Radiologic features of vasculitis involving the gastrointestinal tract. RadioGraphics. 2000;20(3):779–94. Georgiades CS, Neyman EG, Barish MA, Fishman EK. Amyloidosis: review and CT manifestations. Radiographics. 2004;24(2):405–16. Howard S, Jagannathan J, Krajewski K, Giardino A, Zukotynski K, O'Regan K, et al. Multimodality imaging in amyloidosis. Cancer Imaging. 2012;12(1):109–17.